The effectiveness of manual therapy in the treatment of temporomandibular disorders (TMD): a review of the literature

Authors

  • Lúcia de Fátima da Silva Santos Universidade Federal do Piauí
  • Mayane Carneiro Alves Pereira Universidade Federal do Piauí

DOI:

https://doi.org/10.13037/ras.vol14n49.3596

Keywords:

temporomandibular joint, temporomandibular joint dysfunction syndrome, temporomandibular joint disorders, physiotherapy

Abstract

Introduction: Temporomandibular disorder (TMD) is a subclassification of musculoskeletal dysfunctions and have unknown etiology. Its most common symptoms are orofacial pain and decreased joint mobility of the mouth, sensations that reduce the quality of life of its bearer. Physical therapy appears as an important therapeutic method, and among the methods commonly used, exist the manual therapy. Objective: To conduct a literature review on the effectiveness of manual therapeutic approaches in the treatment of TMD. Materials and methods: We conducted a search in the electronic databases of data Lilacs, SciELO, Medline, and Pubmed gathering clinical trials from 2004 to 2014 which documented manual therapeutic conducts, isolated or associated, used for treating TMD in adults. Results: Eleven articles referring to the intervention of manual therapy in TMD were reviewed, of which nine are Brazilian and two are international. The studies showed effectiveness of manual therapy in relieving painful symptoms, improvement of the pattern of contraction of the masticatory musculature, and restoration of joint mobility through the methods used in the treatment and reported that the significance of the results was obtained from the association between manual techniques and others therapies, such as electrophysical resources and drugs. Conclusion: Based on the study, one can observe that manual therapy presents satisfactory results in treating patients with TMD and that the combination of manual therapy with other therapeutic resources enhances the effects obtained in the treatment of these patients with more significant results.

 

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Author Biographies

Lúcia de Fátima da Silva Santos, Universidade Federal do Piauí

Fisioterapeuta, graduada pela Universidade Estadual do Piauí, mestranda em saúde e comunidade na Universidade Federal do Piauí.

Mayane Carneiro Alves Pereira, Universidade Federal do Piauí

Fisioterapeuta, graduada pela Universidade Federal do Piauí, mestranda em ciências e saúde na Universidade Federal do Piauí.

References

Ferreira FV, Ferreira FV, Tabarelli Z, Peroni ABF. Desordens temporomandibulares: uma abordagem fisioterapêutica e odontológica. Stomatos. 2009 jan/jun;15(28):27-37.

Bove SRK, Guimarães AS, Smith RL. Caracterização dos pacientes de um ambulatório de disfunção temporomandibular e dor orofacial. Rev Latinoam Enferm. 2005 set/out;13(5):686-91.

Andrade TNC, Frare JC. Estudo comparativo entre os efeitos de técnicas de terapia manual isolada e associadas à laserterapia de baixa potência sobre a dor em pacientes com disfunção temporomandibular. Rev Gaucha Odontol. 2008 jul/set;56(3):287-95.

Donnarumma MDC, Muzilli CA, Ferreira C, Nemr K. Disfunções temporomandibulares: sinais, sintomas e abordagem multidisciplinar. Rev CEFAC. 2010;12(5):788-794.

Figueiredo VMG, Cavalcanti AL, Farias ABL, Nascimento SR. Prevalência de sinais, sintomas e fatores associados em portadores de disfunção temporomandibular. Acta Scientiarum Health Sciences. 2009;31(2):159-63.

Okeson JP. Tratamento das desordens temporomandibulares e oclusão. 4. ed. São Paulo: Artes Médicas; 2000.

Tosato JP, Caria PHF. Prevalência de DTM em diferentes faixas etárias. Rev Gaucha Odontol. 2006 jul/set;54(3):211-24.

Carrara SV, Conti PCR, Barbosa JS. Termo do 1º Consenso em Disfunção Temporomandibular e Dor Orofacial. Dental Press J Orthod. 2010 jun;15(3):114-20.

Marzola FT, Marques AP, Marzola C. Contribuição da fisioterapia para a odontologia nas disfunções da articulação temporomandibular. Rev Odonto Ciênc. 2002 abri/jun;17(36):119-34.

Matta MAP. Uma proposta de abordagem fisioterapêutica nas desordens da articulação temporomandibular. Dissertação [Mestrado em Ciências Médicas] – Faculdade de Ciências Médicas, Universidade Estadual de Campinas; 2002.

Issa JPM, Silva MAMR, Silva AMBR. Recursos fisioterápicos no tratamento das desordens temporomandibulares. Rev Dor. 2005;6(2):567-72.

Grossi DB, Chaves TC. Physiotherapeutic treatment for temporomandibular disorders (TMD). J Braz Oral Sci. 2004;3(10):492-7.

