Keywords
Physical Therapy
Pain
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Abstract
Objective: Identify the most effective physiotherapeutic interventions in the treatment of temporomandibular dysfunction (TMD) and associated neck pain. Methods: This is a systematic review of the literature, guided by the following question: what is the impact of physiotherapy intervention in individuals with TMD? Searches were conducted in the following databases: PubMed, PEDro, and Cochrane Library. The inclusion criteria were randomized controlled clinical trials with physiotherapy interventions for TMD and neck pain. The information extracted included: bibliographic data, sample characteristics, physiotherapy interventions, instruments used, and results. The risk of bias was assessed using the PEDro scale. Results: Eighteen studies published between 2000 and 2024 were included, covering 1,119 patients. The treatments applied in the experimental group mostly included manual therapy techniques. The experimental groups that received physiotherapeutic interventions showed significant improvements compared to the control groups. Manual therapy combined with therapeutic exercises was more effective in improving pain intensity, mandibular and cervical mobility and functionality, and reducing pressure sensitivity at trigger points. Conclusion: One might consider that physiotherapy interventions were effective in reducing pain and improving function in patients with TMD associated with neck pain, especially when multimodal interventions were used.
References
AKHTER S, et al. Effects of Integrating Jaw Opening and Closing Movements with Active Neck Exercises in the Management of Chronic Non-Specific Neck Pain: A Randomized Controlled Trial. Medicina (Kaunas), 2024; 3;60(9): 1437.
PELICIOLI M, et al. Tratamento fisioterapêutico nas desordens temporomandibulares. Rev Dor, 2017;18(4):355-61
CALIXTRE LB, et al. Effectiveness of mobilisation of the upper cervical region and craniocervical flexor training on orofacial pain, mandibular function and headache in women with TMD. A randomised, controlled trial. J Oral Rehabil, 2019 Feb;46(2):109-119.
CASTRO WB, et al. Disfunção temporomandibular e dor orofacial. Revista Ibero-Americana de Humanidades, Ciências e Educação, 2023; 21 (3): 271–6.
DUNNING J, et al. Dry needling and upper cervical spinal manipulation in patients with temporomandibular disorder: A multi-center randomized clinical trial. Cranio, 2024 Nov;42(6):809-822.
GHODRATI M, et al. Adding Temporomandibular joint treatments to routine physiotherapy for patients with non-specific chronic neck pain: A randomized clinical study. J Bodyw Mov Ther, 2020 Apr;24(2):202-212.
HALMOVA, K, et al. The influence of cranio-cervical rehabilitation in patients with myofascial temporomandibular pain disorders. Bratislava Medical Journal, 2017, 118 (11),710-13.
NEMANI SM, et al. Evaluation of the effect of different kinds of treatment modalities for temporomandibular joint pain and its relevance to chronic cervical pain: A randomized controlled trial. J Indian Prosthodont Soc, 2024 Apr 1;24(2):128-135.
OLEKSY Ł, et al. Impact of Cervical Spine Rehabilitation on Temporomandibular Joint Functioning in Patients with Idiopathic Neck Pain. Biomed Res Int, 2021.
OLIVEIRA- CAMPELO NM, et al. The Immediate Effects of Atlanto-occipital Joint Manipulation and Suboccipital Muscle Inhibition Technique on Active Mouth Opening and Pressure Pain Sensitivity Over Latent Myofascial Trigger Points in the Masticatory Muscles. journal of orthopaedic & sports physical therapy, 2010, 40 (5), :310-17.
OLIVEIRA LB, et al. Transcranial direct current stimulation and exercises for treatment of chronic temporomandibular disorders: a blind randomised-controlled trial. J Oral Rehabil, 2015;42(10):723-32.
OLIVEIRA-SOUZA AIS, et al. Effectiveness of an 8-week neck exercise training on pain, jaw function, and oral health-related quality of life in women with chronic temporomandibular disorders: a randomized controlled trial. J Oral Facial Pain Headache, 2024 Mar;38(1):40-51.
REQUENA AL, et al. Effectiveness of a cervical treatment in wind-instrument musicians with temporomandibular dysfunction: A randomized clinical trial. J Bodyw Mov Ther,2024 Oct;40:1867-1873.
REYNOLDS B, et al. Effectiveness of Cervical Spine High-Velocity, Low-Amplitude Thrust Added to Behavioral Education, Soft Tissue Mobilization, and Exercise for People with Temporomandibular Disorder with Myalgia: A Randomized Clinical Trial. J Orthop Sports Phys Ther, 2020 Aug;50(8):455-465.
REZAIE K, et al. The Efficacy of Neck and Temporomandibular Joint (TMJ) Manual Therapy in comparison with a Multimodal Approach in the Patients with TMJ Dysfunction: A Blinded Randomized Controlled Trial. Med J Islam Repub Iran, 2022; 4 (36).
RODRIGUEZ-BLANCO C, et al. Immediate Effects of Combining Local Techniques in the Craniomandibular Area and Hamstring Muscle Stretching in Subjects with Temporomandibular Disorders: A Randomized Controlled Study. J Altern Complement Med, 2015 21(8):451-9.
SERRANO-HERNANZ G, et al Pressure release technique versus placebo applied to cervical and masticatory muscles in patients with chronic painful myofascial temporomandibular disorder: A randomised clinical trial. J Oral Rehabil, 2023 Sep;50(9):782-791.
TANHAN A, et al. Efficacy of different combinations of physiotherapy techniques compared to exercise and patient education in temporomandibular disorders: A randomized controlled study. Cranio, 2023 Jul;41(4):389-401.
VON PIEKARTZ H, HALL T. Orofacial manual therapy improves cervical movement impairment associated with headache and features of temporomandibular dysfunction: a randomized controlled trial. Man Ther, 2013 Aug;18(4):345-50.
WRIGHT EF, et al. Usefulness of posture training for patients with temporomandibular disorders. J Am Dent Assoc, 2000.131(2):202-10.