Article

The purpose of this case series was to describe the outcomes of patients with
temporomandibular disorder (TMD) treated with mobilization with movement (MWM)
directed at the temporomandibular joint (TMJ) and the cervical spine, thoracic
manipulation, and trigger point (TrP) dry needling. Fifteen patients with TMD
completed the Steigerwald/Maher TMD disability questionnaire, the Visual Analog
Scale (VAS), and maximal mouth opening (MMO) at baseline.
The VAS and MMO were
also collected at 15 days posttreatment and at a 2-month follow-up, and the
Steigerwald/Maher TMD disability questionnaire was completed at the 2-month
follow-up. Repeated measure ANOVAs were used to determine the effects of the
intervention on each outcome. Within-group effect sizes were calculated in order
to assess clinical effectiveness. Fifteen patients participated in this case
series. The ANOVA revealed significant decreases (all, p < 0.01) VAS mean, VAS
Worst, and VAS Best between baseline and final visit of 25.7 (95% CI; 17.7,
33.8); 33.2 (95% CI; 23.4, 43.0); 18.4 (12.1, 24.7); and 28.3 (95% CI; 18.8,
37.9); 36.1 (95% CI; 25.0, 47.3); 19.7 (95% CI; 12.8, 26.7) between baseline and
the 2-month follow-up periods, respectively. Additionally, the ANOVA revealed
significant increases (all, p < 0.01) in MMO and disability following the
physical therapy management strategy between baseline and final visit with a mean
of 11.4 (95% CI, 6.9, 15.9) and 10.2 (95% CI, 5.2, 15.2) between baseline and the
2-month follow-up. Within-group effect sizes were large (d > 1.0) for all
outcomes at both follow-up periods. Patients with TMD treated with a multimodal
treatment exhibited significant and clinical improvements in pain intensity, disability and MMO.

Langue : ANGLAIS