Additional effects of therapeutic exercise and education on manual therapy for chronic temporomandibular disorders treatment: a randomized clinical trial.

IF 1.6 4区医学 Q2 REHABILITATION

Physiotherapy Theory and Practice Pub Date : 2025-01-01 Epub Date: 2024-02-14 DOI:10.1080/09593985.2024.2316305

Cristian Justribó-Manion, Juan Mesa-Jiménez, Javier Bara-Casaus, Juan-Carlos Zuil-Escobar, Katarzyna Wachowska, Gerard Álvarez-Bustins

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引用次数: 0

Abstract

Background: Previous studies have evaluated the implementation of behavioral approaches in individuals with chronic temporomandibular disorders (TMDs).

Objective: To evaluate the benefits of a behavioral approach to craniofacial pain. Second, we assessed the benefits of kinesiophobia, catastrophizing, mouth opening without pain, and forward head posture.

Methods: Individuals with chronic TMDs were treated for five weeks. The intervention group (n = 17) underwent pain neuroscience education, manual therapy, and therapeutic exercise, whereas the control group (n = 17) underwent manual therapy only. Outcomes were evaluated immediately, at seven and 19 weeks follow-up. The assessment tools used were the Craniofacial Pain Disability Inventory, Pain Catastrophizing Scale, Tampa Scale for Kinesiophobia, Mandibular Range of Motion Scale, and Cervical Range of Motion Tool.

Results: The interventions did not influence the differences in the improvements between the groups observed for craniofacial pain disability (inter-subject p 0.4). The intervention had a moderate influence on the improvement of kinesiophobia and catastrophizing (Inter-subject p 0.09 and 0.1 respectively) with a clinically significant effect size (Estimated mean (EM) -8.6 standard deviation (SD) ±3.48 p 0.019; and EM -7.6 SD ± 5.11 p 0.15 respectively).

Conclusion: The behavioral approach improved catastrophizing and kinesiophobia outcomes in individuals with chronic TMDs.

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治疗性运动和教育对慢性颞下颌关节紊乱症手法治疗的额外效果：随机临床试验。

背景：先前的研究评估了行为疗法在慢性颞下颌关节紊乱症（TMD）患者中的应用情况：以往的研究评估了行为疗法在慢性颞下颌关节紊乱症（TMDs）患者中的应用情况：目的：评估行为疗法对颅面部疼痛的益处。其次，我们评估了运动恐惧、灾难化、无痛张口和头部前倾姿势的益处：方法：慢性 TMD 患者接受为期五周的治疗。干预组（n = 17）接受疼痛神经科学教育、手法治疗和治疗性运动，而对照组（n = 17）仅接受手法治疗。结果分别在随访 7 周和 19 周时进行评估。使用的评估工具包括颅面疼痛残疾量表、疼痛灾难化量表、坦帕运动恐惧症量表、下颌活动范围量表和颈椎活动范围工具：在颅面疼痛残疾方面，干预措施并不影响观察到的组间改善差异（受试者间差异为 0.4）。干预对运动恐惧和灾难化的改善有中等程度的影响（受试者间 p 分别为 0.09 和 0.1），其效应大小具有临床意义（估计平均值（EM）-8.6 标准差（SD）±3.48 p 0.019；EM-7.6 标准差（SD）±5.11 p 0.15）：结论：行为疗法改善了慢性 TMD 患者的灾难化和运动恐惧结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physiotherapy Theory and Practice REHABILITATION-

CiteScore

3.40

自引率

10.00%

发文量

300

期刊介绍： The aim of Physiotherapy Theory and Practice is to provide an international, peer-reviewed forum for the publication, dissemination, and discussion of recent developments and current research in physiotherapy/physical therapy. The journal accepts original quantitative and qualitative research reports, theoretical papers, systematic literature reviews, clinical case reports, and technical clinical notes. Physiotherapy Theory and Practice; promotes post-basic education through reports, reviews, and updates on all aspects of physiotherapy and specialties relating to clinical physiotherapy.