INTRAORAL MYOFASCIAL THERAPY FOR CHRONIC MYOGENOUS TEMPOROMANDIBULAR DISORDER: A RANDOMIZED CONTROLLED TRIAL

被引:40
|
作者
Kalamir, Allan [1 ]
Bonello, Rodney [2 ]
Graham, Petra [3 ]
Vitiello, Andrew L. [4 ]
Pollard, Henry [5 ]
机构
[1] Macquarie Univ, Fac Sci, Sydney, NSW 2109, Australia
[2] Macquarie Univ, Dept Chiropract, Sydney, NSW 2109, Australia
[3] Macquarie Univ, Dept Stat, Sydney, NSW 2109, Australia
[4] Bournemouth Univ, Anglo European Coll Chiropract, Bournemouth, Dorset, England
[5] Australian Catholic Univ, Fac Hlth Sci, Brisbane, Qld, Australia
关键词
Manual Therapies; Exercise; Self-Care; Education; Chiropractic; Temporomandibular Disorder; LATERAL PTERYGOID MUSCLE; COGNITIVE-BEHAVIORAL THERAPY; RESEARCH DIAGNOSTIC-CRITERIA; CHRONIC-FATIGUE-SYNDROME; LONG-TERM EFFICACY; TRIGGER POINTS; CHRONIC PAIN; MANUAL THERAPY; CLINICAL-TRIALS; HOME-EXERCISE;
D O I
10.1016/j.jmpt.2011.09.004
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
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. (J Manipulative Physiol Ther 2012; 35:26-37)
引用
收藏
页码:26 / 37
页数:12
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