Physiotherapy Interventions in Temporomandibular Disorders

Year 2021, Volume: 3 Issue: 3, 162 - 170, 27.10.2021

Duygu Şahin , Ebru Kaya Mutlu , Hanifegül Taşkıran

Abstract

Temporomandibular disorders are complex disorders affecting more than 10% of the population, expressing the masticatory muscles, temporomandibular joint and associated structures. Symptoms often include pain, joint sounds, and limited range of motion. Symptom-oriented treatment forms range from conservative treatment to surgical treatment. Physiotherapy interventions, including electrophysical agents, manual therapy and exercise, are one of the most commonly used techniques in the conservative treatment of temporomandibular disorders. The aim of this study is to examine the physiotherapy interventions and their effectiveness used in the treatment of temporomandibular disorders in the light of current studies by reviewing the literature.

Keywords

Physical therapy modalities, Rehabilitation, Temporomandibular joint disorders

Supporting Institution

-

Project Number

-

Thanks

-

Temporomandibular Bozukluklarda Fizyoterapi Uygulamaları

Abstract

Temporomandibular bozukluklar çiğneme kaslarını, temporomandibular eklemi ve ilişkili yapıları ifade eden, popülasyonun %10'undan fazlasını etkileyen karmaşık bozukluklardır. Semptomlar genellikle ağrı, eklem sesleri ve sınırlı hareket açıklığını içerir. Semptoma yönelik tedavi biçimleri konservatif tedaviden cerrahi tedaviye kadar uzanmaktadır. Elektrofiziksel ajanlar, manuel terapi ve egzersiz yaklaşımlarını içeren fizyoterapi uygulamaları, temporomandibular bozuklukların konservatif tedavisinde en sık kullanılan tekniklerdendir. Bu çalışmanın amacı, temporomandibular bozuklukların tedavisinde kullanılan fizyoterapi uygulamalarını ve etkinliklerini literatürü gözden geçirerek mevcut çalışmalar ışığında incelemektir.

