The role of elastic bands (kinesiotapes) in complex therapy of patients with temporomandibular joint osteoarthrosis

2021 ◽  
pp. 75-85
Author(s):  
E. A. Bulycheva ◽  
M. A. Postnikov ◽  
D. S. Bulycheva
Keyword(s):  
Temporomandibular Joint ◽  
Exercise Therapy ◽  
Comparison Group ◽  
Mouth Opening ◽  
Masticatory Muscles ◽  
Pain Scale ◽  
Main Group ◽  
Treatment Methods ◽  
Elastic Bands ◽  
Opening Width

Introduction. Temporomandibular joint (TMJ) arthrosis is a chronic disease, characterized by dystrophic and degenerative changes in TMJ with aseptic inflammatory process. The prevelence of TMJ arthrosis in patients with a history of other TMJ disorders varies between 32-39 % of cases. Complex treatment of TMJ arthrosis includes pharmacotherapy, physiotherapy, exercise therapy for TMJ and massage of the masticatory muscles, manual therapy, prosthodontics, but these treatment methods are not always lead to a desired result.The aim of the study is to improve the traditional treament method of patients suffering from TMJ arthrosis by using elastic tapes (kinesiotapes).Materials and methods. 68 patients were examined at the «Galaxy» Beauty Institute Clinic (St. Petersburg) and FSBEI HE SamSMU MOH Russia (Samara). Comparison group of patients was prescribed pharmacotherapy, exercise therapy for TMJ and massage of masticatory muscles, while for the main group of patients the same therapy was enhanced by elastic bands. The effectiveness of therapy was evaluated using a visual-analog pain scale (VAS), mouth opening width and electromyography of the masticatory muscles.Results. Noticeable positive effect in the main group of patients was observed on the 21th day of treatment. By this time patients noticed significant decrease in pain intensity from 8,77±0,8 to 5,19±0,5 (Z1-4=-5,88; p1-4=0,0015) points as well as increase in mouth opening width from 21-23 to 33-35 mm. Similar changes in the comparison group of patients were achieved only by the beginning of fifth week of treatment (Z1-6=-5,58; p1-6=0,0015). The range of mouth opening width increased from 21-23 to 27-29 mm. Amplitude of masticatory muscles biopotentials in maximum intercuspation in patients of the main group almost approached to the normal results by the beginning of the fourth week. In patients of the comparison group the amplitude of masticatory muscles biopotentials remained reduced even by the end of observations (42 day of the study).Conclusion. Thus, the combination of elastic bands applications with conventional treatment methods of TMJ arthrosis greatly increases the effectiveness of therapy and allows to relief pain and normalize bioelectric activity of masticatory muscles in a relatively short time. Due to the simplicity of elastic bands application it is possible to teach patients the technique of self-applying bands and recommend to use them as a prevention of relapse of TMJ arthrosis.

scholarly journals Effectiveness of Physical Therapy in the Correction of the Functional Status of the Temporomandibular Joint in Arthrosis

2021 ◽  
Vol 6 (6) ◽  
pp. 188-193
Author(s):  
M. G. Aravitska ◽  
◽  
L. M. Sheremeta ◽  
S. I. Danylchenko ◽  
Dovgan O. V. ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Temporomandibular Joint ◽  
Mouth Opening ◽  
Masticatory Muscles ◽  
Main Group ◽  
Control Group ◽  
Maxillofacial Region ◽  
Therapeutic Exercises ◽  
Inflammatory Drugs ◽  
Anti Inflammatory