Kalamir A, Pollard H, Vitello AL, Bonello R. Manual therapy for temporomandibular disorders: a review of literature. J Bodyw Mov Ther. 2007;11(1):84-90.

Capellini VK, Souza GS, Faria CRS. Massage therapy in the management of myogenic TMD: a pilot study. J Appl Oral Sci. 2006;14(1):21-6.

Castro FM, Gomes RCV, Salomão JR, Abdon APV. A efetividade da terapia de liberação posicional (TLP) em pacientes portadores de disfunção temporomandibular. Rev Odontol Univ Cid São Paulo. 2006;18(1):67-74.

Tosato JP, Gonzalez DAB, Caria PHF. Efeito da massoterapia e da estimulação elétrica nervosa transcutânea na dor e atividade eletromiográfica de pacientes com disfunção temporomandibular. Fisioter Pesqui. 2007 maio/ago;14(2):21-6.

Kamonseki DH, Fonseca CL, Souza TP, Zamunér AR, Peixoto BO, Yi LC. Efeito imediato da manipulação thrust aplicada na coluna cervical alta sobre a abertura ativa da boca: ensaio clínico randomizado. J Health Sci Inst. 2012;30(3):277-80.

Torres F, Campos LG, Fillipini HF, Weigert KL, Vecchia GFD. Efeitos dos tratamentos fisioterapêutico e odontológico em pacientes com disfunção temporomandibular. Fisioter Mov. 2012 jan/mar;25(1):117-25.

Dias LM, Spinato IL, Vasconcelos TB, Rodrigues DV, Macena RHM, Magalhães CBA, et al. Effects of muscle inhibition technique on relief of masticatory pain in patients with temporomandibular disorders: an experimental study. Conscientiae Saúde. 2013 jun;12(2):298-304.

Nascimento MM, Vasconcelos BC, Porto GG, Ferdinanda G, Nogueira CM, Raimundo RC. Physical therapy and anesthetic blockage for treating temporomandibular disorders: a clinical trial. Med Oral Patol Oral Cir Bucal. 2013 Jan;18(1):e81-5.

Gomes CAFP, Hage YE, Amaral AP, Politti F, Biasotto-Gonzalez DA. Effects of massage therapy and occlusal splint therapy on electromyographic activity and the intensity of signs and symptoms in individuals with temporomandibular disorder and sleep bruxism: a randomized clinical trial. Chiropr Man Therap. 2014 Dec;22(1):43.

George JW, Fennema J, Maddox A, Nessler M, Skaggs C. The effect of cervical spine manual therapy on normal mouth opening in asymptomatic subjects. J Chiropr Med. 2007 Spring;6(4):141-5.

Cuccia AM, Caradonna C, Annunziata V, Caradonna D. Osteopathic manual therapy versus conventional conservative therapy in the treatment of temporomandibular disorders: a randomized controlled trial. J Bodyw Mov Ther. 2010 Apr;14(2):179-84.

Mourão NLA, Mesquita VT. A importância da fisioterapia no tratamento das disfunções da ATM. Ter Man. 2006;4(16):552-7.

Warren MP, Fried JL. Temporomandibular disorders and hormones in women. Cells Tissues Organs. 2001;169(3):187-92.

Felício CM, Melchior MO, Ferreira CLP, Silva MA. Otologic symptoms of temporomandibular disorder and effect of orofacial myofunctional therapy. Cranio. 2008 Apr;26(2):118-25.

Felício CM, Melchior MO, Silva MA. Effects of orofacial myofunctional therapy on temporomandibular disorders. Cranio. 2010 Oct;28(4):249-59.

Vasconcelos DA, Maia MRA, Souza MO, Alves JGB, Nascimento JDS, Dantas EHM. Avaliação eletromiográfica e clínica do músculo masseter após manipulação quiropráxica. Rev Inspirar. 2013 mar/abr;5(1):1-6.

Melzack R, Wall P. Pain mechanisms: a new theory. Science. 1965 nov;150(3699):971-9.

Gillespie BR. Assessment and treatment of muscles, fascia, ligaments, and structures. Cranio. 1990 jan;8(1):51-4.

Wright A. Hypoalgesia post-manipulative therapy: a review of potential neurophysiological mechanism. Man Ther. 1995 Nov;1(1):11-6.

Nicolakis P, Erdogmus CB, Kollmitzer J, Kerschan-Schindl K, Sengstbratl M, Nuhr M, et al. Long-term outcome after treatment of temporomandibular joint osteoarthritis with exercise and manual therapy. Cranio. 2002 Jan;20(1):23

Wright A. An evolving understanding of pain relief following Manual Therapy [Paper presented at the proceedings of the 7th Scientific Conference of the IFOMPT; 2000; Perth, Australia].

Published

2016-06-14