Effectiveness of manual therapy and home physical therapy in patients with temporomandibular disorders: A randomized controlled trial

Abstract The objective of this study will be to investigate the additional effect of pain neuroscience education program compared to a craniocervical manual therapy and exercises program for pain intensity and disability in patients with temporomandibular disorders (TMD). This study will be a randomized controlled trial comprising a sample of 148 participants. Subjects between 18 and 55 years, both genders, will undergo a screening process to confirm painful TMD by the Research Diagnostic Criteria (RDC/TMD), and then the volunteers will be randomized into two groups (G1: pain neuroscience education + craniocervical manual therapy and exercises vs. G2: craniocervical manual therapy and exercises). The volunteers will be recruited at the dentistry clinic. The intervention will be administered twice a week for 6 weeks by a single therapist lasting 1 h per session. The primary outcome will be pain intensity and disability and the secondary outcomes will be pain self-efficacy, kinesiophobia, and global perceived effect of improvement. The participants will be assessed immediately after the last session and at one- and three-month follow-ups. All statistical analyses will be conducted following intention-to-treat principles, and the treatment effects will be calculated using linear mixed models. The results of this study may contribute to understand the additional effect of pain neuroscience education intervention on TMD patients submitted to manual therapy and exercise. Trial registration ClinicalTrials.gov NCT03926767. Registered on April 29, 2019.

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Osteopathic manual therapy versus conventional conservative therapy in the treatment of temporomandibular disorders: A randomized controlled trial

Journal of Bodywork and Movement Therapies ◽

10.1016/j.jbmt.2009.08.002 ◽

2010 ◽

Vol 14 (2) ◽

pp. 179-184 ◽

Cited By ~ 27

Author(s):

A.M. Cuccia ◽

C. Caradonna ◽

V. Annunziata ◽

D. Caradonna

Keyword(s):

Randomized Controlled Trial ◽

Manual Therapy ◽

Temporomandibular Disorders ◽

Conservative Therapy ◽

Controlled Trial ◽

Randomized Controlled

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Effectiveness of manual therapy or pulsed shortwave diathermy in addition to advice and exercise for neck disorders: A pragmatic randomized controlled trial in physical therapy clinics

Arthritis & Rheumatism ◽

10.1002/art.21087 ◽

2005 ◽

Vol 53 (2) ◽

pp. 214-222 ◽

Cited By ~ 71

Author(s):

Krysia Dziedzic ◽

Jonathan Hill ◽

Martyn Lewis ◽

Julius Sim ◽

Jane Daniels ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Physical Therapy ◽

Manual Therapy ◽

Controlled Trial ◽

Pragmatic Randomized Controlled Trial ◽

Randomized Controlled ◽

Neck Disorders ◽

Shortwave Diathermy

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Effects of Cervical Manual Therapy Versus Conventional Physical Therapy on Clinical Outcomes in People With Carpal Tunnel Syndrome: A Study Protocol for a Randomized Controlled Trial

10.21203/rs.3.rs-220385/v1 ◽

2021 ◽

Author(s):

Milad Zarrin ◽

maryam saadat ◽

Mohammad Jafar Shaterzadeh ◽

Davood Shalil Ahmadi

Keyword(s):

Randomized Controlled Trial ◽

Physical Therapy ◽

Carpal Tunnel Syndrome ◽

Median Nerve ◽

Manual Therapy ◽

Carpal Tunnel ◽

Controlled Trial ◽

Sensory Nerve ◽

Randomized Controlled ◽

Tunnel Syndrome

Abstract BackgroundCarpal tunnel syndrome (CTS) is the most common entrapment neuropathy. A recent systematic review described limited or no evidence about the conservative interventions. Literature has expressed that more proximal area such as the cervical spine is involved in CTS. Therefore, the aim of this study is to examine the effects of combination cervical manual therapy and conventional physical therapy on pain, self-reported function, and electrophysiological findings in the management these patients.MethodsThis study will be a double-blind, parallel-group, randomized, controlled trial (RCT) in which carpal tunnel syndrome subjects randomize to either conventional or combined exercise groups. The conventional group take routine physical therapy treatments, while patients in combine exercise group receive cervical manual therapy plus routine physical therapy treatments. All patients receive 10 sessions of supervised intervention. The outcome measures included visual analogue scale (VAS), Boston Carpal Tunnel and DASH questionnaire, motor distal latencies and sensory nerve conduction velocity of median nerve. They obtain pre- and post-intervention. DiscussionThe findings of this study will provide knowledge about the comparison effectiveness of conventional physical therapy with and without cervical manual therapy on symptom severity, functional status, disability, velocity and latency median nerve in patients with CTS.Trial registrationIranian Registry of Clinical Trials, IRCT20201201049565N1. Registered on 15 December 2020.

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