Does lifestyle modification (physical exercise and listening to music) improve symptoms in patients with a temporomandibular disorder? A randomized clinical trial.

National journal of maxillofacial surgery Pub Date : 2024-01-01 Epub Date: 2024-03-19 DOI:10.4103/njms.njms_23_23
Reza Tabrizi, Yasaman Shourmaej, Fereydoun Pourdanesh, Shervin Shafiei, Hamidreza Moslemi
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Abstract

Introduction: The aim of the study was to compare pain relief in temporomandibular disorder (TMD) patients with or without lifestyle modification.

Materials and methods: This randomized clinical trial was performed on patients with TMD, who did not regularly exercise or listen to music. The participants were allocated into two groups. In the treatment group, the participants were instructed to exercise five times or more per week (30 minutes per session) and listen to the music of their choice five times or more per week (15 minutes per session) for 12 weeks. In the control group, the participants had their usual lifestyle without any modifications. The participants were examined for clicking and crepitus in the joint and maximum mouth opening before and after the intervention. The pain severity was also documented based on a visual analog scale.

Results: Thirty five patients were studied in each group. Twelve weeks after the intervention, the mean pain severity was 2.70 ± 0.73 in the treatment group and 4.63 ± 0.77 in the control group. The results of data analysis demonstrated a significant difference between the two groups regarding the mean pain severity at 12 weeks after the intervention (P <.001).

Conclusions: Lifestyle modification through physical exercise and listening to music may reduce pain in TMD patients.

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改变生活方式(体育锻炼和听音乐)能改善颞下颌关节紊乱病患者的症状吗?随机临床试验。
简介该研究旨在比较颞下颌关节紊乱症(TMD)患者在改变生活方式或不改变生活方式的情况下疼痛缓解情况:这项随机临床试验的对象是不经常锻炼或听音乐的 TMD 患者。参与者被分为两组。在治疗组,参与者被要求每周锻炼五次或五次以上(每次 30 分钟),每周听五次或五次以上自己选择的音乐(每次 15 分钟),为期 12 周。在对照组中,参与者的生活方式与平常一样,没有任何改变。在干预前后,对参与者的关节咔嗒声和吱吱声以及最大张口量进行检查。此外,还根据视觉模拟量表记录了疼痛的严重程度:每组研究了 35 名患者。干预 12 周后,治疗组的平均疼痛严重程度为 2.70 ± 0.73,对照组为 4.63 ± 0.77。数据分析结果表明,干预 12 周后,两组患者的平均疼痛严重程度存在显著差异(P 结论:治疗组和对照组的疼痛严重程度差异显著,而对照组的疼痛严重程度差异显著:通过体育锻炼和聆听音乐来改变生活方式可减轻 TMD 患者的疼痛。
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