The purpose of the study was to evaluate the effect of a physical therapy program on the state of functioning of the maxillofacial region in patients with arthrosis of the temporomandibular joint. Materials and methods. The study involved 33 people with arthrosis of the temporomandibular joint of the II-III degrees, which were divided into 2 groups – control and main. The control group consisted of 18 people who received arthrosis therapy only with non-steroidal anti-inflammatory drugs. The main group consisted of 15 people who additionally underwent the developed program of physical therapy (therapeutic exercises, massage, post-isometric relaxation, kinesiotaping of the masticatory muscles, neck muscles, cervical-collar zone; paraffin therapy course for the temporomandibular joint area, patient education). Complaints of patients, the intensity of pain in the temporomandibular joint on a visual analogue scale, the amount of mouth opening were determined, and auscultation of the joint was performed. Results and discussion. After the completion of the treatment course (for patients of the control group) and physical therapy (for the patients of the main group), pain in the temporomandibular joint did not manifest itself at rest and during movement. This is explained, in particular, by the fact that the basis of conservative treatment of arthrosis is the use of non-steroidal anti-inflammatory drugs with analgesic effects. At the same time, the usage of physical therapy, in comparison with medications, in the main group was statistically significant (p <0.05) in relation to control patients, it improved the functional activity of the jaw area and the functioning of the temporomandibular joint, which was manifested by a decrease in the number of persons with complaints of pathological sounds during jaw movements and their auscultatory detection, discomfort when chewing, as well as an increase in the magnitude of opening the mouth. Restoration of the condition of patients with diseases of the maxillofacial region, and, in particular, the temporomandibular joint, is an urgent problem not only for dentists, but also for specialists in the field of rehabilitation, in particular, physical therapists. The objectives of physical therapy in patients with arthrosis of the temporomandibular joint are to reduce the load on the joint, eliminate and reduce pain, synovitis, myalgia, improve joint function, stimulate and activate metabolic processes in cartilaginous and bone tissues, normalize blood flow, and thus improve quality of life. Conclusion. Physical therapy means improve the functional ability of the temporomandibular joint in the complex recovery of patients with arthrosis statistically significantly better than monotherapy with non-steroidal anti-inflammatory drugs

scholarly journals Temporomandibular joint dysfunction in Parkinson's Disease: an integrative literature review

Revista CEFAC ◽  
2017 ◽  
Vol 19 (5) ◽  
pp. 702-711 ◽  
Author(s):  
Taysa Vannoska de Almeida Silva ◽  
Maria das Graças Wanderley de Sales Coriolano ◽  
Carla Cabral dos Santos Accioly Lins
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Temporomandibular Joint ◽  
Myofascial Pain ◽  
Mouth Opening ◽  
Signs And Symptoms ◽  
Masticatory Muscles ◽  
Therapeutic Interventions ◽  
Temporomandibular Joint Dysfunction ◽  
Language Restriction

ABSTRACT Temporomandibular joint dysfunction is a set of disorders involving the masticatory muscles, temporomandibular joint and associated structures. It is known that the progression of motor symptoms in Parkinson's disease is an indication that these people are more prone to the development of this dysfunction. Thus, this study aims to investigate the signs and symptoms of temporomandibular dysfunction in people with Parkinson's disease. The search was performed in the databases: MEDLINE/ PubMed, LILACs, CINAHL, SCOPUS, Web of Science and PEDro, without timing or language restriction. Specific descriptors were used for each database and keywords, evaluated by the instruments: Critical Appraisal Skill Program and Agency for Health care and Research and Quality. A total of 4,209 articles were found but only 5 were included. After critical analysis of the methodology of the articles, one did not reach the minimum score required by the evaluation instruments, thus, it was excluded. The selected articles addressed, as signs and symptoms of temporomandibular joint dysfunction, the following: myofascial pain, bruxism, limitation of mouth opening, dislocation of the articular disc and asymmetry in the distribution of occlusal contacts. Further studies are needed in order to determine the relationship between cause and effect of the analyzed variables, so as to contribute to more specific and effective therapeutic interventions.

scholarly journals Experience of using an integrated approach in the diagnosis of temporomandibular joint dysfunction

2022 ◽  
pp. 98-100
Author(s):  
A. A. Sultanov ◽  
Y. Y. Pervov ◽  
A. K. Yatsenko ◽  
M. A. Sultanova ◽  
D. O. Drozdova
Keyword(s):  
Physical Examination ◽  
Temporomandibular Joint ◽  
Orthodontic Treatment ◽  
Clinical Case ◽  
Mouth Opening ◽  
Integrated Approach ◽  
Masticatory Muscles ◽  
Temporomandibular Joint Dysfunction ◽  
The Right ◽  
Masseter Muscles

The article presents a clinical case of the diagnostics and treatment of the temporomandibular joint dysfunction (TMJ) in patient after orthodontic treatment. The hypertonia of masticatory muscles, limit of mouth opening and deviation of the jawbone to the right were observed during physical examination. Adhesion of the disk to the articular tubercle of the right temporal bone was detected on MRI. Hyperrotation of the articular head and the deviation of the jawbone to the right were observed on the charts during axiography. Disappearing of the feeling of heaviness in the right TMJ, free mouth opening, absence of deviation symptom, and the reduction of the rigidity of the masseter muscles were observed on the basis of diagnostic examinations after treatment. Presented clinical experience lets us make a conclusion that it is necessary to prescribe taking axiography and MRI during diagnosing and treating temporomandibular joint dysfunction.

