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Temporomandibular Joint Pain Measurement by Bite Force and Von Frey Filament Assays in Mice

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Algorithm for Temporomandibular Disorders With Osteopathic Manipulative Therapy: An Expert Consensus.

Llanos De-La-Iglesia^1,2, Cristina Bravo^1,3,4, Cristian Justribó-Manion^5,6,7

¹Department of Nursing and Physiotherapy, Universidad de Lleida, Lleida, España.

Journal of Chiropractic Medicine

|May 19, 2026

Summary

This summary is machine-generated.

This study developed a consensus algorithm for diagnosing and treating temporomandibular dysfunction using osteopathic manipulative therapy. The flowchart guides practitioners through patient assessment and treatment steps.

Keywords:

Bruxism Delphi Technique Musculoskeletal Manipulations Osteopathic Medicine Pain Temporomandibular Joint Disorders

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Osteopathic Manipulative Treatment as a Useful Adjunctive Tool for Pneumonia

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Published on: May 6, 2014

Area of Science:

Osteopathic medicine
Neuromusculoskeletal medicine

Background:

Temporomandibular dysfunction (TMD) presents complex diagnostic and treatment challenges.
An osteopathic approach to TMD requires a structured methodology for effective patient management.

Purpose of the Study:

To establish a consensus-driven algorithm for the osteopathic approach to temporomandibular dysfunction (TMD).
To provide a standardized flowchart for the diagnosis and treatment of TMD using osteopathic manipulative therapy.

Main Methods:

A modified Delphi method involving a panel of experts was employed.
Multiple rounds of questionnaires were administered to achieve consensus on the algorithm's components.

Main Results:

Consensus was reached on 182 items (70.54%) of the proposed algorithm.
The algorithm features a numerical and color-coded system for clarity in diagnosis and treatment pathways.
Key categories include psychological aspects, exclusion criteria, physical findings, and other considerations.

Conclusions:

An evidence-based algorithm for the osteopathic management of TMD has been successfully created.
This algorithm offers a structured framework to enhance the consistency and effectiveness of osteopathic care for TMD patients.