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Cited by 8Temporomandibular Joint DisordersOrthodontics and Dentofacial OrthopedicsMyofascial pain diagnosis and treatment

Relationship between osteopathic manipulative treatment of the temporomandibular joint, molar shim and the orthostatic position: A randomized, controlled and double blinded study

Detoni, R., Hartz, C.S., Fusatto, E.L., Bicalho, E., Nacimento-Moraes, K.S.G., Rizzatti-Barbosa, C.M., Lopes, F.O.T.·2022·Journal of Bodywork and Movement Therapies
DOI 10.1016/j.jbmt.2021.09.021
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Abstract

This randomized, controlled, double-blinded study related the effect of osteopathic manipulative treatment (OMT) of the temporomandibular joint (TMJ) and the orthostatic posture using the molar shim (MS) as a postural adjustment factor. Twenty individuals classified with temporomandibular disorder (TMD) were randomly assigned to a treated group (TG, n = 10) and placebo (PG, n = 10). The independent variables were: MS and OMT of the TMJ. The dependent variables were: DC-TMD data; local pressure pain using algometry; and orthostatic posture assessed by the distribution of plantar pressures (baropodometry), in the evaluation periods before and immediately after the interventions. Results: pain did not show a statistically significant difference after the interventions. However, when comparing the Effect Size (ES) between the groups in the post-intervention moment, a moderate relationship was observed for the left trapezius muscle (0.51) and right and left TMJ (0.41 and 0.54 respectively). When correlating the pain and percentage of anteroposterior postural dislocation variables, a significant moderate inverse correlation was observed in the post-intervention moment. The results of the MS pointed to a significant decrease (p ≤ 0.05) of the average peak pressure (Medium P) during the use of the MS (503.4 ± 44.1 kgf/cm2) and after performing the OMT (516.5 ± 49.6 kgf/cm2), both for the TG compared to the pre intervention moment (519.3 ± 42.9 kgf/cm2). There is a correlation between TMJ and orthostatic posture. OMT of the TMJ influences orthostatic posture. The MS can be added to the evaluative context of TMD.

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Research works printed but not linked: 6

  1. Barela, 2000, Estratégias de controle em movimentos complexos: ciclo percepção-ação no controle postural, Revista Paulista de educação Física. Sup., 3, 79
  2. Hue, 2007, 26, 32
  3. Liem, 2004, 379, 413
  4. Mattos, 2004, Análise baropodométrica da influência podal na postura, Revista Terapia Manual, Londrina, 3, 204
  5. Moreira, 2004, Comparação das estratégias posturais pelo exame baropodométrico, Revista Terapia Manual, Londrina, 3, 228
  6. Saad, 1997, Sinais clínicos associados a prognóstico de marcha em paralisia cerebral espástica, Rev. Bras. Plantas Med., 1, 1

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Authors
Detoni, R., Hartz, C. S., Fusatto, E. L., Bicalho, E., Nacimento-Moraes, K. S. G., Rizzatti-Barbosa, C. M., & Lopes, F. O. T.
Corresponding author
  • Detoni, R.
  • Lopes, F.O.T.
ORCID
Hartz, C.S.
Venue
Journal of Bodywork and Movement Therapies
Publisher
Elsevier BV
Published
2022-01
Volume
29
Pages
187-197
ISSN
1360-8592 (ISSN-L)
DOI
10.1016/j.jbmt.2021.09.021
OpenAlex
W3208764179
Semantic Scholar
87ed369cceb6a6e43cc9b9324c8b61ac7f6ae432
Cited by
8
References
44
Citations by year
2026: 2 · 2025: 3 · 2024: 1 · 2023: 2
FWCI
0.74
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Journal of Bodywork and Movement Therapies (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Complementary and Manual Therapy › Temporomandibular Joint Disorders
  • Health Sciences › Dentistry › Orthodontics › Orthodontics and Dentofacial Orthopedics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Myofascial pain diagnosis and treatment
Keywords
osteopathic manipulative treatment, temporomandibular joint, temporomandibular disorders, orthostatic posture, postural adjustments, plantar pressure, baropodometry, algometry, trapezius, pain
MeSH terms
Humans, Pain, Pain Measurement, Temporomandibular Joint, Temporomandibular Joint Disorders, Manipulation, Osteopathic

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