Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

A Study to Compare the Effectiveness of Conventional Treatment Versus Temporomandibular Joint Mobilization in Patients with Temporomandibular Joint Disorders


Affiliations
1 Master of Physiotherapy (Sports),Lecturer, K.K Sheth Physiotherapy College,Rajkot-7, India
     

   Subscribe/Renew Journal


Background: Temporomandibular disorders (TMDs) refers to a group of disorders affecting the temporomandibular joint (TMJ), masticator muscles and the associated structures. These disorders share the symptoms of pain and limited mouth opening due to oral sub mucosal fibrosis (OSMF). So in each group taken both type of patiens,10 patients having TMJ pain and 10 patients having OSMF.

Patient having TMJ pain given conventional therapy in form of Ultrasound and isometric exercises and patients having OSMF given Ultrasound and stretching exercises.

Mobilizations are indicated when the assessment has illuminated any of the following: pain, progressive limitations of functional mobility, post arthroscopic TMJ surgery, reversible joint hypo mobility, or muscle guarding or spasm.

Objectives: To study the effects of a TMJ mobilization programme in relieving pain and on improving maximal mouth opening in patients with TM disorders.

Methods: Study included 40 patients with temporomandibular disorders between age group 20-40 years. The subjects were randomly divided into 2 groups: Group - A and Group - B. They were treated for 3 weeks, 6 days a week once daily. Pain was assessed by Visual Analogue Scale and maximal mouth opening was measured as an objective outcome with the special scale.

Results: Results showed significant improvement in VAS and in maximal mouth opening in both groups. Comparison of Group A and Group B was done with Wilcoxon Rank sum test (Mann Whitney U test) and unpaired t-test, Group B showed significant improvement in VAS (P=0.0047) and in maximal mouth opening (P=0.0383)

Conclusion: TMJ mobilization programme along with conventional physical therapy intervention is more effective in relieving pain and improving maximal mouth opening than conventional physical therapy alone in patients with temporomandibular disorders.


Keywords

TMJ Mobilization, OSMF,TMJ Ankylosis
Subscription Login to verify subscription
User
Notifications
Font Size


  • Charles F Guardia III, Stephen A Berman; Temporomandibular Disorders, Oct 11, 2010.

  • Felson DT, Nevitt MC. The effects of estrogen on osteoarthritis. Curr Opin Rheumatol 1998; 10:269–72.

  • Warren MP, Fried JL. Temporomandibular disorders and hormones in women. Cells Tissues Organs 2001; 169: 187–92.

  • Carlsson GE, LeResche L. Epidemiology of temporomandibular disorders. Seattle: IASP Press, 1995.

  • Temporomandibular joint dysfunction (TMJD). 1/1996, 11/2009, 8/2012, 8/2010.

  • Dimitroulis G; Temporomandibular disorders: a clinical update. BMJ. 1998 Jul 18; 317(7152):190-4.

  • Scrivani SJ, Keith DA, Kaban LB; Temporomandibular disorders. N Engl J Med. 2008 Dec 18; 359(25):2693-705.

  • Cox SC, Walker DM. Oral submucous fibrosis. A review. Aust Dent J. Oct 1996; 41(5):294-9.

  • Aziz SR. Oral submucous fibrosis:an unusual disease. J N J Dent Assoc. Spring 1997; 68(2):17-9.

  • Paissat DK. Oral submucous fibrosis. Int J Oral Surg. Oct 1981; 10(5):307-12. a. Sur TK, Biswas TK, Ali L, Mukherjee B. Antiinflammatory and anti-platelet aggregation activity of human placental extract. Act Pharmacol Sin. Feb 2003; 24(2):187-92.

  • Anil S, Beena VT. Oral submucous fibrosis in a 12-year-old girl: case report. Pediatr Dent. Mar-Apr 1993; 15(2):120-2.

  • Kakar PK, Puri RK, Venkatachalam VP. Oral submucous fibrosis—treatment with hyalase. J Laryngol Otol. Jan 1985; 99(1):57-9.

  • Canniff JP, Harvey W, Harris M. Oral sub mucous fibrosis: its pathogenesis and management. Br Dent J. Jun 21 1986; 160(12):429-34.

  • Hosein M. Oral cancer in Pakistan. The problem and can we reduce it?. In: Oral Oncology. Kluwer Academic: 1994.

  • Nayak DR, Mahesh SG, Aggarwal D, Pavithran P, Pujary K, Pillai S. Role of KTP-532 laser in management of oral submucous fibrosis. J Laryngol Otol. Oct 10 2008; 1-4.

  • Arora Pooja. Indian Journal of Physiotherapy and Occupational Therapy Year: 2010, Volume: 4, Issue: 3 Print ISSN: 0973-5666. Online ISSN: 0973-5674.

  • Oliveira-Campelo NM, Rubens-Rebelatto J, Martí N-Vallejo FJ. The immediate effects of atlantooccipital joint manipulation and sub occipital muscle inhibition technique on active mouth opening and pressure pain sensitivity over latent myofascial trigger points in the masticatory muscles. J Orthop Sports Phys Ther 2010; 40(5):310-317, Epub 12 April 2010.

  • Barriere P, Zink S, Riehm S, Kahn JL, Veillon F, Wilk A. Massage of the lateral pterygoid muscle in acute TMJ dysfunction syndrome. Rev Stomatol Chir Maxillofac. 2009 Apr; 110(2):77-80. Epub 2009 Jan 21.


Abstract Views: 857

PDF Views: 0




  • A Study to Compare the Effectiveness of Conventional Treatment Versus Temporomandibular Joint Mobilization in Patients with Temporomandibular Joint Disorders

Abstract Views: 857  |  PDF Views: 0

Authors

Jay Sata
Master of Physiotherapy (Sports),Lecturer, K.K Sheth Physiotherapy College,Rajkot-7, India

Abstract


Background: Temporomandibular disorders (TMDs) refers to a group of disorders affecting the temporomandibular joint (TMJ), masticator muscles and the associated structures. These disorders share the symptoms of pain and limited mouth opening due to oral sub mucosal fibrosis (OSMF). So in each group taken both type of patiens,10 patients having TMJ pain and 10 patients having OSMF.

Patient having TMJ pain given conventional therapy in form of Ultrasound and isometric exercises and patients having OSMF given Ultrasound and stretching exercises.

Mobilizations are indicated when the assessment has illuminated any of the following: pain, progressive limitations of functional mobility, post arthroscopic TMJ surgery, reversible joint hypo mobility, or muscle guarding or spasm.

Objectives: To study the effects of a TMJ mobilization programme in relieving pain and on improving maximal mouth opening in patients with TM disorders.

Methods: Study included 40 patients with temporomandibular disorders between age group 20-40 years. The subjects were randomly divided into 2 groups: Group - A and Group - B. They were treated for 3 weeks, 6 days a week once daily. Pain was assessed by Visual Analogue Scale and maximal mouth opening was measured as an objective outcome with the special scale.

Results: Results showed significant improvement in VAS and in maximal mouth opening in both groups. Comparison of Group A and Group B was done with Wilcoxon Rank sum test (Mann Whitney U test) and unpaired t-test, Group B showed significant improvement in VAS (P=0.0047) and in maximal mouth opening (P=0.0383)

Conclusion: TMJ mobilization programme along with conventional physical therapy intervention is more effective in relieving pain and improving maximal mouth opening than conventional physical therapy alone in patients with temporomandibular disorders.


Keywords


TMJ Mobilization, OSMF,TMJ Ankylosis

References