A comparison of treatment modes in the management of myofascial pain dysfunction syndrome
Abstract
This research compares different treatment regimes for the management of chronic facial pain associated with the masticatory musculature. Twenty-one females meeting specific criteria were randomly assigned to one of three treatment conditions: a dental splint and physiotherapy program; a relaxation program utilizing progressive muscle relaxation, biofeedback, and stress management techniques; or a minimal treatment program involving transcutaneous electrical nerve stimulation. Improvement was assessed through a dental examination, self-monitoring of pain, and an assessment of EMG activity during resting and task conditions. Significant changes were obtained in response to all treatment programs. The treatment programs differed only in the relative pattern of treatment effects obtained from the self-report monitoring of pain. The data are consistent with the concept of MPD as a psychological response to stress which maintains chronic pain through increased muscle tension in the jaw.
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Five of the studies did not find significant differences between a general physical therapy exercise program targeted to the jaw or jaw and neck compared with a control or other active treatments.
“Five of them did not find significant differences between a general physical therapy exercise program targeted to the jaw 56,62,79,80 or jaw and neck 57 compared with a control or other active treatments, such as biofeedback, TENS, use of the TheraBite Jaw Motion Rehabilitation System (ATOS Medical AB, Hörby, Sweden), or oral splint therapy.”
From Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis (2016) · cites this paper as [79]
Eight studies looked at the effect of exercises alone or combined with other therapies for myogenous TMD.
“Eight studies 56 -58,62,63,66,79,80 looked at the effect of exercises alone or combined with other therapies for myogenous TMD.”
From Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis (2016) · cites this paper as [79]
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References 26 · Cited by 57
- Authors
- Crockett, D. J., Foreman, M. E., Alden, L., & Blasberg, B.
- Affiliations
- University of British Columbia Hospital (CA)
- ORCID
- Crockett, D. J.
- Venue
- Biofeedback and Self-Regulation
- Published
- 1986-12
- Volume
- 11
- Issue
- 4
- Pages
- 279-291
- ISSN
- 0363-3586 (ISSN-L)
- 1573-3270
- OpenAlex
- W2006008021
- Cited by
- 57
- References
- 26
- Citations by year
- 2025: 4 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 1 · 2020: 1 · 2019: 3 · 2018: 2 · 2016: 3 · 2015: 3 · 2014: 4 · 2013: 1
- FWCI
- 0.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Applied Psychophysiology and Biofeedback (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Complementary and Manual Therapy › Temporomandibular Joint Disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Myofascial pain diagnosis and treatment
- Health Sciences › Dentistry › Orthodontics › Orthodontics and Dentofacial Orthopedics
- Keywords
- myofascial pain dysfunction syndrome, chronic facial pain, masticatory muscles, dental splints, physiotherapy, progressive muscle relaxation, biofeedback, stress management, transcutaneous electrical nerve stimulation, self-reported pain, electromyography
- MeSH terms
- Biofeedback, Psychology, Combined Modality Therapy, Dental Care, Electromyography, Humans, Muscle Relaxation, Myofascial Pain Syndromes, Physical Therapy Modalities
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