The Application of Manual Techniques in Masticatory Muscles Relaxation as Adjunctive Therapy in the Treatment of Temporomandibular Joint Disorders

Piotr Urbański, Bartosz Trybulec and Małgorzata Pihut
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Piotr Urbański: Department of Physiotherapy, Faculty of Health Sciences, Jagiellonian University Medical College, 9 Medyczna Str., 30-688 Krakow, Poland
Bartosz Trybulec: Department of Physiotherapy, Faculty of Health Sciences, Jagiellonian University Medical College, 9 Medyczna Str., 30-688 Krakow, Poland
Małgorzata Pihut: Department of Prosthetic Dentistry, Faculty of Medicine, Jagiellonian University Medical College, 4 Montelupich Str., 31-155 Krakow, Poland

IJERPH, 2021, vol. 18, issue 24, 1-15

Abstract: Temporomandibular disorders (TMD) are primarily characterized by pain as well as disorders concerning the proper functioning of individual elements of the stomatognathic system (SS). The aim of the study was to compare the degree of relaxation of the anterior part of the temporal muscles and the masseter muscles, achieved through the use of post-isometric relaxation and myofascial release methods in patients requiring prosthetic treatment due to temporomandibular joint disorders with a dominant muscular component. Sixty patients who met the inclusion criteria were alternately assigned to one of the two study groups, either group I—patients received post-isometric relaxation treatment (PIR), or group II—patients received myofascial release treatment (MR). The series of ten treatments were performed in both groups. The comparative assessment was based on physiotherapeutic examination, a surface electromyography (sEMG) of the anterior temporal and masseter muscles and the intensity of spontaneous masticatory muscle pain, assessed using the Visual Analogue Scale (VAS). We observed a significant decrease in the electrical activity of examined muscles and a significant drop in the intensity of spontaneous pain in the masticatory muscles both in group I and II. There were no significant differences between groups. Both therapeutic methods may be used as successful forms of adjunctive therapy in the prosthetic treatment of TMD. The trial was registered with an international clinical trials register.

Keywords: temporomandibular disorder; TMD; physiotherapy; rehabilitation; manual therapy; post-isometric relaxation; myofascial release (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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