Short‐term efficacy of physical therapy compared to splint therapy in treatment of arthrogenous TMD
Abstract
A prospective randomized study was carried out to evaluate the efficacy of physical therapy in addition to splint therapy on treatment outcome in patients with temporomandibular disorders (TMD) with respect to objective and subjective parameters. Twenty-six patients suffering from an arthrogenic TMD and exhibiting a painfully restricted jaw opening were randomized in two groups. Thirteen patients were treated solely with Michigan splint (group I), 13 patients received supplementary physical therapy (group II). Before treatment a clinical examination and electronic recording of jaw movements were performed and subjective pain level was evaluated by visual analogue scales. After 3 months of therapy maintenance of improvement was evaluated. Within treatment groups comparison of data before and after treatment was analysed using Wilcoxon test. Groups were compared by Mann-Withney-U test. A P-value < 0.05 was considered significant. Compared with the baseline, in both groups mandibular movement capacity increased significantly after treatment, whereas subjective pain decreased significantly (P < 0.05). Active jaw opening increased from 28.6 +/- 5.8 to 35.9 +/- 4.8 mm in group I and from 30.1 +/- 5.4 to 40.8 +/- 4.1 mm in group II. After therapy the difference of active jaw opening between groups was significant (P < 0.05). Physical therapy also gave a supplementary improvement of protrusive mandibular movement capacity during electronic registration and subjective pain level. For…
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Five of these studies favored the use of MT in conjunction with exercises compared with splints or with medications or other nonconservative treatments for arthrogenous TMD, such as arthroscopy and arthroplasty.
“Five of these studies 69,78,87,88,91 favored the use of MT in conjunction with exercises compared with splints 69,87,88 or with medications 91 or other nonconservative treatments for arthrogenous TMD, such as arthroscopy and arthroplasty.78”
From Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis (2016) · cites this paper as [69]
When looking at active mouth opening, MT plus exercises significantly increased active mouth opening compared with splint therapy, self-care, or medications.
“When looking at active mouth opening, 69,87,88,90 we found that MT plus exercises significantly increased active mouth opening compared with splint therapy, self-care, or medications.”
From Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis (2016) · cites this paper as [69]
When pooling results from studies with homogeneous interventions and similar outcomes, diagnoses, and available data, pain was significantly reduced in patients receiving MT combined with exercises compared with splint therapy, self-care, or medications.
“When pooling the results from the studies with homogeneous interventions and similar outcomes, diagnoses, and available data, 69,78,87,88,90 we found that pain was significantly reduced in patients receiving MT combined with exercises compared with splint therapy, self-care, or medications.”
From Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis (2016) · cites this paper as [69]
In general, MT plus exercises reduced symptoms and increased ROM for patients with arthrogenous TMD, particularly for those with reduced ROM due to disk displacements without reduction (closed lock).
“In general, we found that MT plus exercises reduced symptoms and increased ROM for patients with arthrogenous TMD, particularly for those with reduced ROM due to disk displacements without reduction (”
From Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis (2016) · cites this paper as [69]
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Effectiveness of manual therapies: the UK evidence report
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- Authors
- ISMAIL, F., DEMLING, A., HEßLING, K., FINK, M., & STIESCH‐SCHOLZ, M.
- Affiliations
- Medizinische Hochschule Hannover (DE)
- Corresponding author
- ISMAIL, F.
- Venue
- Journal of Oral Rehabilitation
- Publisher
- Wiley
- Published
- 2007-05-23
- Volume
- 34
- Issue
- 11
- Pages
- 807-813
- ISSN
- 0305-182X (ISSN-L)
- 1365-2842
- OpenAlex
- W2129534313
- Cited by
- 69
- References
- 2
- Citations by year
- 2025: 7 · 2024: 2 · 2023: 3 · 2022: 7 · 2021: 6 · 2020: 5 · 2019: 5 · 2018: 5 · 2017: 2 · 2016: 2 · 2015: 6 · 2014: 4 · 2013: 2 · 2012: 3
- FWCI
- 5.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Oral Rehabilitation (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 › Surgery › Facial Trauma and Fracture Management
- Keywords
- temporomandibular disorders, physiotherapy, splint therapy, Michigan splint, mouth opening, jaw pain, protrusive movement, treatment outcomes
- MeSH terms
- Adult, Female, Humans, Male, Movement, Prospective Studies, Splints, Temporomandibular Joint Disorders, Treatment Outcome, Arthralgia, Musculoskeletal Manipulations
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