Use of orthopedic manual physical therapy to manage chronic orofacial pain and tension-type headache in an adolescent

Stuhr, Sarah H.; Earnshaw, Darren; Duncombe, Alison

doi:10.1179/2042618613y.0000000054

Cited by 11 publications

(9 citation statements)

References 38 publications

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“…In our study, most of the participants increased their range of motion using the established protocol, which may be because of the direct manipulative interventions applied to the soft and joint tissues (30). However, as we did not have a control group without any treatment, we cannot confirm this hypothesis.…”

Section: Discussionmentioning

confidence: 71%

Transcranial direct current stimulation and exercises for treatment of chronic temporomandibular disorders: a blind randomised‐controlled trial

Oliveira

Lopes

Soares

et al. 2015

J of Oral Rehabilitation

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To evaluate the effect of adding transcranial direct current stimulation (tDCS) to exercises for chronic pain, dysfunction and quality of life in subjects with temporomandibular disorders (TMD). Participants were selected based on the RDC/TMD criteria and assessed for pain intensity, pressure pain threshold over temporomandibular joint and cervical muscles and quality of life. After initial assessment, all individuals underwent a 4-week protocol of exercises and manual therapy, together with active or sham primary motor cortex tDCS. Stimulation was delivered through sponge electrodes, with 2 mA amplitude, for 20 min daily, over the first 5 days of the trial. A total of 32 subjects (mean age 24.7 ± 6.8 years) participated in the evaluations and treatment protocol. Mean pain intensity pre-treatment was 5.5 ± 1.4 for active tDCS group, and 6.3 ± 1.2 for sham tDCS. Both groups showed a decrease in pain intensity scores during the trial period (time factor--F(4.5,137.5) = 28.7, P < 0.001; group factor--F(1.0,30.0 = 7.7), P < 0.05). However, there were no differences between the groups regarding change in pain intensity (time*group interaction--F(4.5,137.5) = 1.5, P = 0.137). This result remained the same after 5 months (t-test t = 0.29, P > 0.05). Pressure pain thresholds decrease and improvement in quality of life were also noticeable in both groups, but again without significant differences between them. Absolute benefit increase was 37.5% (CI 95%: -15.9% to 90.9%), and number needed to treat was 2.66. This study suggests that there is no additional benefit in adding tDCS to exercises for the treatment of chronic TMD in young adults.

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Section: Discussionmentioning

confidence: 71%

Transcranial direct current stimulation and exercises for treatment of chronic temporomandibular disorders: a blind randomised‐controlled trial

Oliveira

Lopes

Soares

et al. 2015

J of Oral Rehabilitation

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“…Among the challenges faced by dental professionals in the daily clinical practice orofacial pain has been highlighted and careful diagnosis is necessary, with temporomandibular dysfunction being a syndrome associated with cases of painful symptoms (Silva, Silva, & Oliveira, 2011;Stuhr, Earnshaw, & Duncombe, 2014).…”

Section: Methods Of Errormentioning

confidence: 99%

<b>Lucia Jig - temporomandibular dysfunction promotes muscle relaxation?

Pereira

Palinkas

Vasconcelos

et al. 2016

Acta Sci. Health Sci.

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Assess whether the Lucia Jig is a device that promotes masticatory muscle relaxation in individuals with temporomandibular dysfunction. This study was carried out in three stages (interviews, clinical examination, and laboratory) and participation of adult individuals, between 21 and 40 years of age, of both genders, who replied to the RDC/TMD questionnaire to diagnose muscular temporomandibular dysfunction. The Lucia Jig was prepared and electromyographic examination of the masseter and temporal muscles was performed bilaterally, in the postural condition of the mandibular at rest, after immediately installing the Lucia Jig in the oral cavity and at periods of 5, 10, 15, 20, and 30 min. The values obtained were compared using repeated measures (p < 0.05) over the entire duration of the experiment (0 to 30 min) with the Lucia Jig. There was an increase in the normalized electromyographic signal of the masticatory muscles, with the use of the Lucia Jig over the period of 30 min, with no statistically significant difference. Based on the results of this study through electromyographic data, the device did not promote masticatory muscle relaxation in individuals with muscular temporomandibular dysfunction.

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“…9 Both the contributions by Defrin, 8 as well as Ferná ndez-de-las-Peñ as and Courtney 10 address the complex pathophysiology and the importance of multimodal treatment plans for individuals with headache. This complexity is demonstrated by Stuhr and colleagues, 11 who describe a successful outcome in a young patient with both headache and TMD complaints.…”

Section: Unraveling the Challenge Of Head And Face Painmentioning

confidence: 95%