Effectiveness of exercise therapy in patients with internal derangement of the temporomandibular joint
This study intended in evaluating the effectiveness of exercise therapy in patients with craniomandibular disorders (CMD). Twenty consecutive patients suffering from CMD with anterior disc displacement without reduction consulting a CMD service were included in the study if they met following criter...
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| Veröffentlicht in: | Journal of oral rehabilitation 2001-12, Vol.28 (12), p.1158-1164 |
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| container_title | Journal of oral rehabilitation |
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| creator | Nicolakis, P. Erdogmus, B. Kopf, A. Ebenbichler, G. Kollmitzer, J. Piehslinger, E. Fialka-Moser, V. |
| description | This study intended in evaluating the effectiveness of exercise therapy in patients with craniomandibular disorders (CMD). Twenty consecutive patients suffering from CMD with anterior disc displacement without reduction consulting a CMD service were included in the study if they met following criteria: (i) pain in the temporomandibular region, (ii) reduced incisal edge clearance ( |
| doi_str_mv | 10.1046/j.1365-2842.2001.00784.x |
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Twenty consecutive patients suffering from CMD with anterior disc displacement without reduction consulting a CMD service were included in the study if they met following criteria: (i) pain in the temporomandibular region, (ii) reduced incisal edge clearance (<35 mm), (iii) magnet resonance imaging confirmed anterior disc displacement without reduction and (iv) evidence of postural dysfunction. All patients were assigned to a waiting list, serving as a no‐treatment control period, according to a before–after trial. The treatment consisted of active and passive jaw movement exercises, correction of body posture and relaxation techniques. A total of 18 patients completed the study, no adverse effects occurred. Following main outcome measures were evaluated: (1) pain at rest (2) pain at stress (3) impairment (4) mouth opening at base‐line, before and after treatment and at 6 month follow‐up. As a result of treatment pain, impairment and mouth opening improved significantly more than during control period (paired samples t‐test P < 0·05). After treatment four patients had no pain at all (chi‐square: P < 0·05) and only seven patients revealed an impaired incisal edge clearance after treatment. (chi‐square Test, P < 0·001). At follow up, seven patients had no pain and experienced no impairment. Exercise therapy seems to be useful in the treatment of anterior disc displacement without reduction.</description><identifier>ISSN: 0305-182X</identifier><identifier>EISSN: 1365-2842</identifier><identifier>DOI: 10.1046/j.1365-2842.2001.00784.x</identifier><identifier>PMID: 11874517</identifier><language>eng</language><publisher>Oxford UK: Blackwell Science Ltd</publisher><subject>Adult ; Chi-Square Distribution ; clinical trials ; controlled ; cranio-mandibular disorder ; Craniomandibular Disorders - therapy ; Dentistry ; Exercise Therapy ; Facial Pain - therapy ; Female ; Follow-Up Studies ; Humans ; Isometric Contraction - physiology ; Joint Dislocations - therapy ; Magnetic Resonance Imaging ; Male ; Mandible - physiopathology ; Masticatory Muscles - physiopathology ; Matched-Pair Analysis ; Movement ; Multivariate Analysis ; pain ; physical therapy ; Physical Therapy Modalities ; physiotherapy ; Posture - physiology ; rehabilitation ; Relaxation Therapy ; Statistics, Nonparametric ; Temporomandibular Joint Disc - pathology ; Temporomandibular Joint Disorders - therapy ; Treatment Outcome</subject><ispartof>Journal of oral rehabilitation, 2001-12, Vol.28 (12), p.1158-1164</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4034-f4309aced985232354e7b02b25b4c7db0eff529d343e4f141bf01eb8c646e3f53</citedby><cites>FETCH-LOGICAL-c4034-f4309aced985232354e7b02b25b4c7db0eff529d343e4f141bf01eb8c646e3f53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1365-2842.2001.00784.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1365-2842.2001.00784.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11874517$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nicolakis, P.</creatorcontrib><creatorcontrib>Erdogmus, B.</creatorcontrib><creatorcontrib>Kopf, A.</creatorcontrib><creatorcontrib>Ebenbichler, G.</creatorcontrib><creatorcontrib>Kollmitzer, J.