Keywords

Fizik tedavi modaliteleri, Rehabilitasyon, Temoırımandibular eklem bozuklukları

Project Number

-

References

• 1. Stechman-Neto J, Porporatti A, Porto de Toledo I, Costa D, Conti P, De Luca Canto G et al. Effect of temporomandibular disorder therapy on otologic signs and symptoms: a systematic rewiev. J Oral Rehabil 2016;43(6):468-479.
• 2. Horswell B, Sheikh J. Evaluation of Pain Syndromes, Headache and Temporomandibular Joint Disorders in Children. Oral Maxillofac Surg Clin N Am 2018; 30(1):11–24.
• 3. Fernandes A, Dayanne M, Da Silva L, De Almeida E, Barbosa G. Acupuncture in Temporomandibular Disorder Myofascial Pain Treatment: A Systematic Review. J Oral Fascial Pain Headache 2017;31(3):225-232.
• 4. McNeely ML, Armijo OS, Magee DJ. A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Phys Ther 2006; 86(5):710-725.
• 5. List T, Jensen HR. Temporomandibular disorders: Old ideas and new concepts. Cephalalgia 2017;37(7): 692-704.
• 6. Wadhwa S, Kapila S. TMJ Disorders: future innovations in diagnostics and therapeutics. J Dent Educ 2008;72(8):930-947.
• 7. LeResche L. Epidemiology of temporomandibular disorders: Implications for the investigation of etiologic factors. Crit Rev Oral Biol Med 1997;8(3): 291–305.
• 8. Drangsholt M. Temporomandibular Pain. In: Crombie I, Croft P, Linton S, Eds. Epidemiology of pain. 1st ed. Seatle: IASP Press; 1999. p.203-234.
• 9. Macfarlane T, Glenny A, Worthington H. Systematic review of population-based epidemiological studies of oro-facial pain. J Dentistry 2001; 29(7):451–467.
• 10. Smith S, Maixner D, Greenspan J. Potential genetic risk factors for chronic TMD: Genetic associations from the OPPERA case control study. J Pain 2011; 12(11 Suppl):T92–101.
• 11. Visscher C, Lobbezzo F. TMD pain is partly heritable: TMD pain is partly heritable. A systematic review of family studies and genetic association studies. J Oral Rehabil 2015;42(5):386–399.
• 12. Wang J, Chao Y, Wan Q. The possible role of estrogen in the incidence of temporomandibular disorders. Med Hypotheses 2008;71(4):564–567.
• 13. LeResche L, Mancl L, Sherman J. Changes in temporomandibular pain and other symptoms across the menstrual cycle. Pain 2003; 106(3):253–261.
• 14. Berger M, Szalewski L, Bakalczuk M. Association between estrogen levels and temporomandibular disorders: A systematic literature review. Prz Menopauzalny 2015;14(4):260–270.
• 15. Ohrback R, Bair E, Fillingim R. Clinical orofacial characteristics associated with risk of first-onset TMD: The OPPERA prospective cohort study. J Pain 2013; 14(12 Suppl):T33–50.
• 16. Manfredini D, Lobbezzo F. Relationship between bruxism and temporomandibular disorders: A systematic review of literature from 1998 to 2008. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 109(6):e26–50.
• 17. Slade G, Ohrback R, Greenspan J. Painful temporomandibular disorder: Decade of discovery from OPPERA studies. J Dent Res 2016; 95(10):1084–1092.
• 18. Gesch D, Bernhardt O, Kirbchus A. Association of malocclusion and functional occlusion with temporomandibular disorders (TMD) in adults: A systematic review of population-based studies. Quintessence Int 2004;35(3): 211–221.
• 19. Gesch D, Bernhardt O, Mack F. Association of malocclusion and functional occlusion with subjective symptoms of TMD in adults: Results of the Study of Health in Pomerania (SHIP). Angle Orthod 2005;75(2):183–190.
• 20. Macfarlane T, Kenealy P, Kigndon H. Twenty-year cohort study of health gain from orthodontic treatment:: Temporomandibular disorders. Am J Orthod Dentofacial Orthop 2009;135(6):692-693.
• 21. Slade G, Ohrback R, Greenspan J. Painful temporomandibular disorder: Decade of discovery from OPPERA studies. J Dent Res 2016;95(10):1084–1092.
• 22. LeResche L, Mancl L, Drangsholt MT, Huang G, Vok Korff M. Predictors of onset of facial pain and temporomandibular disorders in early adolescence. Pain 2007;129(3):269–278.
• 23. Durham J, Newton-John T, Zakrzewska JM. Temporomandibular disorders. BMJ 2015; 350:h1154.
• 24. Schifman E, Ohrback R, Truelove E, Look J, Anderson G, Goulet JP et al. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group†. J Oral Facial Pain Headache 2014;28(1): 6-27.
• 25. Dym H, Israel H. Diagnosis and Treatment of Temporomandibular Disorders. Dent Clin North Am 2012; 56(1):149-161.
• 26. Sülün T. Dental Approach to the Management of Temporomandibular Disorder. Turk Journal Phys Med Rehab 2010; 56(1):19-24.
• 27. Çapan N. Physical Therapy Modalities, Exercise and Postoperative Rehabilitation in Temporomandibular Joint Disorders. Turk Journal Phys Med Rehab 2010;56(1):15-18.
• 28. Walsh DM, Howe TE, Johnson MI, Sluka KA.Transcutaneous electrical nerve stimulation for acute pain. Cochrane Database of Syst Rev 2015;15(6):CD006142.
• 29. Cooper BC. The role of bioelectronic instruments in the management of TMD. N Y State Dent J 1995;61(9):48-53.
• 30. Awan KH, Patil S. The Role of Transcutaneous Electrical Nerve Stimulation in the Management of Temporomandibular Joint Disorder. J Contemp Dent Pract 2015;16(12):984-986.
• 31. Ferreira A, Costa D, Oliveira A, Carvalho E, Conti P, Costa Y et al. Short-term transcutaneous electrical nerve stimulation reduces pain and improves the masticatory muscle activity in temporomandibular disorder patients: a randomized controlled trial. J Appl Oral Sci 2017;25(2):112-120.
