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Randomized controlled trial on physical therapy for TMJ closed lock.

B Craane1, P U Dijkstra, K Stappaerts

  • 1Faculty of Kinesiology and Rehabilitation Sciences, 3001 Department of Rehabilitation Sciences, Tervuursevest 101, Leuven - Heverlee, Catholic University of Leuven, Belgium. bart.craane1@telenet.be

Journal of Dental Research
|February 10, 2012
PubMed
Summary

Physical therapy did not significantly improve pain or mandibular function in individuals with temporomandibular joint anterior disc displacement without reduction. Both groups showed improvements over time, but the therapy group experienced no additional benefit.

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Area of Science:

  • Temporomandibular Joint Disorders
  • Physical Therapy
  • Clinical Research

Background:

  • Anterior disc displacement without reduction is a common temporomandibular joint (TMJ) disorder.
  • Pain and mandibular dysfunction are primary symptoms.
  • Conservative treatments are often explored for symptom management.

Purpose of the Study:

  • To evaluate the one-year efficacy of physical therapy as an adjunct treatment for TMJ anterior disc displacement without reduction.
  • To compare outcomes between a physical therapy group and a control group receiving only information.

Main Methods:

  • A randomized controlled trial involving 49 participants with TMJ anterior disc displacement without reduction.
  • Participants were assigned to a physical therapy group (9 sessions over 6 weeks) or a control group.

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  • Pain and mandibular function were assessed at multiple time points up to 52 weeks.

    • Main Results:

    • Both groups demonstrated significant improvements in pain reduction and mandibular function over the 52-week study period.
    • No statistically significant difference was observed in the rate of improvement between the physical therapy group and the control group.
    • Physical therapy did not provide a significant additional benefit beyond general information and time.

    Conclusions:

    • Physical therapy, including joint mobilization, exercises, and massage, did not yield significant additional benefits for pain or function in patients with TMJ anterior disc displacement without reduction.
    • Informational counseling on avoiding parafunctions and oral habits, provided to both groups, was associated with improvements over time.
    • Further research may be needed to identify more effective interventions for this specific TMJ condition.