IncobotulinumtoxinA Injection for Temporomandibular Joint Disorder

2017 ◽  
Vol 126 (4) ◽  
pp. 328-333 ◽  
Author(s):  
Amit A. Patel ◽  
Michael Z. Lerner ◽  
Andrew Blitzer
Keyword(s):  
Temporomandibular Joint ◽  
Temporomandibular Disorder ◽  
Masticatory Muscles ◽  
Pain Scale ◽  
Pain Medication ◽  
Saline Injection ◽  
Pain Scores ◽  
Patient Reported ◽  
Joint Disorder ◽  
Muscles Of Mastication

Objectives: Temporomandibular disorder (TMD) involves dysfunction of the temporomandibular joint and associated muscles of mastication causing pain with chewing, limitation of jaw movement, and pain. While the exact pathophysiology of TMD is not completely understood, it is thought that hyperfunction of the muscles of mastication places stress on the temporomandibular joint, leading to degeneration of the joint and associated symptoms. We hypothesize that chemodenervation of the muscles of mastication with IncobotulinumtoxinA (Xeomin) will decrease the stress on the temporomandibular joint and improve pain associated with temporomandibular joint and muscle disorder (TMJD). Methods: Twenty patients were randomized to IncobotulinumtoxinA (170 units) or saline injection of the masticatory muscles. Patient-reported pain scale (0-10) was recorded at 4-week intervals following injection for 16 weeks. Patients who received saline injection initially were assessed for reduction in pain at the first 4-week interval and if still had significant pain were rolled over into the IncobotulinumtoxinA arm. Results: Preinjection pain scores were similar between patients. While there was a statistically significant reduction in pain score in the placebo group one month, there was an overall larger drop in average pain scores in those patients injected with IncobotulinumtoxinA initially. All patients initially injected with placebo crossed over into the IncobotulinumtoxinA group. Similar results were seen when examining the composite masticatory muscle tenderness scores. There was no significant change in usage of pain medication. Conclusions: We demonstrate utility of IncobotulinumtoxinA in treating patients with TMD with pain despite pain medication usage and other conventional treatments.

scholarly journals Results of the optimization of diagnostic and treatment algorithm in patients with acute paraproctitis of anaerobic etiology

2019 ◽  
Vol 178 (3) ◽  
pp. 39-42
Author(s):  
K. I. Sergatskiy ◽  
V. I. Nikolsky
Keyword(s):  
Comparison Group ◽  
Treatment Algorithm ◽  
Main Group ◽  
Treatment Results ◽  
Treatment Methods ◽  
Group 4 ◽  
Number Of Patients ◽  
All Cause Mortality ◽  
General Number

The OBJECTIVEwas to analyze the treatment results of patients with acute anaerobic paraproctitis in 2009–2017.MATERIAL AND METHODS. The treatment results of 71 patients with acute anaerobic paraproctitis were analyzed. All patients were divided into 2 groups depending on the applied diagnostic and treatment methods.RESULTS. General number of patients who required several operative sanation was 47 (66.2 %). 9 (26.5%) patients died in the comparison group, 4 (10.8 %) patients died in the main group.CONCLUSION. The optimization of diagnostic and treatment algorithm in patients with acute anaerobic paraproctitis allowed to reduce the all-cause mortality in patients with acute paraproctitis from 1.2 to 0.5 % (p<0.01), and mortality in patients with acute anaerobic paraproctitis from 26.5 to 10.8 %.

scholarly journals Effect of injection of botulinum toxin on decreasing the symptoms and signs of masticatory muscles in patients with temporomandibular dysfunction

