| Usefulness of posture training for patients with temporomandibular disorders. | |
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MedLine Citation:
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PMID: 10680388 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Many practitioners have found that posture training has a positive impact on temporomandibular, or TMD, symptoms. The authors conducted a study to evaluate its effectiveness. METHODS: Sixty patients with TMD and a primary muscle disorder were randomized into two groups: one group received posture training and TMD self-management instructions while the control group received TMD self-management instructions only. Four weeks after the study began, the authors reexamined the subjects for changes in symptoms, pain-free opening and pressure algometer pain thresholds. In addition, pretreatment and posttreatment posture measurements were recorded for subjects in the treatment group. RESULTS: Statistically significant improvement was demonstrated by the modified symptom severity index, maximum pain-free opening and pressure algometer threshold measurements, as well as by the subjects' perceived TMD and neck symptoms. Subjects in the treatment group reported having experienced a mean reduction in TMD and neck symptoms of 41.9 and 38.2 percent, respectively, while subjects in the control group reported a mean reduction in these symptoms of 8.1 and 9.3 percent. Within the treatment group, the authors found significant correlations between improvements in TMD symptoms and improvements in neck symptoms (P < .005) as well as between TMD symptom improvement and the difference between head and shoulder posture measurements at the outset of treatment (P < .05). CONCLUSIONS: Posture training and TMD self-management instructions are significantly more effective than TMD self-management instructions alone for patients with TMD who have a primary muscle disorder. PRACTICE IMPLICATIONS: Patients with TMD who hold their heads farther forward relative to the shoulders have a high probability of experiencing symptom improvement as a result of posture training and being provided with selfmanagement instructions. |
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Authors:
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E F Wright; M A Domenech; J R Fischer |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: Journal of the American Dental Association (1939) Volume: 131 ISSN: 0002-8177 ISO Abbreviation: J Am Dent Assoc Publication Date: 2000 Feb |
Date Detail:
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Created Date: 2000-03-07 Completed Date: 2000-03-07 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7503060 Medline TA: J Am Dent Assoc Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 202-10 Citation Subset: D; IM |
Affiliation:
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U.S. Air Force, Lackland Air Force Base, Texas, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Female Follow-Up Studies Head / anatomy & histology Humans Intervention Studies Male Middle Aged Neck Pain / rehabilitation Pain Measurement Pain Threshold / physiology Patient Satisfaction Physical Therapy Modalities* Posture / physiology* Self Care Shoulder / anatomy & histology Temporomandibular Joint / physiopathology Temporomandibular Joint Disorders / physiopathology, rehabilitation* |
| Comments/Corrections | |
Comment In:
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J Am Dent Assoc. 2000 May;131(5):564, 566, 568
[PMID:
10832251
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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