Exercise based multisite pain management in temporomandibular dysfunction and chronic low back pain: a randomized controlled trial.

IF 1.5 4区医学 Q2 REHABILITATION

Physiotherapy Theory and Practice Pub Date : 2025-10-01 Epub Date: 2025-05-25 DOI:10.1080/09593985.2025.2507848

İkra Cakıcı, Gizem Ergezen Sahin

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引用次数: 0

Abstract

Background: Temporomandibular disorders (TMDs) and chronic low back pain (CLBP) frequently coexist, with CLBP reported in 29% of TMDs cases. This co-occurrence emphasizes the importance of multisite pain management approaches.

Objective: To compare the effects of Rocabado's exercises alone or combined with structured back exercises on TMD-related pain, mandibular range of motion (ROM), and CLBP severity.

Methods: Forty participants with myogenic TMD and nonspecific CLBP were randomly assigned to a control group (CG, Rocabado only) or complex exercise group (CEG, Rocabado + back exercises). Both underwent 24 supervised sessions over six weeks. Pain was assessed via the Graded Chronic Pain Scale (GCPS-2.0), Short Form-McGill Pain Questionnaire (SF-MPQ), and Numeric Pain Rating Scale (NPRS). Jaw function and ROM were evaluated using the Jaw Functional Limitation Scale (JFLS-20) and objective mandibular movement measures. Oral health-related quality of life was assessed via the Oral Health Impact Profile-14 (OHIP-14).

Results: Both groups showed significant improvements in pain, jaw function, ROM, and OHIP scores (p < .001). A large effect size was observed for pain reduction as measured by the GCPS-2.0 (d = 0.876) in both groups and by the NPRS in the complex exercise group (d = 3.756). Sensory pain on SF-MPQ improved more in CEG (p = .045). JFLS-20 and ROM showed significant within-group improvements with large effect sizes (p < .001, d > 0.8).

Conclusion: Rocabado's exercises reduced TMDs pain and improved jaw function, while structured back exercises provided additional benefits for the pain severity of CLBP and sensory pain of TMDs.

Trial registration: Clinical trial approval was obtained at https://www.clinicaltrials.gov/, and the registration status was made publicly available with the number NCT06343155 on April 1, 2024. (https://clinicaltrials.gov/study/NCT06343155).

查看原文本刊更多论文

基于运动的颞下颌功能障碍和慢性腰痛多部位疼痛管理：一项随机对照试验。

背景：颞下颌疾病（TMDs）和慢性腰痛（CLBP）经常共存，29%的TMDs病例报告了CLBP。这种共存强调了多部位疼痛管理方法的重要性。目的：比较Rocabado运动单独或联合结构化背部运动对tmd相关疼痛、下颌活动范围（ROM）和CLBP严重程度的影响。方法：将40例肌源性TMD和非特异性CLBP患者随机分为对照组（仅CG， Rocabado）或复杂运动组（CEG， Rocabado +背部运动）。两人在六周内接受了24次监督治疗。通过慢性疼痛分级量表（GCPS-2.0）、简易mcgill疼痛问卷（SF-MPQ）和数字疼痛评定量表（NPRS）评估疼痛。采用颌骨功能限制量表（JFLS-20）和客观下颌运动测量评估颌骨功能和ROM。口腔健康相关生活质量通过口腔健康影响概况-14 （OHIP-14）进行评估。结果：两组疼痛、颌功能、ROM和OHIP评分均有显著改善（p p = 0.045）。JFLS-20和ROM组内显著改善，效应量大（p 0.8）。结论：Rocabado的练习减轻了颞下颌关节疼痛，改善了下颌功能，而有组织的背部练习对CLBP的疼痛程度和颞下颌关节的感觉疼痛有额外的好处。试验注册：通过https://www.clinicaltrials.gov/获得临床试验批准，并于2024年4月1日公开注册状态，注册号为NCT06343155。(https://clinicaltrials.gov/study/NCT06343155)。

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.