Manual Therapy and Splint Therapy in Patients With Temporomandibular Dysfunction
Condition: Temporomandibular Disorder; Myofascial Pain; Bruxism
MeSH terms: Temporomandibular Joint Disorders; Temporomandibular Joint Dysfunction Syndrome; Bruxism
Study type: Interventional

Summary: 
      The aim of this study was to compare the efficacy of splint treatment and manual therapy in
      patients diagnosed with myofascial temporomandibular dysfunction with bruxism.
    

Detailed description: 
      A total of 56 patients were evaluated. Among those, 20 patients who did not meet the criteria
      were excluded. 36 patients met the inclusion criteria and were willing to participate in the
      study.

      The patients were randomly separated into two groups using the method of single- and
      double-digit numbers written on paper in a sealed envelope.

      Those who selected a double-digit number were assigned to the manual therapy (MT) group
      (n:18) and those with a single-digit number to the splint therapy (ST) group (n:18).

      After the further exclusion of 7 patients during the treatment period, the final evaluations
      were compared of 29 patients (15 MT and 14 ST) who completed the 4-week treatment process.
    

Intervention name(s): Manual Therapy Group; Splint Therapy Group
Intervention type(s): Other; Other
Intervention description(s): Patient education directed at parafunctional behaviors was given, and an exercise program was taught, with all the patients instructed to perform these exercises at home. The home exercise program included diaphragmatic breathing exercises, chin-tuck exercises, mandibular resistance exercises, and neck muscle stretching exercises. The patients were instructed to perform the exercises as 3 sets of 10 repetitions per day.
In addition to the patient education and home exercises, the Manual Therapy group received a manual therapy program applied as 2 sessions of 45 mins each week for 4 weeks (total 8 sessions) by an investigator. Soft tissue and joint mobilizations were applied to the TMJ and surrounding structures and to cervical segments, trigger point treatment was applied to trigger points, and myofascial loosening was performed. Patients were instructed to perform the exercises learned in the home exercise program in 3 sets of 10 repetitions every day.; Patient education directed at parafunctional behaviors was given, and an exercise program was taught, with all the patients instructed to perform these exercises at home. The home exercise program included diaphragmatic breathing exercises, chin-tuck exercises, mandibular resistance exercises, and neck muscle stretching exercises. The patients were instructed to perform the exercises as 3 sets of 10 repetitions per day.
In addition to the patient education and home exercises, the Splint Therapy group was given a static occlusal splint, and adjustments were made as necessary. All the patients in this group were instructed to use the splint when sleeping for a period of one month.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Temporomandibular Dysfunction; Bruxism; Manual Therapy; Splint