Comparative effect of aerobic physical activity and stabilizing orthopedic devices on orofacial pain of musculoskeletal origin in individuals with temporomandibular disorders.

Versions

PDF (Spanish)
HTML (Spanish)

Keywords

Temporomandibular disorders, musculoskeletal pain, aerobic exercise, occlusal devices.

Abstract

The present study evaluated the efficacy of aerobic physical activity (AFA) in the management of orofacial pain of skeletal muscle origin in individuals with tem­poromandibular disorders compared to treatment with a stabilizing orthopedic de­vice (DOE). Volunteers with skeletal mus­cle pain aged between 18 and 40 years and bimaxillary teeth were involved. For the evaluation of the pain variable, the mea­surement instrument was the analog ver­bal scale. Each of the treatment groups was composed of seven individuals, who were evaluated for eight (AFA) and six (DOE) weeks, respectively.
AFA was characterized by a significant weekly decrease of 0.155 points in pain measurement. As for DOE, the trend was even more pronounced than in the AFA treatment, this difference being significant.
The present study demonstrated that both DOE and AFA intervention contributed to the reduction of musculoskeletal orofacial pain in TTM volunteers.

PDF (Spanish)
HTML (Spanish)

References

1. Okeson JP. Tratamiento de la oclusión y afec­ciones temporomandibulares. 7ª ed. Barcelona: Elsevier, 2013. p102-128.
2. GPT-9 Glossary of Prosthodontics Terms, Edi­tion 9, J Prosthet Dent 2017; Vol.117: 1-106
3. Le Resche L. Epidemiology of Temporo­mandibular Disorders: Implications for the Investigation of Etiologic Factors. Crit Rev Oral Biol Med. 1997; 8 (3): 291-305. DOI: 10.1177/10454411970080030401
4. Jussila P, Kiviahde H, Näpänkangas R. Preva­lence of Temporomandibular Disorders in the Northern Finland Birth Cohorts 1966. J Oral Facial Pain Headache. 2017; 31: 159–164. doi: 10.11607/ofph.1773
5. Lung J, Bell L, Heslop M, Cuming S, Ariyawar­dana A. Prevalence of Temporomandibular di­sorders among a cohorts of university undergra­duates in Australia. J Invest Clin Dent. 2018; 1-5 dos.org/10.1111/jicd.12341.
6. Riva R., Sanguinetti M, Rodriguez A, Guzzetti L, Lorenzo S. Prevalencia de trastornos tempo­romandibulares y bruxismo en Uruguay Parte 1. Odontoestomatología. 2011; 8 (17): 54-71.
7. Michelotti A, De Wijer A, Steenks M, Farella M. Home-exercise regimes for the management of non-specific temporomandibular disorders. Journal of Oral Rehabilitation. 2005; 32: 779- 785.
8. Dao T, Lavigne G, Charbonneau A. The effica­cy of oral splints in the treatment of myofascial pain of the jaw muscles: a controlled clinical trial. Pain. 1994; 56: 85-94.
9. Kreiner M, Bentancor E, Clark G. Occlusal sta­bilization appliance. Evidence of their efficacy JADA. 200; 132: 770-777.
10. Lopez-Rodriguez M, Castro-Sanchez A, Fer­nandez-Martinez M. Comparacion entre bio­danza en medio acuático y stretching en la mejora de la calidad de vida y dolor en los pa­cientes con fibromialgia. Aten Primaria. 2012; 44(11): 641-650.
11. Valim V, Natour J, Xiao Y. Efeitos do exercício fisico sobre os níveis sericos de serotonina e seu metabolito na fibromialgia: um estudio piloto randomizado. Rev. Bras Reumatol. 2013; 53 (6): 538-541
12. Borja Sañudo, Gailano D, Carrasco L. Efects of a prolonged exercise program on key health outcomes in women with fibromyalgia: A ran­domized controlled trial. J. Rehabil Med. 2011; 43: 521-526.
