Pilates versus Bruegger’s exercises for forward head posture associated with temporomandibular joint dysfunction

IF 0.6 Q3 VETERINARY SCIENCES

Comparative Exercise Physiology Pub Date : 2023-07-23 DOI:10.3920/cep220055

G. Malode, K. Vijay

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Abstract

The aim of the trial was to determine and compare the effect of Pilates exercises and Bruegger’s exercises in conjunction with low level laser therapy (LLLT) in forward head posture (FHP) associated with temporomandibular joint dysfunction (TMD). The study was conducted on 30 participants diagnosed with TMD associated with forward head posture. Through randomisation, participants were divided into Pilates (n=15) and Bruegger’s (n=15) exercise groups. LLLT was a common intervention for both the groups. Intervention was given for 3 times a week for 3 weeks. Outcome measures were pain intensity using visual analogue scale (VAS), craniovertebral angle (CVA) using ‘ON Protractor’ software application, range of motion (ROM) of temporomandibular joint (TMJ) using ruler and functional impairment using mandibular function impairment questionnaire (MFIQ) assessed at baseline and 3rd-week post-intervention. A statistically significant difference was noted in pain intensity, ROM of TMJ, CVA and functional impairment with pre- and post-intervention comparison (P<0.001). Between-group analysis showed that Pilates group was better than Bruegger’s exercise group in terms of improving CVA (P<0.001), mouth opening (P<0.01) and reducing functional impairment (P<0.01). However, both the groups were equally effective in in reducing pain intensity (P<0.01). Pilates was better compared to Bruegger’s exercises in reducing functional impairment, improved mouth opening and correcting FHP. Further both the groups were equally effective in reducing pain intensity. Clinical trial registry India: CTRI/2021/09/046969

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普拉提与布鲁格练习对与颞下颌关节功能障碍相关的头部前倾姿势

该试验的目的是确定并比较普拉提运动和布鲁格运动结合低水平激光治疗(LLLT)对与颞下颌关节功能障碍(TMD)相关的前头姿势(FHP)的效果。这项研究对30名被诊断为与前倾头部姿势相关的TMD的参与者进行了研究。通过随机化，参与者被分为普拉提(n=15)和布鲁格(n=15)运动组。LLLT是两组常见的干预措施。干预每周3次，持续3周。结果测量:采用视觉模拟量表(VAS)测量疼痛强度，应用“ON量角器”软件测量颅椎角(CVA)，使用尺子测量颞下颌关节(TMJ)的活动范围(ROM)，并在基线和干预后第3周采用下颌功能损害问卷(MFIQ)评估功能损害。干预前后疼痛强度、颞下颌关节关节活动度、CVA、功能障碍比较，差异有统计学意义(P<0.001)。组间分析显示，普拉提组在改善CVA (P<0.001)、开口(P<0.01)和减轻功能障碍(P<0.01)方面优于Bruegger 's运动组。然而，两组在减轻疼痛强度方面效果相同(P<0.01)。与Bruegger的练习相比，普拉提在减少功能障碍、改善张嘴和纠正FHP方面表现更好。此外，两组在减轻疼痛强度方面同样有效。印度临床试验注册:CTRI/2021/09/046969

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来源期刊

Comparative Exercise Physiology VETERINARY SCIENCES-

CiteScore

1.50

自引率

11.10%

发文量

期刊介绍： ''Comparative Exercise Physiology'' is the only international peer-reviewed scientific journal specifically dealing with the latest research in exercise physiology across all animal species, including humans. The major objective of the journal is to use this comparative approach to better understand the physiological, nutritional, and biochemical parameters that determine levels of performance and athletic achievement. Core subjects include exercise physiology, biomechanics, gait (including the effect of riders in equestrian sport), nutrition and biochemistry, injury and rehabilitation, psychology and behaviour, and breeding and genetics. This comparative and integrative approach to exercise science ultimately highlights the similarities as well as the differences between humans, horses, dogs, and other athletic or non-athletic species during exercise. The result is a unique forum for new information that serves as a resource for all who want to understand the physiological challenges with exercise.