Intraoral Versus Extraoral Manual Therapy in Subjects With Temporomandibular Disorders

Intraoral Versus Extraoral Manual Therapy in Subjects With Temporomandibular Disorders. A Randomized Controlled Trial

The aim of this randomized controlled trial is to evaluate the effects of intraoral manual therapy versus extraoral manual therapy and compare them with a control group, in the management of patients with temporomandibular disorders regarding pain, strength, quality of life, disability and anxiety.

Inclusion Criteria:

• Unilateral temporomandibular pain for more than one month.
• Older than eighteen.
• No previous treatment to temporomandibular pain in the last 3 months.
• Diagnosed based on the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD).

Exclusion Criteria:

• Patients with cervical or cranial trauma or whiplash.
• Diagnosed with systemic disease, like rheumatoid arthritis or fibromyalgia.
• Diagnosed of any vascular or metabolic disease.
• Previous cervical or temporomandibular surgery.
• Dental, medicine or any physical therapy treatment in the last 3 months before the beginning of the interventions.