</creatorcontrib><creatorcontrib>Piehslinger, E.</creatorcontrib><creatorcontrib>Fialka-Moser, V.</creatorcontrib><title>Effectiveness of exercise therapy in patients with internal derangement of the temporomandibular joint</title><title>Journal of oral rehabilitation</title><addtitle>J Oral Rehabil</addtitle><description>This study intended in evaluating the effectiveness of exercise therapy in patients with craniomandibular disorders (CMD). Twenty consecutive patients suffering from CMD with anterior disc displacement without reduction consulting a CMD service were included in the study if they met following criteria: (i) pain in the temporomandibular region, (ii) reduced incisal edge clearance (<35 mm), (iii) magnet resonance imaging confirmed anterior disc displacement without reduction and (iv) evidence of postural dysfunction. All patients were assigned to a waiting list, serving as a no‐treatment control period, according to a before–after trial. The treatment consisted of active and passive jaw movement exercises, correction of body posture and relaxation techniques. A total of 18 patients completed the study, no adverse effects occurred. Following main outcome measures were evaluated: (1) pain at rest (2) pain at stress (3) impairment (4) mouth opening at base‐line, before and after treatment and at 6 month follow‐up. As a result of treatment pain, impairment and mouth opening improved significantly more than during control period (paired samples t‐test P < 0·05). After treatment four patients had no pain at all (chi‐square: P < 0·05) and only seven patients revealed an impaired incisal edge clearance after treatment. (chi‐square Test, P < 0·001). At follow up, seven patients had no pain and experienced no impairment. Exercise therapy seems to be useful in the treatment of anterior disc displacement without reduction.</description><subject>Adult</subject><subject>Chi-Square Distribution</subject><subject>clinical trials</subject><subject>controlled</subject><subject>cranio-mandibular disorder</subject><subject>Craniomandibular Disorders - therapy</subject><subject>Dentistry</subject><subject>Exercise Therapy</subject><subject>Facial Pain - therapy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Isometric Contraction - physiology</subject><subject>Joint Dislocations - therapy</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Mandible - physiopathology</subject><subject>Masticatory Muscles - physiopathology</subject><subject>Matched-Pair Analysis</subject><subject>Movement</subject><subject>Multivariate Analysis</subject><subject>pain</subject><subject>physical therapy</subject><subject>Physical Therapy Modalities</subject><subject>physiotherapy</subject><subject>Posture - physiology</subject><subject>rehabilitation</subject><subject>Relaxation Therapy</subject><subject>Statistics, Nonparametric</subject><subject>Temporomandibular Joint Disc - pathology</subject><subject>Temporomandibular Joint Disorders - therapy</subject><subject>Treatment Outcome</subject><issn>0305-182X</issn><issn>1365-2842</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMtOGzEUQK0KVFLKLyCvupupn-PJgkWFeFURqVAr2FmemWtwmBe2A8nf19NEdMvKlu8519JBCFOSUyKK76uc8kJmrBQsZ4TQnBBVinzzCc3eBwdoRjiRGS3ZwxH6EsKKEFJyqT6jI0pLJSRVM2QvrIU6ulfoIQQ8WAwb8LULgOMTeDNusevxaKKDPgb85uJTeojge9PiJgH9I3RpNJlJwBG6cfBDZ_rGVevWeLwaEv8VHVrTBjjZn8foz-XF7_PrbLG8ujn_schqQbjIrOBkbmpo5qVknHEpQFWEVUxWolZNRcBayeYNFxyEpYJWllCoyroQBXAr-TH6tts7-uFlDSHqzoUa2tb0MKyDVpQVStEJLHdg7YcQPFg9etcZv9WU6KmxXukppZ5S6qmx_tdYb5J6uv9jXXXQ_Bf3URNwtgPeXAvbDy_WP5fLu3RLfrbzXYiwefeNf9aF4krq-9srzWlxufh1d6sf-F8LDpwa</recordid><startdate>200112</startdate><enddate>200112</enddate><creator>Nicolakis, P.</creator><creator>Erdogmus, B.</creator><creator>Kopf, A.</creator><creator>Ebenbichler, G.</creator><creator>Kollmitzer, J.</creator><creator>Piehslinger, E.</creator><creator>Fialka-Moser, V.</creator><general>Blackwell Science Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200112</creationdate><title>Effectiveness of exercise therapy in patients with internal derangement of the temporomandibular joint</title><author>Nicolakis, P. ; Erdogmus, B. ; Kopf, A. ; Ebenbichler, G. ; Kollmitzer, J. ; Piehslinger, E. ; Fialka-Moser, V.