13. Fontaine K, Conn L, Clauw D. Effects of Li­festyle Physical Activity in Adults with Fi­bromyalgia: Results at Follow-up. J Clin Rheu­matol. 2011; 17 (2): 64-68. doi: 10.1097/ RHU.0b013e31820e7ea7.
14. Cunha G, Ribeiro J, Oliveira A. Níveis de Beta- Endorfina em Resposta ao Exercício e no So­bretreinamento. Arq Boas Endocrinol Metab. 2008; 52 (4): 589-598.
15. Schwarz L, Kinderman W. Cannes in B- Endor­phin levels in response to aerobic an anaerobic exercise. Sports Medicine. 1992; 13 (1): 25-36
16. Shiffman E, Ohrbach R, Truelove E. Diagnos­tic Criteria for Temporomandibular Disroders (DC/TMD) for clinical and Research Appli­cations: recommendations of the International RDC/TMD Consortium Network* and Oro­facial Pain Special Interest Group. J Oral Facial Pain Headache. 2014; 28 (1): p6-27.
17. Gonzalez F, Guardia L, Schiavone G,. Programa de ejercicios aerobicos o de resistencia cardio­respiratoria. En Mazza M. Manual para la pres­cripción de ejercicio: actividad física y ejercicio para la salud. 1era. ed. Montevideo, Cátedra de Medicina del ejercicio y deporte: DEDOS; 2011, p129-165.
18. Deppiésse F. La prescription des activités phy­siques en practique médicale courante. En: Depiésse F, Coste O. Prescription des activités physiques en prévention thérapeutique. 2ª edi­tion Issy-les-Moulineaux: Elsevier, 2016, p129- 165.
19. Karvonen J, Vourimaa T. Heart rate and exer­cice intensity during sports activities. Practical application. Sports Med.1988; 5 (5): p303-11.
20. Azam S. Madani, Amirtaher Mirmotazavi. Comparison of three treatment options for painful temporomandibular joint clicking. Journal of Oral Science. 2011; 53 (3): 349-354.
21. Vicente-Barrero M, Yu-Lu S., Zhang B. The efficacy of acupunture and decompression splints in the treatment of temporomandibular joint pain-dysfunction syndrome. Med Oral Patol Oral Cir Bucal. 2012. 17 (6): 1028-1033.
22. Ficnar T, Middelberg C, Rademacher B. Evalua­tion of the effectiveness of a semi-finished oc­clusal aplaiance- a randomized, controlled clini­cal trial. Head&Face Medicine- 2013; 9: 5 http: //www.head-face-med.com/content/9/1/5.
23. Langenfeld M, Hart L, Kao P. Plasma B-en­dorphin responses to one-houre bicycling and running at 60% O2 max. Medicine&Science in Sports&Exercice. 1987; 19 (2): 83-86.
24. Rahkila P, Hakala E, Salminen K. Response of plasma endorphin to running exercises in male and female endurance athletes. Med Sci Sports Exerc. 1987; 19 (5): 451-5.
25. Maresh C, Sökmen B, Kraemer W. Pituitary-adrenal responses to arm versus leg exercise in untrained man. Eur. J Appl Physiol 2006. 97: 471-477.
26. Goldfarb A, Hatfield B, Potts J. Beta-endor­phin time course response to intensity of exer­cise: effects of training status. Int J Sports Med. 1991; 12 (3): 264-8
27. Golfarb A., Jamurtas A., Kamimori G. Gender effects on beta-endorphin response to exercise. Med Sci Sports Exerc. 1998; 30 (12): 1672-6.
28. Hayot, M. La réhabilitation du malade respi­ratoire chronique. En Préfaut C. y Ninot G. Les test d`exercice: lépreuve dexercice, a charge croissant.Issy les Moulineaux: Elsevier Masson, 2009; p86-112.
29. Nishishinya M, Rivera J, Cayetano A. Inter­venciones no farmacológicas y tratamientos al­ternativos en la fibromialgia. Med Cin (Barc). 2006; 127 (8): 295-9.
30. Geneen LJ, Moore RA, Clarke C, Martin D, Colvin LA, Smith BH. Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews. Cochrane Database of Systematic Reviews. 2017; 1 (1): CD011279.