Predictors of pain reduction following a program of manual therapies for patients with temporomandibular disorders: A prospective observational study

Asquini, Giacomo; Devecchi, Valter; Borromeo, Giulia; Viscuso, D; Morato, Federico; Locatelli, Massimo; Falla, Deborah

doi:10.1016/j.msksp.2022.102634

Cited by 4 publications

(32 citation statements)

References 82 publications

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“…Baseline collection data will be completed before starting the treatment programme. The follow-up assessment will occur at the end of the fourth session of the MTP 23 26. In the current study, we will also add a follow-up 1 month after the last MTP session to reduce the possibility that acute treatment effects influence the first follow-up assessment.…”

Section: Methods and Analysismentioning

confidence: 99%

“…All eligible participants attending the Temporomandibular Joint (TMJ) Unit of the Italian Stomatologic Institute will be considered for recruitment until the sample size is achieved. In this validation study, we will recruit patients from the same setting and use the same eligibility criteria adopted in the development study 23 26…”

Section: Methods and Analysismentioning

confidence: 99%

“…Inclusion criteria: (1) age ≥18 years; (2) TMD diagnosis in agreement with the DC/TMD14; (3) no treatment received for their TMD in the last 6 months23 26; (4) ability to comprehend and use verbal and written Italian language; (5) mental capacity to provide informed consent.…”

Section: Methods and Analysismentioning

confidence: 99%

“…In a recent prospective study, we developed a clinical prediction tool based on an array of predictors to identify people with TMD who are likely to experience significant pain reduction following a programme of manual therapies (MTP) applied to temporomandibular structures 23. A pain intensity reduction equal to or greater than 30% was defined as a good outcome 23.…”

Section: Introductionmentioning

confidence: 99%

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External validation of a clinical prediction tool for the use of manual therapy for patients with temporomandibular disorders: a protocol for a prospective observational study

Asquini,

Devecchi,

Edoardo Bianchi

et al. 2023

BMJ Open

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IntroductionClinical guidelines recommend conservative treatment for the management of temporomandibular disorders (TMD), and manual therapy directed to temporomandibular structures is commonly applied to reduce pain and improve function. In a recent prospective study, we developed a clinical prediction tool based on an array of predictors to identify people with TMD who are likely to experience significant pain relief and functional improvements following a programme of manual therapies (MTP) applied to temporomandibular structures. The purpose of this study is to externally validate in a different sample (temporal validation) the prediction model obtained in the initial study.Methods/analysisThis observational prospective study will recruit a cohort of 120 adults with TMD from a Dental Hospital in Italy. The intervention will be an MTP consisting of four sessions (once per week) of manual therapy applied to temporomandibular structures. Candidate predictors included in the predictive model will be pain intensity during mouth opening, treatment expectations, number of pain locations, central sensitisation, TMD pain duration and maximal mouth opening. Outcome measures (i.e., pain intensity, functional improvement) will be collected before starting the MTP, after the last session and after 1 month (2 months from baseline). A reduction of pain intensity by at least 30% will be considered a good outcome. External validity of the prediction model will be evaluated after the last session by measuring its calibration, discrimination and overall fit. Additionally, the performance of the model will be evaluated considering the clinical outcomes collected 1 month after the last MTP session.Ethics and disseminationEthical approval was obtained from the Ethics Committee of the Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Italy. The results will be submitted for publication in a peer-reviewed journal, and the prediction model will be implemented in a web-based calculator to facilitate its use by clinicians.Trial registration numberNCT03990662.

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Section: Methods and Analysismentioning

confidence: 99%

Section: Methods and Analysismentioning

confidence: 99%

Section: Methods and Analysismentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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External validation of a clinical prediction tool for the use of manual therapy for patients with temporomandibular disorders: a protocol for a prospective observational study

Asquini,

Devecchi,

Edoardo Bianchi

et al. 2023

BMJ Open

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“…Consiste na colocação de pequenas agulhas nos espaços articulares, lavando a articulação com a possibilidade de depositar um fármaco ou outra substância terapêutica. Esta técnica também pode remover agentes inflamatórios (Asquini et al, 2022;Ferneini, 2021).…”

Section: Tratamentounclassified

Causas e consequências da disfunção temporomandibular

Neto¹,

Afonso

Araújo

et al. 2022

RSD

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O termo desordens temporomandibulares (DTM) engloba diversas circunstancias que atingem a articulação temporomandibular , os músculos mastigatórios ou ambos. A DTM pode ser dolorosa e não dolorosa. Além de causar desconforto sensorial, as DTM dolorosas são emocionalmente desvantajosas, causando sentimentos como ansiedade, estresse, culpa, miséria, isolamento e até mesmo dificuldades para dormir, o que pode levar ao desenvolvimento de depressão. Para a construção deste trabalho foi feito um levantamento bibliográfico nas bases de dados SciVerse Scopus, Scientific Eletronic Library Online (Scielo), U.S. National Library of Medicine (PUBMED) e ScienceDirect, utilizando o gerenciador de referências Mendeley. DTM são um conjunto complexo de distúrbios que muitas vezes podem levar à dor crônica. À medida que os avanços na pesquisa são feitos, uma maior compreensão da etiologia multifatorial da DTM dolorosa está se desenvolvendo. Isso provavelmente levará ao desenvolvimento de melhores estratégias de prevenção, diagnóstico e tratamento de DTM, que visam mecanismos individuais e fatores contribuintes. Aconselha-se um quadro biopsicossocial de cuidados para o tratamento da DTM, abrangendo uma abordagem multidisciplinar através de um único caminho de tratamento integrado. A pesquisa sugere que o estabelecimento de centros regionais especializados em dor orofacial pode fornecer uma abordagem de gerenciamento mais simplificada e econômica na atenção secundária ou terciária.

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Screening Tool für Patient*innen mit einer Kiefergelenkstörung

2023

MSK – Muskuloskelettale Physiotherapie

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Predictors of pain reduction following a program of manual therapies for patients with temporomandibular disorders: A prospective observational study

Cited by 4 publications

References 82 publications

External validation of a clinical prediction tool for the use of manual therapy for patients with temporomandibular disorders: a protocol for a prospective observational study

External validation of a clinical prediction tool for the use of manual therapy for patients with temporomandibular disorders: a protocol for a prospective observational study

Causas e consequências da disfunção temporomandibular

Screening Tool für Patient*innen mit einer Kiefergelenkstörung

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