Document Detail

Home-exercise regimes for the management of non-specific temporomandibular disorders.
MedLine Citation:
PMID:  16202040     Owner:  NLM     Status:  MEDLINE    
There is a consensus on treatment strategies for temporomandibular disorders (TMDs) being reversible. Among reversible therapies, physiotherapy is often chosen for the treatment of TMD pain and dysfunction because it is simple and non-invasive, it has a low cost as compared with other treatments, it allows an easy self-management approach, it allows a good doctor-patient communication, and it can be managed by the general practitioner. Home-exercises regime protocols are reviewed in this article in the context of the biopsychosocial approach. The actual evidence for the efficacy of home physical exercises is weak because of the very limited number of randomized clinical trials (RCTs) available in literature. Therefore, there is a need for further well-designed studies and RCTs to investigate the therapeutic efficacy. Recent reports and clinical experience, however, suggest that this approach can be promising, particularly if it is tailored towards the individual patient. The favourable cost benefit ratio over other treatment modalities seems to indicate that physiotherapy can be regarded as a first choice approach in selected TMD patients.
A Michelotti; A de Wijer; M Steenks; M Farella
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of oral rehabilitation     Volume:  32     ISSN:  0305-182X     ISO Abbreviation:  J Oral Rehabil     Publication Date:  2005 Nov 
Date Detail:
Created Date:  2005-10-05     Completed Date:  2006-03-28     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0433604     Medline TA:  J Oral Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  779-85     Citation Subset:  D; IM    
Section of Orthodontics and Gnathology, Department of Dental, Oral and Maxillo-Facial Sciences, University of Naples Federico II, Via Pansini 5, I-80131 Naples, Italy.
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MeSH Terms
Cost-Benefit Analysis
Facial Pain / therapy*
Family Practice
Physical Therapy Modalities* / economics
Randomized Controlled Trials as Topic
Temporomandibular Joint / physiopathology
Temporomandibular Joint Disorders / physiopathology,  therapy*

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