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Effectiveness of mobilisation of the upper cervical region and craniocervical flexor training on orofacial pain, mandibular function and headache in women with TMD . A randomised, controlled trial
Author(s) -
Calixtre Letícia B.,
Oliveira Ana Beatriz,
de Sena Rosa Lianna Ramalho,
ArmijoOlivo Susan,
Visscher Corine M.,
AlburquerqueSendín Francisco
Publication year - 2019
Publication title -
journal of oral rehabilitation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.991
H-Index - 93
eISSN - 1365-2842
pISSN - 0305-182X
DOI - 10.1111/joor.12733
Subject(s) - medicine , randomized controlled trial , orofacial pain , physical therapy , neck pain , cervical spine , masticatory force , clinical trial , dentistry , surgery , alternative medicine , pathology
Summary Background Studies exploring interventions targeting the cervical spine to improve symptoms in patients with temporomandibular disorders ( TMD ) are limited. Objectives To determine whether mobilisation of the upper cervical region and craniocervical flexor training decreased orofacial pain, increased mandibular function and pressure pain thresholds ( PPT s) of the masticatory muscles and decreased headache impact in women with TMD when compared to no intervention. Methods In a single‐blind randomised controlled trial, 61 women with TMD were randomised into an intervention group ( IG ) and a control group ( CG ). The IG received upper cervical mobilisations and neck motor control and stabilisation exercises for 5 weeks. The CG received no treatment. Outcomes were collected by a blind rater at baseline and 5‐week follow‐up. Orofacial pain intensity was collected once a week. A mixed ANOVA and Cohen's d were used to determine differences within/between groups and effect sizes. Results Pain intensity showed significant time‐by‐group interaction ( P < 0.05), with significant between‐group differences at four and five weeks ( P < 0.05), with large effect sizes ( d > 0.8). The decrease in orofacial pain over time was clinically relevant only in the IG . Change in headache impact was significantly different between groups, and the IG showed a clinically relevant decrease after the treatment. No effects were found for PPT or mandibular function. Conclusion Women with TMD reported a significant decrease in orofacial pain and headache impact after 5 weeks of treatment aimed at the upper cervical spine compared to a CG.