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4034-f4309aced985232354e7b02b25b4c7db0eff529d343e4f141bf01eb8c646e3f53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Chi-Square Distribution</topic><topic>clinical trials</topic><topic>controlled</topic><topic>cranio-mandibular disorder</topic><topic>Craniomandibular Disorders - therapy</topic><topic>Dentistry</topic><topic>Exercise Therapy</topic><topic>Facial Pain - therapy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Isometric Contraction - physiology</topic><topic>Joint Dislocations - therapy</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Mandible - physiopathology</topic><topic>Masticatory Muscles - physiopathology</topic><topic>Matched-Pair Analysis</topic><topic>Movement</topic><topic>Multivariate Analysis</topic><topic>pain</topic><topic>physical therapy</topic><topic>Physical Therapy Modalities</topic><topic>physiotherapy</topic><topic>Posture - physiology</topic><topic>rehabilitation</topic><topic>Relaxation Therapy</topic><topic>Statistics, Nonparametric</topic><topic>Temporomandibular Joint Disc - pathology</topic><topic>Temporomandibular Joint Disorders - therapy</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nicolakis, P.</creatorcontrib><creatorcontrib>Erdogmus, B.</creatorcontrib><creatorcontrib>Kopf, A.</creatorcontrib><creatorcontrib>Ebenbichler, G.</creatorcontrib><creatorcontrib>Kollmitzer, J.</creatorcontrib><creatorcontrib>Piehslinger, E.</creatorcontrib><creatorcontrib>Fialka-Moser, V.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of oral rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nicolakis, P.</au><au>Erdogmus, B.</au><au>Kopf, A.</au><au>Ebenbichler, G.</au><au>Kollmitzer, J.</au><au>Piehslinger, E.</au><au>Fialka-Moser, V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of exercise therapy in patients with internal derangement of the temporomandibular joint</atitle><jtitle>Journal of oral rehabilitation</jtitle><addtitle>J Oral Rehabil</addtitle><date>2001-12</date><risdate>2001</risdate><volume>28</volume><issue>12</issue><spage>1158</spage><epage>1164</epage><pages>1158-1164</pages><issn>0305-182X</issn><eissn>1365-2842</eissn><abstract>This study intended in evaluating the effectiveness of exercise therapy in patients with craniomandibular disorders (CMD). Twenty consecutive patients suffering from CMD with anterior disc displacement without reduction consulting a CMD service were included in the study if they met following criteria: (i) pain in the temporomandibular region, (ii) reduced incisal edge clearance (<35 mm), (iii) magnet resonance imaging confirmed anterior disc displacement without reduction and (iv) evidence of postural dysfunction. All patients were assigned to a waiting list, serving as a no‐treatment control period, according to a before–after trial. The treatment consisted of active and passive jaw movement exercises, correction of body posture and relaxation techniques. A total of 18 patients completed the study, no adverse effects occurred. Following main outcome measures were evaluated: (1) pain at rest (2) pain at stress (3) impairment (4) mouth opening at base‐line, before and after treatment and at 6 month follow‐up. As a result of treatment pain, impairment and mouth opening improved significantly more than during control period (paired samples t‐test P < 0·05). After treatment four patients had no pain at all (chi‐square: P < 0·05) and only seven patients revealed an impaired incisal edge clearance after treatment. (chi‐square Test, P < 0·001). At follow up, seven patients had no pain and experienced no impairment. Exercise therapy seems to be useful in the treatment of anterior disc displacement without reduction.</abstract><cop>Oxford UK</cop><pub>Blackwell Science Ltd</pub><pmid>11874517</pmid><doi>10.1046/j.1365-2842.2001.00784.x</doi><tpages>7</tpages></addata></record> |
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| subjects | Adult Chi-Square Distribution clinical trials controlled cranio-mandibular disorder Craniomandibular Disorders - therapy Dentistry Exercise Therapy Facial Pain - therapy Female Follow-Up Studies Humans Isometric Contraction - physiology Joint Dislocations - therapy Magnetic Resonance Imaging Male Mandible - physiopathology Masticatory Muscles - physiopathology Matched-Pair Analysis Movement Multivariate Analysis pain physical therapy Physical Therapy Modalities physiotherapy Posture - physiology rehabilitation Relaxation Therapy Statistics, Nonparametric Temporomandibular Joint Disc - pathology Temporomandibular Joint Disorders - therapy Treatment Outcome |
| title | Effectiveness of exercise therapy in patients with internal derangement of the temporomandibular joint |
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