Efficacy Of Different Types Of Physiotherapy Approaches In Temporomandibular Disorders
Temporomandibular Disorder
About this trial
This is an interventional treatment trial for Temporomandibular Disorder focused on measuring Temporomandibular disorders, Exercise, Low-level laser therapy
Eligibility Criteria
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
Sites / Locations
- Marmara University
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Experimental
Exercise Program
Low Level Laser Therapy Program
Manual Pressure Release Program
This group received therapeutic exercises and patient education. For patients to encounter fewer problems and to reduce their problems, some recommendations were made that should be taken into consideration in daily life. These suggestions were given in writing. The exercise program included muscle stretching, massage of painful muscles, guided opening and closing movements, gentle isometric tension exercises against resistance, correction of body posture and relaxation techniques. All exercises were done in 6 repetitions a set, 3 sets a day, 3 days a week, treatment program lasted 4 weeks.
This group received LLLT, therapeutic exercises and patient education in the therapy programs. LLLT (max output power: 1200mW, wavelength: 808 nm, dosage: 10j/ cm2 Electronica Pagani Laser Tower Light, Italy) 2.5-4j/TrP dosage was applied to MTrP or sensitive points. The application was applied to MTrP or sensitive points in the mastication and cervical muscles.LLLT program was done in 3 days a week, the treatment program lasted 4 weeks.
ThisThis group received manual pressure release (MPR), therapeutic exercises and patient education in the therapy programs. MPR technique is a noninvasive method based on pressure on the trigger point in accordance with the patient's tolerance and technique applies supine position relax as much as possible, MTrPs in the mastication and neck muscle. Applied pressure gradually with finger over the MTrPs until the subject reported a 'moderate but easily tolerable' pain value of 7 out of 10. When the pain value decreased to at least 3 or 4 therapist increased pressure again until discomfort and/or pain appeared again. This process was repeated until there was no MTrP tension/tenderness or 60 s had elapsed. MPR program was done in 3 days a week, the treatment program lasted 4 weeks.