Please use this identifier to cite or link to this item: http://hdl.handle.net/1959.14/181454
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- Title
- Intraoral myofascial therapy for chronic myogenous temporomandibular disorder : a randomized controlled trial
- Related
- Journal of manipulative and physiological therapeutics, Vol. 35, No. 1, (2012), p.26-37
- DOI
- 10.1016/j.jmpt.2011.09.004
- Publisher
- Elsevier
- Date
- 2012
- Author/Creator
- Kalamir, Allan
- Author/Creator
- Bonello, Rodney
- Author/Creator
- Graham, Petra
- Author/Creator
- Vitiello, Andrew L
- Author/Creator
- Pollard, H
- Description
- Objective: Studies investigating the efficacy of intraoral myofascial therapies (IMTs) for chronic temporomandibular disorder (TMD) are rare. The present study was an expansion of a previously published pilot study that investigated whether chiropractic IMT and the addition of education and self-care were superior to no-treatment or IMT alone for 5 outcome measures-interincisal opening range, jaw pain at rest, jaw pain upon opening, jaw pain upon clenching, and global reporting of change-over the course of 1 year. Methods: Ninety-three participants with myogenous TMD between the ages of 18 and 50 years experiencing chronic jaw pain of longer than 3 months in duration were recruited for the study. Successful applicants were randomized into 1 of 3 groups: (1) IMT consisting of 2 treatment interventions per week for 5 weeks, (2) IMT plus education and "self-care" exercises (IMTESC), and (3) wait-list control. The main outcome measures were used. Range of motion findings were measured by vernier callipers in millimeters, and pain scores were quantified using an 11-point self-reported graded chronic pain scale. Global reporting of change was a 7-point self-reported scale, balanced positively and negatively around a zero midpoint. Results: There were statistically significant differences in resting, opening and clenching pain, opening scores, and global reporting of change (P <.05) in both treatment groups compared with the controls at 6 months and 1 year. There were also significant differences between the 2 treatment groups at 1 year. Conclusions: The study suggests that both chiropractic IMT and IMTESC were superior to no-treatment of chronic myogenous TMD over the course of 1 year, with IMTESC also being superior to IMT at 1 year.
- Description
- 12 page(s)
- Subject Keyword
- Chiropractic
- Subject Keyword
- Education
- Subject Keyword
- Exercise
- Subject Keyword
- Manual Therapies
- Subject Keyword
- Self-Care
- Subject Keyword
- Temporomandibular Disorder
- Resource Type
- journal article
- Organisation
- Macquarie University. Dept. of Chiropractic
- Organisation
- Macquarie University. Dept. of Statistics
- Identifier
- http://hdl.handle.net/1959.14/181454
- Identifier
- ISSN:0161-4754
- Identifier
- mq_res-ext-2-s2.0-84855672295
- Language
- eng
- Reviewed
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