Otologic Symptoms of Temporomandibular Disorder and Effect of Orofacial Myofunctional Therapy
Abstract
The aim of this study was to investigate the frequency of otologic symptoms and their relationship to orofacial signs and symptoms of temporomandibular disorder (TMD), and the effect of orofacial myofunctional therapy. The study was conducted on eight asymptomatic subjects (Group C) and 20 subjects with articular TMD, randomly distributed over two groups: one treated using orofacial myofunctional therapy (OMT Group) and a control group with TMD (Group CTMD). Patient selection was based upon the Research Diagnostic Criteria for TMD (RDC/TMD). All subjects submitted to a clinical examination with self-reporting of symptom severity, and to orofacial myofunctional and electromyographic evaluation at diagnosis and again, at the end of the study. Correlations were calculated using the Pearson test and inter- and intragroup comparisons were made (p < 0.05). In the diagnosis phase, subjects with TMD reported earache (65%), tinnitus (60%), ear fullness (90%), and 25% of the asymptomatic subjects reported tinnitus. The otologic symptoms were correlated with tenderness to palpation of the temporomandibular muscles and joints and with orofacial symptoms. Only the OMT group showed a reduction of otologic and orofacial symptoms, of tenderness to palpation and of the asymmetric index between muscles. OMT may help with muscle coordination and a remission of TMD symptoms.
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When pooling results of studies investigating the effectiveness of exercise alone or in combination with other conservative therapies on pain intensity, there was no statistically significant difference in pain between exercise and control groups.
“When pooling the results of the studies investigating the effectiveness of exercise alone or in combination with other conservative therapies on pain intensity, 58,61,68,86 we found that there was no statistically significant difference in pain between exercise and control groups.”
From Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis (2016) · cites this paper as [68]
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 [68]
When pooling was focused on those studies including only a control group, similar results were found, although the SMD increased (SMD=1.11; 95% CI -0.73, 2.94).
“When pooling was focused on those studies including only a control group, 68,86 similar results were found, although the SMD increased (SMDϭ1.11;95% CIϭϪ0.73,2.94).”
From Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis (2016) · cites this paper as [68]
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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
- Authors
- Maria de Felício, C., de Oliveira Melchior, M., Lúcia Pimenta Ferreira, C., & Rodrigues Da Silva, M. A. M.
- Affiliations
- Faculty of Medicine of Ribeirão Preto University of São Paulo, Dept. of Otorrinolaringologia, Oftalmologia e Cirurgia de Cabeça e Pescoço, Av. Dos Bandeirantes – 3900, Ribeirão Preto CEP – 14049-900, Brazil,
- Venue
- CRANIO®
- Publisher
- Informa UK Limited
- Published
- 2008-04
- Volume
- 26
- Issue
- 2
- Pages
- 118-125
- ISSN
- 0734-5410 (ISSN-L)
- 0886-9634
- 2151-0903
- OpenAlex
- W2321853500
- Cited by
- 118
- References
- 0
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 8 · 2023: 7 · 2022: 12 · 2021: 3 · 2020: 3 · 2019: 6 · 2018: 10 · 2017: 8 · 2016: 6 · 2015: 5 · 2014: 5 · 2013: 6 · 2012: 6
- FWCI
- 17.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- CRANIO® (publishedVersion)
- PubMed (publishedVersion)
- Scientific Electronic Library Online (São Paulo Research Foundation, Latin American and Caribbean Center on Health Sciences Information, Conselho Nacional de Desenvolvimento Científico e Tecnológico) (publishedVersion)
- Topics
- Health Sciences › Health Professions › Complementary and Manual Therapy › Temporomandibular Joint Disorders
- Life Sciences › Neuroscience › Sensory Systems › Hearing, Cochlea, Tinnitus, Genetics
- Health Sciences › Medicine › Otorhinolaryngology › Ear Surgery and Otitis Media
- Keywords
- temporomandibular disorders, otologic symptoms, myofunctional therapy, tinnitus, ear fullness, otalgia, orofacial symptoms, temporomandibular muscles, muscle tenderness, muscle coordination, asymmetry index
- MeSH terms
- Adult, Ear Diseases, Earache, Electromyography, Facial Pain, Female, Follow-Up Studies, Humans, Masseter Muscle, Muscle Contraction, Pain Measurement, Palpation, Temporal Muscle, Temporomandibular Joint Disorders, Tinnitus, Range of Motion, Articular, Treatment Outcome, Myofunctional Therapy
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