2019 ◽  
Vol 13 (2) ◽  
pp. 128-132
Author(s):  
Mohammad Ali Ghavimi ◽  
Javad Yazdani ◽  
Atena Afzalimehr ◽  
Arezoo Ghoreyshizadeh ◽  
Seyed Vahid Dehnad
Keyword(s):  
Botulinum Toxin ◽  
Temporomandibular Joint ◽  
Statistical Tests ◽  
Mouth Opening ◽  
Masticatory Muscles ◽  
Pain Severity ◽  
Injection Technique ◽  
Invasive Treatment ◽  
Symptoms And Signs ◽  
Over Time

Background. Temporomandibular joint dysfunction (TMD) is a term that describes problems in the masticatory system, including the temporomandibular joint, the dento-muscular system and the supporting bones. Injection of botulinum toxin, as a noninvasive technique, might be useful in decreasing symptoms such as muscular spasm, dystonia, migraine headaches and TMD. Therefore, the aim of the present study was to evaluate the effect of injection of botulinum toxin on decreasing the symptoms and signs of masticatory muscles in patients with TMD. Methods. A total of 61 patients were consecutively included in the present study in 2016‒2017. All the subjects received a 50-unit injection of Dysport botulinum toxin in the masseter muscles using an extraoral injection technique. The results of the injection were evaluated in terms of pain severity using VAS, clinical evaluations of the joint click through palpation and by determining the inter-incisal distance. The patients underwent follow-up examinations at 1-week, 3-month and 6-month intervals after injection. Data were analyzed with appropriate statistical tests. Results. Comparison of pain severity and articular clicks at different intervals showed decreases in these parameters over time, with significant differences between the time intervals (P<0.05). Comparison of mouth opening at different intervals showed increases in mouth opening over time. Conclusion. The results of the present study showed that injection of botulinum toxin can be used in patients with TMD as a non-invasive treatment modality

Frequency of symptoms of temporominal joint dysfunction in children and adolescents in orphanages

2021 ◽  
Vol 1 (223) ◽  
pp. 28-33
Author(s):  
Roza Ibragimova ◽  
◽  
Аssilbek Yessirkepov ◽  
Gulbanu Dosberdiyeva ◽  
Кuralay Zhumabayeva ◽  
...  
Keyword(s):  
Secondary School ◽  
Children And Adolescents ◽  
Temporomandibular Joint ◽  
Comparison Group ◽  
Masticatory Muscles ◽  
Functional Disorders ◽  
Healthy Individuals ◽  
Keywords Temporomandibular Joint ◽  
The City ◽  
Masseter Muscles

Diseases of the temporomandibular joint (TMJ) occur in 20-76% of the population, of which up to 70-89% are functional joint disorders. In children and adolescents, TMJ dysfunction occurs in 14-20%. Among the variety of pathogenetic factors in the development of this pathology, the most important are: stress, psychological disorders, imbalance in the tone of the masticatory muscles, occlusive disharmony. Purpose of the study. To study the prevalence of symptoms of TMJ dysfunction, including prenosological, in children and adolescents living in orphanages. Material and research methods. The frequency of occurrence of symptoms of functional disorders of the TMJ, including prenosological, was studied in 331 children and adolescents living in orphanages. The comparison group consisted of 218 students of secondary school No. 30 in the city of Almaty. Results and discussion. These symptoms were found in 32.62% of children and adolescents living in orphanages in the city of Almaty, and in 35.32% of practically healthy individuals, and their frequency increased with age. More common in girls. In different combinations there were revealed the dislocation of the middle inter-incisive line, pain on palpation of the masseter muscles, joint noise, malopening mouth. Dentofacial anomalies were more often observed in children and adolescents with certain symptoms of functional disorders of the temporomandibular joint. Keywords: temporomandibular joint malfunction, children and adolescents living in orphanages.

Restricted Mouth Opening in Head and Neck Cancer: Etiology, Prevention, and Treatment

2020 ◽  
Vol 16 (10) ◽  
pp. 643-653
Author(s):  
Waseem A. Abboud ◽  
Sharon Hassin-Baer ◽  
Eran E. Alon ◽  
Iris Gluck ◽  
Alex Dobriyan ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Temporomandibular Joint ◽  
Neck Cancer ◽  
Mouth Opening ◽  
Masticatory Muscles ◽  
Joint Involvement ◽  
Cancer Etiology ◽  
Medical Specialties ◽  
Hardware Failure

