Additional effects of therapeutic exercise and education on manual therapy for chronic temporomandibular disorders treatment: a randomized clinical trial

Cristian Justribo-Manion, Juan Mesa-Jimenez, Javier Bara-Casaus, Juan-Carlos Zuil-Escobar, Katarzyna Wachowska, Gerard Alvarez-Bustins

Research output: Indexed journal article Articlepeer-review

1 Citation (Web of Science)

Abstract

Background: Previous studies have evaluated the implementation of behavioral approaches in individuals with chronic temporomandibular disorders (TMDs). Objective: To evaluate the benefits of a behavioral approach to craniofacial pain. Second, we assessed the benefits of kinesiophobia, catastrophizing, mouth opening without pain, and forward head posture. Methods: Individuals with chronic TMDs were treated for five weeks. The intervention group (n = 17) underwent pain neuroscience education, manual therapy, and therapeutic exercise, whereas the control group (n = 17) underwent manual therapy only. Outcomes were evaluated immediately, at seven and 19 weeks follow-up. The assessment tools used were the Craniofacial Pain Disability Inventory, Pain Catastrophizing Scale, Tampa Scale for Kinesiophobia, Mandibular Range of Motion Scale, and Cervical Range of Motion Tool. Results: The interventions did not influence the differences in the improvements between the groups observed for craniofacial pain disability (inter-subject p 0.4). The intervention had a moderate influence on the improvement of kinesiophobia and catastrophizing (Inter-subject p 0.09 and 0.1 respectively) with a clinically significant effect size (Estimated mean (EM) -8.6 standard deviation (SD) +/- 3.48 p 0.019; and EM -7.6 SD +/- 5.11 p 0.15 respectively). Conclusion: The behavioral approach improved catastrophizing and kinesiophobia outcomes in individuals with chronic TMDs.
Original languageEnglish
Pages (from-to)12-27
Number of pages16
JournalPhysiotherapy Theory and Practice
Volume41
Issue number1
Early online dateFeb 2024
DOIs
Publication statusPublished - 2 Jan 2025

Keywords

  • Chronic pain
  • pain neuroscience education
  • temporomandibular joint disorders

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