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The effect of supervised exercise on localized TMD pain and TMD pain associated with generalized pain
Umeå University, Faculty of Medicine, Department of Odontology. Department of Orofacial pain and Jaw function, Malmö University, Malmö, Sweden.
Umeå University, Faculty of Medicine, Department of Odontology. Department of Research and Development, Västernorrland County Council, Umeå University, Umeå, Sweden.
Umeå University, Faculty of Medicine, Department of Odontology.
2018 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 76, no 1, p. 6-12Article in journal (Refereed) Published
Abstract [en]

Objectives: To evaluate the effect of a supervised exercise program in patients with localized/regional temporomandibular disorder (TMD) pain and with TMD associated with generalized pain.

Material and methods: Consecutively referred patients with localized/regional TMD pain (n = 56; 46 women and 10 men, mean age 44 years) and TMD associated with generalized pain (n = 21; 21 women, mean age 41 years) participated. Patients underwent a 10-session structured supervised exercise program over 10-20 weeks that included relaxation, and coordination and resistance training of the jaw and neck/shoulders. The outcomes were jaw pain intensity on the Numerical Rating Scale, endurance time for jaw opening and protrusion against resistance and chewing, and effect of pain on daily activities.

Results: After the exercise program, a reduction in jaw pain was reported by the local (p = .001) and general (p = .011) pain groups. There were no significant differences in jaw pain intensity between the groups, before (p = .062) or after treatment (p =.121). Endurance time increased for both groups for jaw opening/protrusion (both p <. 001) and chewing (both p = .002). The effect of jaw pain on daily activities decreased after exercise compared to baseline for both the local (p < .001) and general (p = .008) pain groups.

Conclusions: Supervised exercise can reduce TMD pain and increase capacity in patients with TMD. The results suggest that activation of the jaw motor system with exercise has a positive effect in patients with localized/regional TMD pain and TMD associated with generalized pain.

Place, publisher, year, edition, pages
Taylor & Francis, 2018. Vol. 76, no 1, p. 6-12
Keywords [en]
exercise therapy, orofacial pain, resistance training, temporomandibular disorders
National Category
Dentistry
Identifiers
URN: urn:nbn:se:umu:diva-146242DOI: 10.1080/00016357.2017.1373304ISI: 000426893500001OAI: oai:DiVA.org:umu-146242DiVA, id: diva2:1195729
Available from: 2018-04-06 Created: 2018-04-06 Last updated: 2018-06-09Bibliographically approved

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Häggman-Henrikson, BirgittaWiesinger, BirgittaWänman, Anders

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