Restricted mouth opening or trismus is often encountered in patients with head and neck cancer. The restriction may be the presenting sign of malignancy, a sequela of tumor site or growth, an adverse effect of oncologic treatment, or a first sign of tumoral recurrence. In general, any insult to the temporomandibular joint, masticatory muscles, or their neural innervation may cause limitation in mouth opening. The etiologies leading to trismus are as follows: myospasm secondary to tumor infiltration; reflectory myospasm; radiation-induced myositis and myofibrosis; temporomandibular joint involvement with tumor; unfavorable postsurgical scarring; muscle and joint atrophy secondary to immobilization; pain; jaw fracture and hardware failure; and infection. Preventive measures should be implemented before, during, and after treatment. These measures include identification of high-risk patients, utilization of dose-sculpting radiation techniques whenever possible, performing reconstruction at the same time of resective surgery whenever feasible, and initiating mobilization exercises as early as possible. When trismus develops, treatments are often challenging and disappointing. These include physical therapy, mouth opening appliances, drug therapy, and release surgery. All medical specialties dealing with head and neck cancer should be familiar with the diagnosis and prevention of trismus and make an effort to ensure patients are referred to the appropriate care when needed. Trismus should not be considered a trivial sequela of head and neck cancer.

scholarly journals Stability of the Natural Joint Side in Unilateral Alloplastic Total Temporomandibular Joint Replacement Using a Ready-Made System

2021 ◽  
Vol 11 (9) ◽  
pp. 3935
Author(s):  
Jin-Hong Kim ◽  
Byung-Ho Park ◽  
Myoung-Sang Yoo ◽  
Bu-Kyu Lee
Keyword(s):  
Temporomandibular Joint ◽  
Joint Replacement ◽  
Total Joint Replacement ◽  
Mouth Opening ◽  
Clinical Results ◽  
Pain Scale ◽  
The Other ◽  
Mandibular Movement ◽  
Average Maximum ◽  
End Stage

An alloplastic total joint replacement (TJR) is an effective and reliable treatment option in non-salvageable end-stage temporomandibular joint (TMJ) disease. However, unilateral alloplastic TJR of the TMJ (TMJ TJR) could affect the other side natural joint because the physiologic action of both condyles is quite different during mandibular movement. In this study, we examined whether the unilaterally replaced alloplastic TMJ TJR affects the other side natural joint condition over long periods of time. Eight patients who received alloplastic TJR on one side were subjects in this study. All alloplastic TJR implants were stable in situ. The average maximum mouth opening was 37.5 mm (range 19–49 mm) pre-operatively and 44.1 mm (range 34–57 mm) post-operatively. This parameter gradually increased and reached the maximum at about twelve months after surgery. The post-operative change of pain level was significantly reduced from 3.5 to 0 on a pain scale of zero to ten. No significant complications in any joints were observed within the follow-up period. The shape of the natural joint sides showed slight changes but were functionally stable during the observation period. In this study, unilateral alloplastic TJR showed stable and reliable clinical results, either alloplastic TJR or healthy joint sides for quite long period of time.

scholarly journals Prevalence of temporomandibular joint disorder symptoms in Cibodas Maribaya Village Bandung District

2010 ◽  
Vol 22 (1) ◽  
Author(s):  
Erna Kurnikasari
Keyword(s):  
Temporomandibular Joint ◽  
Muscle Pain ◽  
Mouth Opening ◽  
Masticatory Muscles ◽  
Temporomandibular Joint Disorder ◽  
Limited Mouth Opening ◽  
Stomatognathic System ◽  
The People ◽  
Joint Disorder ◽  
System Disorder

Temporomandibular joint disorder is a stomatognathic system disorder causing mandibular function disturbance that clinically shows the following symptoms: clicking, crepitation, limited mouth opening, pain in masticatory muscles, pain in the jaw area, deviated mouth opening, ringing ear, pain around ear area, and headache. Experts stated that the prevalence of joint disorder was high. A study was conducted to the people of Cibodas Maribaya Village Bandung District who came to the Community Work event with results showing that the prevalence of clicking was 34 people or 32.4%, the deviation was found in 36 people or 34.3%, muscle pain was found in 28 people or 26.7%, a headache was found in 35 people or 33.3%, ear disorders was found in 23 people or 21.9%.

Sign in / Sign up

Export Citation Format

Share Document