scholarly journals Cervical Spine Thrust Joint Manipulation, Education, and a Home Exercise Program for the Management of Individuals with Temporomandibular Disorder: A Prospective Case Series

2020 ◽  
Author(s):  
Breanna Reynolds ◽  
Jamie Brown
Keyword(s):  
Cervical Spine ◽  
Manual Therapy ◽  
Temporomandibular Disorder ◽  
Case Series ◽  
Exercise Program ◽  
Current Evidence ◽  
Home Exercise ◽  
Home Exercise Program ◽  
Therapy Education ◽  
Thrust Joint Manipulation

Background and Purpose: Temporomandibular disorder (TMD) often leads to chronic pain and disability. Current evidence supporting potentially effective physical therapy (PT) intervention in TMD is limited, however, some support exists for manual therapy, education, and exercise. The purpose of this case series was to describe outcomes in participants with TMD treated with cervical spine manual therapy, education, and exercise. Methods: Five participants (mean symptom duration 2.2 years) with TMD were treated with atlanto-occipital and C2-3 cervical spine thrust joint manipulation (TJM), behavioral education, and a home exercise program for 3 visits over 4 weeks. Primary outcomes included jaw range of motion (ROM), Numeric Pain Rating Scale, Jaw Functional Limitation Scale, and Global Rating of Change (GROC). Secondary measures included pain pressure threshold (PPT), Neck Disability Index, TMD Disability Index, and cervical ROM. Results: Clinically meaningful change was noted in cervical and jaw ROM. Three of five participants (60%) reported symptoms at least “moderately better” (≥ 4 GROC) at 4-weeks. No adverse events were reported. Clinical Relevance: All participants had at least 1 year duration of pain indicating spontaneous recovery was unlikely. While cause and effect relationships cannot be determined, outcomes indicate the approach may be effective. Conclusion: Cervical spine TJM added to education and exercise over three visits may be effective in the chronic TMD population. Future randomized clinical trials are necessary to draw specific conclusions

scholarly journals Does the Addition of Manual Therapy Approach to a Cervical Exercise Program Improve Clinical Outcomes for Patients with Chronic Neck Pain in Short- and Mid-Term? A Randomized Controlled Trial

2020 ◽  
Vol 17 (18) ◽  
pp. 6601 ◽  
Author(s):  
Jacobo Rodríguez-Sanz ◽  
Miguel Malo-Urriés ◽  
Jaime Corral-de-Toro ◽  
Carlos López-de-Celis ◽  
María Orosia Lucha-López ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Neck Pain ◽  
Manual Therapy ◽  
Exercise Program ◽  
Chronic Neck Pain ◽  
Exercise Group ◽  
Home Exercise ◽  
Upper Cervical Spine ◽  
Upper Cervical ◽  
Cervical Spine Dysfunction

Chronic neck pain is one of today’s most prevalent pathologies. The International Classification of Diseases categorizes four subgroups based on patients’ associated symptoms. However, this classification does not encompass upper cervical spine dysfunction. The aim is to compare the short- and mid-term effectiveness of adding a manual therapy approach to a cervical exercise protocol in patients with chronic neck pain and upper cervical spine dysfunction. Fifty-eight subjects with chronic neck pain and upper cervical spine dysfunction were recruited (29 = Manual therapy + Exercise; 29 = Exercise). Each group received four 20-min sessions, one per week during four consecutive weeks, and a home exercise regime. Upper flexion and flexion-rotation test range of motion, neck disability index, craniocervical flexion test, visual analogue scale, pressure pain threshold, global rating of change scale, and adherence to self-treatment were assessed at the beginning, end of the intervention and at 3- and 6-month follow-ups. The Manual therapy + Exercise group statistically improved short- and medium-term in all variables compared to the Exercise group. Four 20-min sessions of Manual therapy + Exercise along with a home-exercise program is more effective in the short- to mid-term than an exercise protocol and a home-exercise program for patients with chronic neck pain and upper cervical dysfunction.

