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Treatment of myogenic temporomandibular disorder: a prospective randomized clinical trial, comparing a mechanical stretching device (TheraBite®) with standard physical therapy exercise
Abstract
Aims To compare in a randomized controlled clinical trial (RCT) the application of the TheraBite® (TB) Jaw Motion Rehabilitation System with a standard physical therapy (PT) exercise regimen for the treatment of myogenic temporomandibular disorder (TMD). Methodology Myogenic TMD patients were randomized for the use of the TB device or for standard PT. Mandibular function was assessed with the mandibular function impairment questionnaire (MFIQ). Pain was evaluated using a visual analog scale, and maximum inter-incisor (mouth) opening (MIO) was measured using the disposable TB range of motion scale. Results Of the 96 patients randomized (46 TB, 50 standard PT exercises), 38 actually started with the TB device and 41 with the standard PT exercises. After six-week follow-up, patients using the TB device reported a significantly greater functional improvement (MFIQ score) than the patients receiving regular PT exercises (P = 0.0050). At 6 weeks, no significant differences in pain, and active or passive MIO were found between the two groups. At 3 months, patients in both treatment groups did equally well, and showed a significant improvement in all parameters assessed. Conclusions This RCT on myogenic TMD treatment, comparing standard PT with passive jaw mobilization using the TheraBite Jaw Motion Rehabilitation System®, shows that both treatment modalities are equally effective in relieving myogenic TMD symptoms, but that the use of the TB device has the benefit of achieving a sig…
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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 [80]
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 [80]
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Cited by
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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
Metadata
- Authors
- Kraaijenga, S., van der Molen, L., van Tinteren, H., Hilgers, F., & Smeele, L.
- Affiliations
- The Netherlands Cancer Institute (NL)
- University of Amsterdam (NL)
- Amsterdam UMC Location University of Amsterdam (NL)
- Venue
- CRANIO®
- Publisher
- Informa UK Limited
- Published
- 2014-01-24
- Volume
- 32
- Issue
- 3
- Pages
- 208-216
- ISSN
- 0734-5410 (ISSN-L)
- 0886-9634
- 2151-0903
- OpenAlex
- W2042882556
- Cited by
- 34
- References
- 0
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 2 · 2023: 1 · 2022: 1 · 2021: 3 · 2020: 7 · 2019: 3 · 2018: 3 · 2016: 4 · 2015: 4
- FWCI
- 4.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- CRANIO® (publishedVersion)
- PubMed (publishedVersion)
- UvA-DARE (University of Amsterdam) (publishedVersion)
- Pure Amsterdam UMC (publishedVersion)
- VU Research Portal (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Health Sciences › Dentistry › Oral Surgery › Temporomandibular Joint Disorders
- Health Sciences › Dentistry › Orthodontics › Orthodontics and Dentofacial Orthopedics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Myofascial pain diagnosis and treatment
- Keywords
- physiotherapy exercises, mandibular function, jaw pain, treatment comparison
- MeSH terms
- Adolescent, Adult, Aged, Exercise Therapy, Female, Follow-Up Studies, Humans, Male, Mandible, Masticatory Muscles, Middle Aged, Pain Measurement, Patient Compliance, Patient Education as Topic, Prospective Studies, Temporomandibular Joint Dysfunction Syndrome, Range of Motion, Articular, Treatment Outcome, Muscle Stretching Exercises, Young Adult
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