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Physiotherapeutic rehabilitation of adolescent patients with temporomandibular disorders.

Folia medica Cracoviensia
January 1, 1970
Małgorzata Pihut et al. (3 authors)
Randomized Controlled TrialJournal ArticleHuman StudyClinical
Study Details

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

Extracted Claims (9)
InterventionDirectionEndpointPopulationDosageImpactClaim #
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
Abstract

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.

Medical Subject Headings (MeSH)
MaleFemaleHumansAdolescentTemporomandibular Joint DisordersMasticatory MusclesTemporomandibular JointMandiblePain
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations3
Citations/Year1.0
Relative Citation Ratio0.90
NIH Percentile46.4%
Research Impact Scores
APT Score0.50
Weight Score1.46
Normalized Score0.69
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