PDF(Pubmed)
Abstract：
BACKGROUND: Temporomandibular joint disorder (TMD) is a common condition affecting the masticatory muscles and joint mobility.
OBJECTIVE: The primary objective was to compare the effects of massage therapy alone and massage therapy combined with post-isometric relaxation exercises in patients with TMD for pain and maximal mouth opening.
METHODS: Assessor-blinded randomized controlled trial.
METHODS: Sir Ganga Ram Hospital, Chaudhry Muhammad Akram Dental Hospital, Lahore Medical and Dental Hospital.
METHODS: Temporomandibular joint disorder patients.
METHODS: Group A (n = 23) received conventional treatment including massage and therapeutic exercises consecutively for 2 weeks. Group B (n = 23) received post-isometric relaxation technique along with conventional treatment for consecutive 2 weeks.
METHODS: The main outcome measures were pain and maximal mouth opening. Pain was measured using the Visual Analogue Scale (VAS) and maximal mouth opening (MMO) was measured using the TheraBite Scale.
RESULTS: Both groups demonstrated significant improvements in pain and MMO scores post-treatment. However, Group B (massage with post-isometric relaxation exercises) showed significantly better outcomes compared to Group A (massage alone). There was a statistically significant difference in post-treatment pain scores (P = 0.000) and MMO scores (P = 0.000) between the two groups.
CONCLUSIONS: The results suggest that massage therapy combined with post-isometric relaxation is more effective than massage therapy alone in managing pain and improving mouth opening in TMD patients. The study provides evidence supporting the use of these therapies in TMD management.
UNASSIGNED: NCT05810831. Date of registration/First submission: 15 March 2023.
OBJECTIVE: The primary objective was to compare the effects of massage therapy alone and massage therapy combined with post-isometric relaxation exercises in patients with TMD for pain and maximal mouth opening.
METHODS: Assessor-blinded randomized controlled trial.
METHODS: Sir Ganga Ram Hospital, Chaudhry Muhammad Akram Dental Hospital, Lahore Medical and Dental Hospital.
METHODS: Temporomandibular joint disorder patients.
METHODS: Group A (n = 23) received conventional treatment including massage and therapeutic exercises consecutively for 2 weeks. Group B (n = 23) received post-isometric relaxation technique along with conventional treatment for consecutive 2 weeks.
METHODS: The main outcome measures were pain and maximal mouth opening. Pain was measured using the Visual Analogue Scale (VAS) and maximal mouth opening (MMO) was measured using the TheraBite Scale.
RESULTS: Both groups demonstrated significant improvements in pain and MMO scores post-treatment. However, Group B (massage with post-isometric relaxation exercises) showed significantly better outcomes compared to Group A (massage alone). There was a statistically significant difference in post-treatment pain scores (P = 0.000) and MMO scores (P = 0.000) between the two groups.
CONCLUSIONS: The results suggest that massage therapy combined with post-isometric relaxation is more effective than massage therapy alone in managing pain and improving mouth opening in TMD patients. The study provides evidence supporting the use of these therapies in TMD management.
UNASSIGNED: NCT05810831. Date of registration/First submission: 15 March 2023.
摘要：
背景：颞下颌关节紊乱（TMD）是影响咀嚼肌和关节活动度的常见病。
目的：主要目的是比较单纯按摩疗法和按摩疗法结合等距后放松运动对TMD患者疼痛和最大张口的影响。
方法：评估方盲随机对照试验。
方法：甘加拉姆爵士医院，乔杜里·穆罕默德·阿克拉姆牙科医院，拉合尔医疗和牙科医院。
方法：颞下颌关节紊乱症患者。
方法：A组（n=23）连续接受2周的常规治疗，包括按摩和治疗锻炼。B组（n=23）连续2周接受等距后松弛技术和常规治疗。
方法：主要结局指标为疼痛和最大张口。使用视觉模拟量表(VAS)测量疼痛,并且使用TheraBite量表测量最大张口(MMO)。
结果：两组治疗后疼痛和MMO评分均有显著改善。然而,与A组（仅按摩）相比，B组（等距后放松运动的按摩）显示出明显更好的效果。两组治疗后疼痛评分(P=0.000)和MMO评分(P=0.000)差异有统计学意义。
结论：结果表明，在TMD患者中，按摩疗法结合等距后放松疗法比单独的按摩疗法更有效地控制疼痛和改善张口。该研究提供了支持在TMD管理中使用这些疗法的证据。
■NCT05810831。注册/首次提交日期：2023年3月15日。
目的：主要目的是比较单纯按摩疗法和按摩疗法结合等距后放松运动对TMD患者疼痛和最大张口的影响。
方法：评估方盲随机对照试验。
方法：甘加拉姆爵士医院，乔杜里·穆罕默德·阿克拉姆牙科医院，拉合尔医疗和牙科医院。
方法：颞下颌关节紊乱症患者。
方法：A组（n=23）连续接受2周的常规治疗，包括按摩和治疗锻炼。B组（n=23）连续2周接受等距后松弛技术和常规治疗。
方法：主要结局指标为疼痛和最大张口。使用视觉模拟量表(VAS)测量疼痛,并且使用TheraBite量表测量最大张口(MMO)。
结果：两组治疗后疼痛和MMO评分均有显著改善。然而,与A组（仅按摩）相比，B组（等距后放松运动的按摩）显示出明显更好的效果。两组治疗后疼痛评分(P=0.000)和MMO评分(P=0.000)差异有统计学意义。
结论：结果表明，在TMD患者中，按摩疗法结合等距后放松疗法比单独的按摩疗法更有效地控制疼痛和改善张口。该研究提供了支持在TMD管理中使用这些疗法的证据。
■NCT05810831。注册/首次提交日期：2023年3月15日。
