A Randomized Controlled Trial of Therapeutic Exercise for Clicking Due to Disk Anterior Displacement with Reduction in the Temporomandibular Joint
Abstract
Therapeutic exercise is a new concept of treatment for patients with clicking due to anterior disk displacement with reduction (ADDWR). In order to investigate the efficacy of the exercise, we designed a randomized controlled clinical trial to compare with no-treatment controls. The subjects were patients who complained of painless unilateral reciprocal clicking and were diagnosed as having ADDWR by Magnetic Resonance Imaging (MRI). Forty-two patients were randomly assigned. Three months after the randomization, the success rate was 61.9% (13/21 joints) in the exercise group and 0% (0/21 joints) in the control group, with a significant difference between the two groups (p=0.0001). However, captured disks in the successful cases were seen in only 23.1% on MRI examination. In conclusion, the therapeutic exercise for clicking due to ADDWR is significantly effective in reducing the clicking, and thought to be much more conservative and cost-effective than splint therapy or surgery.
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Most of the studies favored the use of exercises alone or as part of a general regimen to treat people with arthrogenous TMD, including disk displacements with or without reduction.
“Although the results were mixed, most of the studies favored the use of exercises alone or as part of a general regimen to treat people with arthrogenous TMD, including disk displacements with or without reduction.58,68,84 -86”
From Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis (2016) · cites this paper as [84]
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Armijo-Olivo, S., Pitance, L., Singh, V., Neto, F., Thie, N., & Michelotti, A. (2016) · Physical Therapy · doi:10.2522/ptj.20140548 · Cited by 413 · see citing works
Fink, M., Ismail, F., Heßling, K., Fischer, M., Stiesch-Scholz, M., & Demling, A. (2007) · Manuelle Medizin · doi:10.1007/s00337-007-0524-y · Cited by 5 · see citing works
- Authors
- Yoda, T., Sakamoto, I., Imai, H., Honma, Y., Shinjo, Y., Takano, A., Tsukahara, H., Morita, S., Miyamura, J., Yoda, Y., Sasaki, Y., Tomizuka, K., & Takato, T.
- Affiliations
- The University of Tokyo (JP)
- Tokyo Medical and Dental University (JP)
- Tatebayashi Kosei General Hospital (JP)
- Corresponding author
- Yoda, Tetsuya
- Venue
- CRANIO®
- Publisher
- Informa UK Limited
- Published
- 2003-01
- Volume
- 21
- Issue
- 1
- Pages
- 10-16
- ISSN
- 0734-5410 (ISSN-L)
- 0886-9634
- 2151-0903
- OpenAlex
- W62693977
- Cited by
- 55
- References
- 0
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 3 · 2023: 7 · 2021: 4 · 2020: 1 · 2019: 2 · 2018: 1 · 2016: 2 · 2015: 4 · 2014: 4 · 2013: 1 · 2012: 4
- FWCI
- 5.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- CRANIO® (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Complementary and Manual Therapy › Temporomandibular Joint Disorders
- Health Sciences › Dentistry › Orthodontics › Orthodontics and Dentofacial Orthopedics
- Health Sciences › Medicine › Physiology › Salivary Gland Disorders and Functions
- Keywords
- anterior disc displacement with reduction, temporomandibular joint, clicking, exercise therapy, jaw exercises, disc repositioning, splint therapy, conservative treatment, treatment efficacy
- MeSH terms
- Adolescent, Adult, Child, Joint Dislocations, Exercise Therapy, Female, Follow-Up Studies, Humans, Magnetic Resonance Imaging, Male, Mandible, Middle Aged, Movement, Sound, Statistics as Topic, Chi-Square Distribution, Range of Motion, Articular, Treatment Outcome, Statistics, Nonparametric, Temporomandibular Joint Disc
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