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Article

Effect of Manual Therapy and Splint Therapy in People with Temporomandibular Disorders: A Preliminary Study

1
Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Gascó Oliag Street nº 5, 46010 Valencia, Spain
2
Research Unit in Clinical Biomechanics (UBIC), University of Valencia, 46010 Valencia, Spain
3
Cavanilles Institute for Biodiversity and Evolutionary Biology, University of Valencia, 46980 Paterna, Spain
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2020, 9(8), 2411; https://doi.org/10.3390/jcm9082411
Received: 11 June 2020 / Revised: 24 July 2020 / Accepted: 25 July 2020 / Published: 28 July 2020
(This article belongs to the Special Issue Physiotherapy in Temporomandibular Disorders and Headaches)
Background: Isolated manual therapy techniques (MT) have shown beneficial effects in patients with temporomandibular disorders (TMD) but the effect of the combination of such techniques, together with the well-stablished splint therapy (ST) remains to be elucidated. Objective: This study was conducted to ascertain whether a combined program of MT techniques, including intraoral treatment, plus traditional ST improves pain and clinical dysfunction in subjects with TMD. Methods: A preliminary trial was conducted. 16 participants were assigned to either the MT plus ST-Experimental Group (EG, n = 8) or the ST alone—Control Group (CG, n = 8). Forty-five minute sessions of combined MT techniques were performed, once a week for four weeks. Three evaluations were conducted: baseline, post-treatment, and one-month follow-up. Outcome measures were pain perception, pain pressure threshold (PPT), TMD dysfunction, and perception of change after treatment. Results: EG showed significant reduction on pain, higher PPT, significant improvement of dysfunction and significantly positive perception of change after treatment (p < 0.05 all). Additionally, such positive effects were maintained at follow-up with a high treatment effect (R2 explaining 26.6–33.2% of all variables). Conclusion: MT plus ST showed reduction on perceived pain (3 points decrease), higher PPT (of at least 1.0 kg/cm2), improvement of disability caused by pain (4.4 points decrease), and positive perception of change (EG: 50% felt “much improvement”), compared to ST alone. View Full-Text
Keywords: musculoskeletal manipulation; physical therapy modalities; pain; temporomandibular joint disorder; oral health musculoskeletal manipulation; physical therapy modalities; pain; temporomandibular joint disorder; oral health
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MDPI and ACS Style

Espí-López, G.V.; Arnal-Gómez, A.; Cuerda del Pino, A.; Benavent-Corai, J.; Serra-Añó, P.; Inglés, M. Effect of Manual Therapy and Splint Therapy in People with Temporomandibular Disorders: A Preliminary Study. J. Clin. Med. 2020, 9, 2411. https://doi.org/10.3390/jcm9082411

AMA Style

Espí-López GV, Arnal-Gómez A, Cuerda del Pino A, Benavent-Corai J, Serra-Añó P, Inglés M. Effect of Manual Therapy and Splint Therapy in People with Temporomandibular Disorders: A Preliminary Study. Journal of Clinical Medicine. 2020; 9(8):2411. https://doi.org/10.3390/jcm9082411

Chicago/Turabian Style

Espí-López, Gemma V., Anna Arnal-Gómez, Alba Cuerda del Pino, José Benavent-Corai, Pilar Serra-Añó, and Marta Inglés. 2020. "Effect of Manual Therapy and Splint Therapy in People with Temporomandibular Disorders: A Preliminary Study" Journal of Clinical Medicine 9, no. 8: 2411. https://doi.org/10.3390/jcm9082411

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