{"title":"Multimodal physical therapy approach for the management of patients with temporomandibular disorder: Randomized control trial","authors":"Ramesh Chandra Patra , Biswajit Kanungo , A. Yashudas , Patitapaban Mohanty , Gurleen Kaur","doi":"10.1016/j.jobcr.2025.03.003","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Temporomandibular disorders (TMD) are musculoskeletal disorders frequently seen in physiotherapy and dental practices, affecting the temporomandibular joint (TMJ) and central nervous system. A multimodal treatment could be more beneficial with limitations of traditional treatment.</div></div><div><h3>Objective</h3><div>The purpose of this research was to compare the outcomes of cranio-mandibular stabilisation exercises and a structured manual therapy protocol on pain reduction in TMD patients. A secondary purpose was to quantify improvements in mechanical tenderness and active mouth function.</div></div><div><h3>Methods</h3><div>This single-blind, randomized trial recruited 146 participants (95 women, 51 men) aged 18–50 years with TMD. Participants were randomly allocated into two groups to maintain allocation concealment. The intervention was standardized, administered by skilled physical therapists. Validated instruments measured outcomes, namely pain intensity, mechanical tenderness and active mouth function tests.</div></div><div><h3>Results</h3><div>Participants receiving cranio-mandibular stabilisation and manual therapy had significantly greater improvements in pain (P = 0.001, 95 %), mechanical tenderness (P = 0.001, 95 %) and active mouth function (P = 0.001, 95 %) compared to controls.</div></div><div><h3>Conclusions</h3><div>Findings suggest that a multimodal treatment of cranio-mandibular stabilisation and structured manual therapy significantly decreases pain and improves mechanical tenderness and active mouth function in TMD patients. Future research should include long-term follow-up to assess effect sustainability and optimize treatment protocols for maximum benefits.</div></div>","PeriodicalId":16609,"journal":{"name":"Journal of oral biology and craniofacial research","volume":"15 3","pages":"Pages 515-524"},"PeriodicalIF":0.0000,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of oral biology and craniofacial research","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2212426825000600","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Background
Temporomandibular disorders (TMD) are musculoskeletal disorders frequently seen in physiotherapy and dental practices, affecting the temporomandibular joint (TMJ) and central nervous system. A multimodal treatment could be more beneficial with limitations of traditional treatment.
Objective
The purpose of this research was to compare the outcomes of cranio-mandibular stabilisation exercises and a structured manual therapy protocol on pain reduction in TMD patients. A secondary purpose was to quantify improvements in mechanical tenderness and active mouth function.
Methods
This single-blind, randomized trial recruited 146 participants (95 women, 51 men) aged 18–50 years with TMD. Participants were randomly allocated into two groups to maintain allocation concealment. The intervention was standardized, administered by skilled physical therapists. Validated instruments measured outcomes, namely pain intensity, mechanical tenderness and active mouth function tests.
Results
Participants receiving cranio-mandibular stabilisation and manual therapy had significantly greater improvements in pain (P = 0.001, 95 %), mechanical tenderness (P = 0.001, 95 %) and active mouth function (P = 0.001, 95 %) compared to controls.
Conclusions
Findings suggest that a multimodal treatment of cranio-mandibular stabilisation and structured manual therapy significantly decreases pain and improves mechanical tenderness and active mouth function in TMD patients. Future research should include long-term follow-up to assess effect sustainability and optimize treatment protocols for maximum benefits.
期刊介绍:
Journal of Oral Biology and Craniofacial Research (JOBCR)is the official journal of the Craniofacial Research Foundation (CRF). The journal aims to provide a common platform for both clinical and translational research and to promote interdisciplinary sciences in craniofacial region. JOBCR publishes content that includes diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the mouth and jaws and face region; diagnosis and medical management of diseases specific to the orofacial tissues and of oral manifestations of systemic diseases; studies on identifying populations at risk of oral disease or in need of specific care, and comparing regional, environmental, social, and access similarities and differences in dental care between populations; diseases of the mouth and related structures like salivary glands, temporomandibular joints, facial muscles and perioral skin; biomedical engineering, tissue engineering and stem cells. The journal publishes reviews, commentaries, peer-reviewed original research articles, short communication, and case reports.