Technology-enhanced visual desensitization home exercise program for post-concussive visually induced dizziness: a case series

2020 ◽  
pp. 1-10
Author(s):  
Julia E. Hurtado ◽  
Lisa Heusel-Gillig ◽  
Benjamin B. Risk ◽  
Anna Trofimova ◽  
Syed A. Abidi ◽  
...  
Keyword(s):  
Case Series ◽  
Exercise Program ◽  
Home Exercise ◽  
Home Exercise Program

scholarly journals Physical Therapy Treatment Effectiveness for Osteoarthritis of the Knee: A Randomized Comparison of Supervised Clinical Exercise and Manual Therapy Procedures Versus a Home Exercise Program

2005 ◽  
Vol 85 (12) ◽  
pp. 1301-1317 ◽  
Author(s):  
Gail D Deyle ◽  
Stephen C Allison ◽  
Robert L Matekel ◽  
Michael G Ryder ◽  
John M Stang ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Treatment Group ◽  
Manual Therapy ◽  
Exercise Program ◽  
Exercise Group ◽  
Home Exercise ◽  
Home Exercise Program ◽  
Therapy Program ◽  
Supervised Exercise ◽  
Physical Therapy Program

AbstractBackground and Purpose Manual therapy and exercise have not previously been compared with a home exercise program for patients with osteo-arthritis (OA) of the knee. The purpose of this study was tocompare outcomes between a home-based physical therapy program and a clinically based physical therapy program. Subjects. One hundred thirty-four subjects with OA of the knee were randomly assigned to a clinictreatment group (n=66; 61% female, 39% male; mean age [±SD]=64±10 years) or a home exercise group (n=68, 71% female, 29% male; mean age [±SD]=62±9 years). Methods. Subjects in the clinic treatment group received supervised exercise, individualized manual therapy, and a home exercise program over a 4-week period. Subjects in the home exercise group received thesame home exercise program initially, reinforced at a clinic visit 2 weeks later. Measured outcomes were the distance walked in 6 minutes and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Results. Both groups showed clinically and statistically significant improvements in 6-minute walkdistances and WOMAC scores at 4 weeks; improvements were still evident in both groups at 8 weeks. By 4 weeks, WOMAC scores had improved by 52% in the clinic treatment group and by 26% in the home exercise group. Average 6-minute walk distances had improved about 10% in both groups. At 1 year, both groups were substantially and about equally improved over baseline measurements. Subjects in the clinic treatment group were less likely to betaking medications for their arthritis and were more satisfied with the overall outcome of their rehabilitative treatment compared with subjects in the home exercise group. Discussion and Conclusion Although both groups improved by 1 month, subjects in the clinic treatment group achieved about twice as much improvement in WOMAC scores than subjects who performed similar unsupervised exercises at home. Equivalent maintenance of improvements at 1 year was presumably due to both groups continuing the identical home exercise program. The results indicate that a home exercise program for patients with OA of the knee provides important benefit. Adding a small number of additional clinical visits for the application of manual therapy and supervised exercise adds greater symptomatic relief.

The Effect of Manual Therapy and a Home Exercise Program on Cervicogenic Headaches: A Case Report

2005 ◽  
Vol 13 (1) ◽  
pp. 35-43 ◽  
Author(s):  
William P. Hanten ◽  
Sharon L. Olson ◽  
Weston A. Lindsay ◽  
Kristina A. Lounsberry ◽  
Jeanine K. Stewart
Keyword(s):  
Case Report ◽  
Manual Therapy ◽  
Exercise Program ◽  
Home Exercise ◽  
Home Exercise Program ◽  
Cervicogenic Headaches

Physiotherapy Home Exercise Program for Haemophiliacs

2011 ◽  
Vol 223 (03) ◽  
pp. 189-192 ◽  
Author(s):  
K. Pierstorff ◽  
A. Seuser ◽  
S. Weinspach ◽  
H.-J. Laws
Keyword(s):  
Exercise Program ◽  
Home Exercise ◽  
Home Exercise Program
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