EFFECTIVENESS OF MANUAL THERAPY, PHYSICAL THERAPY IN CONJUNCTION WITH PATIENT EDUCATION FOR TEMPOROMANDIBULAR DISORDERS: A RANDOMIZED CONTROLLED STUDY

J Ayub Med Coll Abbottabad. 2024 Apr-Jun;36(2):373-379. doi: 10.55519/JAMC-02-13325.

Abstract

Background: Temporomandibular joint (TMJ) disorders represent a significant health concern affecting a substantial portion of the population worldwide. The management of TMJ disorders often involves a multifaceted approach including physiotherapy techniques, manual exercise interventions, patient education, and medication therapy. The purpose of this research is to examine the "Effectiveness of manual therapy, and physical therapy in conjunction with patient education for temporomandibular disorders".

Methods: Forty patients with TMDS were randomized into two groups: one for home physical therapy and the other for manual therapy plus physical therapy. Patient education and counseling were done in both groups. the patient had assessments both before and after.

Results: The study made a comparison of two groups: one received physical therapy only (n=20) and the other group received a combination of physical and manual therapy (n=20). There were no significant differences between the two groups in terms of age, gender distribution, or the affected side of the face (p>0.05).

Conclusions: For TMJ issues, physical therapy patient education is a useful therapeutic method. Moreover, combining these modalities with manual therapy improves results beyond what would be achieved with just these modalities alone.

Keywords: TMDS; Manual therapy; Patient education; Home physical therapy; Maximal mouth opening.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Adult
  • Combined Modality Therapy
  • Female
  • Humans
  • Male
  • Middle Aged
  • Musculoskeletal Manipulations* / methods
  • Patient Education as Topic* / methods
  • Physical Therapy Modalities*
  • Temporomandibular Joint Disorders* / therapy
  • Treatment Outcome
  • Young Adult