• 32. Florjanski W, Malysa A, Orzeszek S, Smardz J, Olchowy A, Paradowska-Stolarz A. et al. Evaluation of Biofeedback Usefulness in Masticatory Muscle Activity Management- A Systematic Review. J Clin Med 2019;30(8):766.
• 33. Schaffer S, Brismee JM, Sizer P, Courtney C. Temporomandibular disorders. Part 2: conservative management. J Man Manip Ther 2014;22(1):13-23.
• 34. Criado L, De La Fuante A, Heredia M, Montero J, Albaladejo A & Criado JM. Electromyographic biofeedback training for reducing muscle pain and tension on masseter and temporal muscles: A pilot study. J Clin Exp Dent 2016;8(5):e571-e576.
• 35. Sancakli E, Gökçen-Röhling B, Balik A, Öngül D, Kipirdi S, Keskin H. Early results of low-level laser application for masticatory muscle pain: a double-blind randomized clinical study. BMC Oral Health 2015;15(1):131.
• 36. Xu GZ, Jia J, Jin L, Li JH, Wang ZY, Cao DY. Low-Level Laser Therapy for Temporomandibular Disorders: A Systematic Review with Meta-Analysis. Pain Res Manag 2018:4230583.
• 37. Di Fabio RP. Efficacy of manuel therapy. Phys Ther 1992;72(12):853-864.
• 38. Besler Tuncer A, Ergun N, Tuncer AH, Karahan S. Effectiveness of manual therapy ad home physical therapy in patients with temporomandibular disorders: A randomized controlled trial. J Bodyw Mov Ther 2013;17(3):302-308.
• 39. Calixtre LB, Oliveira AB, de Sena Rosa LR, Armijo-Olivo S, Visscher CM, Alburquerque-Sendin F. Effectiveness of mobilisaition of the upper cervical region and craniocervical flexor training on orofacial pain, mandibular function and headache in women with TMD. A randomised, controlled trial. J Oral Rehabil 2019;46(2):109-119.
• 40. Şahin D, Kaya Mutlu E, Şakar O, Ateş G, İnan Ş, Taşkıran H. The effect od ishaem,c compression technique on pain and functionality in temporomandibular disorders: A randomised clinical trial. J Oral Rehabil 2021;48(5):531-541.
• 41. Marcos-Martín F, González-Ferrero L, Martín-Alcocer N, Paris-Alemany A, La Touche R. Multimodal physiotherapy treatment based on a biobehavioral approach for patients with chronic cervico-craniofacial pain: a prospective case series. Physiother Theory and Pract 2018;34(9):671-681.
• 42. Kaltenborn FM, Evjenth O, Kaltenborn TB, Morgan D, Vollowitz E. Movilización Manual de las Articulaciones. Evaluación articular y tratamiento básico. Columna Volumen II. OMT-España 1ª Ed. en español 2010.
• 43. Beltran-Alacreu H, López-de-Uralde-Villanueva I, Fernández-Carnero J, La Touche R. Manual Therapy, Therapeutic Patient Education, and Therapeutic Exercise, an Effective Multimodal Treatment of Nonspecific Chronic Neck Pain: A Randomized Controlled Trial. Am J Phys Med Rehabil 2015; 94(10 Suppl 1):887–897.
• 44. La Touche R, Fernández-de-las-Peñas C, Fernández-Carnero J, Escalante K, Angulo-Díaz-Parreño S, Paris-Alemany A et al. The effects of manual therapy and exercise directed at the cervical spine on pain and pressure pain sensitivity in patients with myofascial temporomandibular disorders. J Oral Rehabil 2009;36(9):644–652.
• 45. Quinn C, Chandler C, Moraska A. Massage Therapy and Frequency of Chronic Tension Headaches. Am J Public Health 2002;92(10):1657–1661.
• 46. Miernik M, Więckiewicz M, Paradowska A, Więckiewicz W. Massage Therapy in Myofascial TMD Pain Management. Adv Clin Exp Med 2012;21(5):681-685.
• 47. Goats GC. Massage- the scientific basis of an ancient art: part 1. The techniques. Br J Sp Med 1994;28(3):149-152.
• 48. Da Costa BR, Vieira ER. Stretching to reduce work-related musculoskeletal disorders: a systematic review. J Rehabil Med 2008;40(5):321–328.
• 49. Cagnie B, Dewitte V, Coppieters I, Oosterwijck JV, Cools A, Danneels L. Effect of ischemic compression on trigger points in the neck and shoulder muscles in office workers: a cohort study. J Manipulative Physiol Ther 2013;36(8):482-489.
• 50. Fernandez-De-Las-Penas C, Svensson P. Myofascial Temporomandibular Disorder. Curr Rheumatol Rev 2016;12(1):40-54.
• 51. Lindfors E, Hedman E, Magnusson T, Ernberg M, Gabre P. Patient Experiences of Therapeutic Jaw Exercises in the Treatment of Masticatory Myofascial Pain: A Qualitative Study. J Oral Facial Pain Headache 2017;31(1):46-54.
• 52. Maluf, SA, Moreno BGD, Crivello O, Cabral CMN, Bortolotti G, Marques AP. Global Postural Reeducation and Static Stretching Exercises in the Treatment of Myogenic Temporomandibular Disorders: A Randomized Study. J Manipulative Physiol Ther 2010;33(7):500–507.
• 53. Quinn JH. Mandibular exercises to control bruxism and deviation problems. Cranio 1995;13(1):30-34.
• 54. Simons DG, Travell JG, Simons LS. Dor e disfunção miofascial. Manual dos pontos de gatilho, volume I – Parte superior do corpo. 2ª ed. São Paulo: Artmed; 2005;91-152.
• 55. Clark G. Classification, causation and treatment of masticatory myogenous pain and dysfunction. Oral Maxillofac Surg Clin North Am 2008;20(2):145-157.
• 56. Shimada A, Ishigaki S, Matsuka Y, Komiyama O, Torisu T, Oono Y et al. Effects of exercise therapy on painful temporomandibular disorders. J Oral Rehabil 2019;46(5):475-481.
• 57. Wright EF, Domenech MA, Fisher JR. Usefulness of posture training for patients with temporomandibular disorders. J Am Dent Assoc 2000;131(2):202-210.
• 58. Mulet M, Decker KL, Look JO, Lenton PA, Schiffman EL. A randomized clinical trial assessing the efficacy of adding 6 x 6 exercises to self-care for the treatment of masticatory myofascial pain. J Orofac Pain 2007;21(4):318-328.
• 59. Kraus SL. Management of the craniomandibular complex. New York: Churchill Livingstone; 1988. p. 139–174.