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Effect of Manual Therapy and Splint Therapy in People with Temporomandibular Disorders: A Preliminary Study
Background: Isolated manual therapy techniques (MT) have shown beneficial effects in patients with temporomandibular disorders (TMD) but the effect of the combination of such techniques, together with the well-stablished splint therapy (ST) remains to be elucidated. Objective: This study was conduct...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7463644/ https://www.ncbi.nlm.nih.gov/pubmed/32731453 http://dx.doi.org/10.3390/jcm9082411 |
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author | Espí-López, Gemma Victoria Arnal-Gómez, Anna Cuerda del Pino, Alba Benavent-Corai, José Serra-Añó, Pilar Inglés, Marta |
author_facet | Espí-López, Gemma Victoria Arnal-Gómez, Anna Cuerda del Pino, Alba Benavent-Corai, José Serra-Añó, Pilar Inglés, Marta |
author_sort | Espí-López, Gemma Victoria |
collection | PubMed |
description | Background: Isolated manual therapy techniques (MT) have shown beneficial effects in patients with temporomandibular disorders (TMD) but the effect of the combination of such techniques, together with the well-stablished splint therapy (ST) remains to be elucidated. Objective: This study was conducted to ascertain whether a combined program of MT techniques, including intraoral treatment, plus traditional ST improves pain and clinical dysfunction in subjects with TMD. Methods: A preliminary trial was conducted. 16 participants were assigned to either the MT plus ST-Experimental Group (EG, n = 8) or the ST alone—Control Group (CG, n = 8). Forty-five minute sessions of combined MT techniques were performed, once a week for four weeks. Three evaluations were conducted: baseline, post-treatment, and one-month follow-up. Outcome measures were pain perception, pain pressure threshold (PPT), TMD dysfunction, and perception of change after treatment. Results: EG showed significant reduction on pain, higher PPT, significant improvement of dysfunction and significantly positive perception of change after treatment (p < 0.05 all). Additionally, such positive effects were maintained at follow-up with a high treatment effect (R(2) explaining 26.6–33.2% of all variables). Conclusion: MT plus ST showed reduction on perceived pain (3 points decrease), higher PPT (of at least 1.0 kg/cm(2)), improvement of disability caused by pain (4.4 points decrease), and positive perception of change (EG: 50% felt “much improvement”), compared to ST alone. |
format | Online Article Text |
id | pubmed-7463644 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-74636442020-09-02 Effect of Manual Therapy and Splint Therapy in People with Temporomandibular Disorders: A Preliminary Study Espí-López, Gemma Victoria Arnal-Gómez, Anna Cuerda del Pino, Alba Benavent-Corai, José Serra-Añó, Pilar Inglés, Marta J Clin Med Article Background: Isolated manual therapy techniques (MT) have shown beneficial effects in patients with temporomandibular disorders (TMD) but the effect of the combination of such techniques, together with the well-stablished splint therapy (ST) remains to be elucidated. Objective: This study was conducted to ascertain whether a combined program of MT techniques, including intraoral treatment, plus traditional ST improves pain and clinical dysfunction in subjects with TMD. Methods: A preliminary trial was conducted. 16 participants were assigned to either the MT plus ST-Experimental Group (EG, n = 8) or the ST alone—Control Group (CG, n = 8). Forty-five minute sessions of combined MT techniques were performed, once a week for four weeks. Three evaluations were conducted: baseline, post-treatment, and one-month follow-up. Outcome measures were pain perception, pain pressure threshold (PPT), TMD dysfunction, and perception of change after treatment. Results: EG showed significant reduction on pain, higher PPT, significant improvement of dysfunction and significantly positive perception of change after treatment (p < 0.05 all). Additionally, such positive effects were maintained at follow-up with a high treatment effect (R(2) explaining 26.6–33.2% of all variables). Conclusion: MT plus ST showed reduction on perceived pain (3 points decrease), higher PPT (of at least 1.0 kg/cm(2)), improvement of disability caused by pain (4.4 points decrease), and positive perception of change (EG: 50% felt “much improvement”), compared to ST alone. MDPI 2020-07-28 /pmc/articles/PMC7463644/ /pubmed/32731453 http://dx.doi.org/10.3390/jcm9082411 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Espí-López, Gemma Victoria Arnal-Gómez, Anna Cuerda del Pino, Alba Benavent-Corai, José Serra-Añó, Pilar Inglés, Marta Effect of Manual Therapy and Splint Therapy in People with Temporomandibular Disorders: A Preliminary Study |
title | Effect of Manual Therapy and Splint Therapy in People with Temporomandibular Disorders: A Preliminary Study |
title_full | Effect of Manual Therapy and Splint Therapy in People with Temporomandibular Disorders: A Preliminary Study |
title_fullStr | Effect of Manual Therapy and Splint Therapy in People with Temporomandibular Disorders: A Preliminary Study |
title_full_unstemmed | Effect of Manual Therapy and Splint Therapy in People with Temporomandibular Disorders: A Preliminary Study |
title_short | Effect of Manual Therapy and Splint Therapy in People with Temporomandibular Disorders: A Preliminary Study |
title_sort | effect of manual therapy and splint therapy in people with temporomandibular disorders: a preliminary study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7463644/ https://www.ncbi.nlm.nih.gov/pubmed/32731453 http://dx.doi.org/10.3390/jcm9082411 |
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