Exercise therapy for craniomandibular disorders.

Abstract:

OBJECTIVE:To evaluate the use of exercise therapy for the treatment of craniomandibular disorders (CMDs). DESIGN:Before-after trial. All patients were assigned to a waiting list, serving as a no-treatment control period. SETTING:Outpatient clinic for physical medicine and rehabilitation of the University of Vienna. PATIENTS:Thirty consecutive patients suffering from CMD with anteridr disc displacement with reduction who were consulting a CMD service. INCLUSION CRITERIA:(1) symptoms lasting at least 3 months, (2) pain in the temporomandibular region, (3) a positive axiography, and (4) evidence of postural dysfunction. Twenty-six patients completed the study; no adverse effects occurred. INTERVENTIONS:Active and passive jaw movement exercises, correction of body posture, and relaxation techniques. MAIN OUTCOME MEASURES:(1) Pain at rest, (2) pain at stress, (3) impairment, and (4) mouth opening at baseline, before and after treatment, and at 6-month follow-up. RESULTS:During the control period, no changes occurred. After the treatment, pain and impairment were significantly reduced (Wilcoxon test, p < .001). Four patients had a restricted mouth opening, in contrast to 15 before treatment (chi2 test, p < .005). Joint clicking vanished in 13.3% and was reduced in another 13.3% (chi2 test, p < .01). These results did not change until follow-up. Seventy-five percent of the patients were treated successfully. CONCLUSION:Exercise therapy seems to be useful in the treatment of anterior disc displacement with reduction.

journal_name

Arch Phys Med Rehabil

authors

Nicolakis P,Erdogmus B,Kopf A,Djaber-Ansari A,Piehslinger E,Fialka-Moser V

doi

10.1053/apmr.2000.6282

subject

Has Abstract

pub_date

2000-09-01 00:00:00

pages

1137-42

issue

9

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(00)65588-0

journal_volume

81

pub_type

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