Efficacy Of Different Types Of Physiotherapy Approaches In Temporomandibular Disorders

Efficacy Of Different Types Of Physiotherapy Approaches In Temporomandibular Disorders

The aim of this study is to investigate the efficacy of different types of physiotherapy approaches in cases with cervical myofascial painful TMD.

59 persons with TMD diagnosed by the dentist and with cervical myofascial pain, aged 18-30 years will be randomly allocated, 3 groups. The participants were randomly allocated only exercise group (EG) (n=20), low-level laser therapy plus exercise group (LLLT) (n=17) and manual pressure release plus exercise group (MPR) (n=22). The cases were evaluated and treated by the same physiotherapist for 4 weeks (12 sessions).

Pain, pain pressure threshold, temporomandibular joint (TMJ) mobility and disability, forward head posture, head rotation, neck disability, psychological status and quality of life were evaluated. Evaluations were repeated before and after treatment.

Inclusion Criteria:

• Cases who have 3 or more symptoms related to TMJ problems
• cases who have trigger points in cervical and masticatory muscles
• cases who TMD detected by the dentist,
• being between the ages of 18-30,
• volunteer to participate in the study

Exclusion Criteria:

• Patients with a positive history of trauma in the face and neck area and neurological disorders
• patients undergoing TMJ or cervical region surgery in the last 3 months,
• patients who used dental orthotics within 1 month,
• patients who have TMJ instability,
• patients who have cervical and upper thoracic region,
• patients who have active infection and chronic pain, such as trigeminal neuralgia