Multimodal physical therapy approach for the management of patients with temporomandibular disorder: Randomized control trial

Q1 Medicine

Journal of oral biology and craniofacial research Pub Date : 2025-03-14 DOI:10.1016/j.jobcr.2025.03.003

Ramesh Chandra Patra , Biswajit Kanungo , A. Yashudas , Patitapaban Mohanty , Gurleen Kaur

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引用次数: 0

Abstract

Background

Temporomandibular disorders (TMD) are musculoskeletal disorders frequently seen in physiotherapy and dental practices, affecting the temporomandibular joint (TMJ) and central nervous system. A multimodal treatment could be more beneficial with limitations of traditional treatment.

Objective

The purpose of this research was to compare the outcomes of cranio-mandibular stabilisation exercises and a structured manual therapy protocol on pain reduction in TMD patients. A secondary purpose was to quantify improvements in mechanical tenderness and active mouth function.

Methods

This single-blind, randomized trial recruited 146 participants (95 women, 51 men) aged 18–50 years with TMD. Participants were randomly allocated into two groups to maintain allocation concealment. The intervention was standardized, administered by skilled physical therapists. Validated instruments measured outcomes, namely pain intensity, mechanical tenderness and active mouth function tests.

Results

Participants receiving cranio-mandibular stabilisation and manual therapy had significantly greater improvements in pain (P = 0.001, 95 %), mechanical tenderness (P = 0.001, 95 %) and active mouth function (P = 0.001, 95 %) compared to controls.

Conclusions

Findings suggest that a multimodal treatment of cranio-mandibular stabilisation and structured manual therapy significantly decreases pain and improves mechanical tenderness and active mouth function in TMD patients. Future research should include long-term follow-up to assess effect sustainability and optimize treatment protocols for maximum benefits.

查看原文本刊更多论文

背景颞下颌关节紊乱症（TMD）是物理治疗和牙科临床中常见的肌肉骨骼疾病，影响颞下颌关节（TMJ）和中枢神经系统。本研究旨在比较头颅-下颌稳定练习和结构化手法治疗方案对减轻 TMD 患者疼痛的效果。方法这项单盲随机试验招募了 146 名 18-50 岁的 TMD 患者（95 名女性，51 名男性）。参与者被随机分配到两组，以保持分配隐蔽性。干预是标准化的，由熟练的理疗师实施。结果接受颅下颌稳定和手法治疗的参与者在疼痛（P = 0.001，95 %）、机械触痛（P = 0.结论研究结果表明，颅下颌稳定和结构化手法治疗的多模式疗法可显著减轻 TMD 患者的疼痛，改善机械性压痛和口腔活动功能。未来的研究应包括长期随访，以评估疗效的可持续性，并优化治疗方案，以获得最大疗效。

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

Journal of oral biology and craniofacial research Medicine-Otorhinolaryngology

CiteScore

4.90

自引率

0.00%

发文量

133

审稿时长

167 days

期刊介绍： Journal of Oral Biology and Craniofacial Research (JOBCR)is the official journal of the Craniofacial Research Foundation (CRF). The journal aims to provide a common platform for both clinical and translational research and to promote interdisciplinary sciences in craniofacial region. JOBCR publishes content that includes diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the mouth and jaws and face region; diagnosis and medical management of diseases specific to the orofacial tissues and of oral manifestations of systemic diseases; studies on identifying populations at risk of oral disease or in need of specific care, and comparing regional, environmental, social, and access similarities and differences in dental care between populations; diseases of the mouth and related structures like salivary glands, temporomandibular joints, facial muscles and perioral skin; biomedical engineering, tissue engineering and stem cells. The journal publishes reviews, commentaries, peer-reviewed original research articles, short communication, and case reports.