Intra-oral myofascial therapy for chronic myogenous temporomandibular disorders: a randomized, controlled pilot study
Open accessAbstract
OBJECTIVES: Studies investigating the efficacy of intra-oral myofascial therapies (IMT) for chronic temporomandibular disorder (TMD) are rare. The objective of this randomized, controlled pilot study was to compare the effects of IMT and the addition of self-care and education over 6 months on four common TMD outcome measures: inter-incisal opening range, jaw pain at rest, jaw pain upon opening, and jaw pain upon clenching. PARTICIPANTS: Thirty myogenous TMD participants between the ages of 18 and 50 years, experiencing chronic jaw pain of longer than 3-month duration, were recruited for the present study. INTERVENTION: INCLUDED PATIENTS WERE RANDOMIZED INTO ONE OF THREE GROUPS: (1) IMT consisting of two treatment interventions per week for 5 weeks; (2) IMT plus 'self-care' involving education and exercises; and (3) wait list control. MAIN OUTCOME MEASURES: Range of motion findings were measured in millimetres by vernier callipers and pain scores were quantified using an 11-point self-reported graded chronic pain scale. Measurements were taken at baseline, 6 weeks post-treatment, and 6 months post-treatment. RESULTS: The results showed statistically significant differences in resting, opening, and clenching pain and opening range scores (P<0.05) in both treatment groups compared to control at 6 months. No significant differences were observed between the two treatment groups during the course of the trial. CONCLUSIONS: This study suggests that IMT alone or with the addition of self-care may be of some benefit in the management of chronic TMD over the short-medium term. A larger scale study over a longer term (1-2 years) may be of further value.
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Twenty-one of the studies used the RDC/TMD established by Dworkin and LeResche to classify patients as having TMD.
“Twenty-one of the studies 57-76 used the RDC/TMD established by Dworkin and LeResche 27 to classify the patients as having TMD.”
From Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis (2016) · cites this paper as [65]
When pooling the results from 3 of these studies, MT significantly reduced pain at 4 to 6 weeks of treatment compared with botulinum toxin or waiting list, approaching a clinically relevant value.
“When pooling the results from 3 of these studies based on similar outcomes and diagnoses and comparing similar interventions regarding MT, 64,65,81 we found that MT significantly reduced pain at 4 to 6 weeks of treatment compared with botulinum toxin or waiting list, approaching a clinically relevant value.”
From Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis (2016) · cites this paper as [65]
Four studies looked at MT techniques for people with myogenous TMD.
“Four studies 64,65,77,81 looked at MT techniques, such as facial manipulation versus botulinum toxin 81 or intraoral myofascial therapy versus waiting list, and self-care education and exercises for people with myogenous TMD.64,65,77”
From Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis (2016) · cites this paper as [65]
Eight of the trials reported no adverse events with the treatments.
“Eight of the trials 57,65,67,74,75,77,87,88 reported no adverse events with the treatments.”
From Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis (2016) · cites this paper as [65]
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- Authors
- Kalamir, A., Pollard, H., Vitiello, A., & Bonello, R.
- Affiliations
- Macquarie University (AU)
- Venue
- Journal of Manual & Manipulative Therapy
- Publisher
- Informa UK Limited
- Published
- 2010-09
- Volume
- 18
- Issue
- 3
- Pages
- 139-146
- ISSN
- 1066-9817 (ISSN-L)
- 2042-6186
- PMC
- PMC3109684
- OpenAlex
- W2054036553
- Cited by
- 54
- References
- 2
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 5 · 2022: 3 · 2021: 5 · 2020: 5 · 2019: 5 · 2018: 4 · 2017: 1 · 2016: 3 · 2015: 4 · 2014: 6 · 2013: 2 · 2012: 1
- FWCI
- 1.96
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Manual & Manipulative Therapy (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Murdoch University Research Portal (submittedVersion)
- 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
- chronic temporomandibular disorders, jaw pain, self-care, patient education, jaw exercises
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