Physiotherapeutic rehabilitation of adolescent patients with temporomandibular disorders.
Study Goal
The researchers aimed to compare the effectiveness of manual therapy versus kinesitherapy with massage in treating temporomandibular disorders (TMD) in adolescents.
Results Summary
Both manual therapy and kinesitherapy with massage significantly reduced pain intensity and improved mandibular abduction in adolescent TMD patients, with no significant difference in efficacy between the two methods.
Population
Adolescents aged 14-17 with temporomandibular disorders (TMD).
Effective Dosage
Not specified
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
Manual therapy | no change | mean values of pain intensity | adolescent patients with temporomandibular disorders | 6.12 and 6.24 respectively | were not significantly different | #1 |
Kinesitherapy with massage | no change | mean values of pain intensity | adolescent patients with temporomandibular disorders | 6.12 and 6.24 respectively | were not significantly different | #2 |
Manual therapy | decrease | VAS scores | adolescent patients with temporomandibular disorders | 0.92 | significantly lower | #3 |
Kinesitherapy with massage | decrease | VAS scores | adolescent patients with temporomandibular disorders | 0.74 | significantly lower | #4 |
Manual therapy | decrease | pain intensity | adolescent patients with temporomandibular disorders | - | differed significantly | #5 |
Kinesitherapy with massage | decrease | pain intensity | adolescent patients with temporomandibular disorders | - | differed significantly | #6 |
Manual therapy | increase | maximum abduction of the mandible | adolescent patients with temporomandibular disorders | - | Similar results were obtained | #7 |
Kinesitherapy with massage | increase | maximum abduction of the mandible | adolescent patients with temporomandibular disorders | - | Similar results were obtained | #8 |
physiotherapeutic procedures | increase | functional rehabilitation | adolescent patients with temporomandibular disorders | - | beneficial effect | #9 |
UNLABELLED: TMD is a group of pathological changes including increased tension in the masticatory muscles, pain in the muscles and/or the temporomandibular joints, abnormal range of the mandibular movement or the presence of acoustic symptoms in the joints in the form of clicking or poping. The aim of the project was to compare the effectiveness of two methods of physiotherapeutic rehabilitation, used in adolescent patients with temporomandibular disorders. MATERIAL AND METHODS: The material consisted of 68 patients, aged 14 to 17, of both sexes, generally healthy, who came to the Dental Prosthetics Department for treatment due to pain in the masticatory muscles. Dental examination and diagnostics revealed Ia in all cases in accordance with RDC/TMD protocol. Manual therapy was performed in group I (34 people) and kinesitherapy with massage was performed in group II (34 people). Patients were allocated randomly to both groups. Contraindications were considered for both methods. RESULTS: Within the first study, mean values of pain intensity between group I and group II were not significantly different (6.12 and 6.24 respectively). Within the second study significantly lower VAS scores in both groups have been revealed (0.92 and 0.74 respectively). Results of the first and second study differed significantly in both groups. Similar results were obtained for the maximum abduction of the mandible. CONCLUSIONS: The results of the conducted studies indicate a beneficial effect of the assessed physiotherapeutic procedures in terms of functional rehabilitation of adolescent patients with temporomandibular disorders.