A Research Protocol on Effectiveness of Sub Occipital Myofacial Release on Functional Disability in Temporomandibular Dysfunction with Neck Pain: A Randomized Control Trial

Background: Temporomandibular joint dysfunction is one of commonest joint that gets affected in females, studies shows that the altered posture of cervical spine lead to mandibular retrusion and hence in long term leads to Temporomandibular dysfunction, the tightness of sub-occipital muscle leads to pulling of the ligaments around the joint in course causing retrusion or malocclusion. The common symptoms of temporomandibular joint dysfunction includes clicking, reduced mouth opening, headache. Alteration in the function of TMJ leads to poor quality of life of the individual as this joint is involved in basic activities like talking, eating, laughing and kissing. The sub-occipital muscles are the group of muscle extending from spinous process of C2 vertebrae to inferior nuchal line of occipital bone. Tightness of this muscle lead to extension of upper cervical spine and flexion of lower cervical spine. The common causes of temporomandibular dysfunction includes injury to jaw, overuse, inflammatory condition like arthritis and bruxism. Our aim is to find out the efficacy of sub-occipital Myofacial Release versus conventional physiotherapy on functional disability of TMJ. The clinical trial registry-India (CTRI) registration number for this trial is CTRI/2021/05/033493. Methodology: In this study the total of 60 patients with mild to moderate Temporomandibular dysfunction with neck pain were divided into two group one group received MFR and other group received stretching exercises followed by conventional physiotherapy. The treatment was given for two week 5 session in each week. The assessment was done at day one of treatment and the end of first week and at the end of second week. Discussion: This study was done to find out the effectiveness of suboccipital Myofacial release and stretching exercises in mild to moderate Temporomandibular joint dysfunction with neck pain. Conclusion: Conclusion of the study can be made based on the effect of both technique on functional disability in patient with mild to moderate TMD and opt for more specific treatment for rehabilitation of patient with TMD.

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Efficacy of Sub Occipital Myofacial Release Technique on Functional Disability in Temporomandibular Dysfunction with Neck Pain: A Randomized Control Trial.

10.21203/rs.3.pex-1486/v1 ◽

2021 ◽

Author(s):

Om Wadhokar ◽

Deepali Patil ◽

Pratik Phansopkar

Keyword(s):

Cervical Spine ◽

Temporomandibular Joint ◽

Functional Disability ◽

Spinous Process ◽

Mouth Opening ◽

Upper Cervical Spine ◽

Clinical Trial Registry ◽

Temporomandibular Joint Dysfunction ◽

Temporomandibular Dysfunction ◽

The Common

Abstract Temporomandibular joint dysfunction is one of commonest joint that gets affected in females, studies shows that the altered posture of cervical spine lead to mandibular retrusion and hence in long term leads to Temporomandibular dysfunction, the tightness of sub-occipital muscle leads to pulling of the ligaments around the joint in course causing retrusion or malocclusion. The common symptoms of temporomandibular joint dysfunction includes clicking, reduced mouth opening, headache. Alteration in the function of TMJ leads to poor quality of life of the individual as this joint is involved in basic activities like talking, eating, laughing and kissing. The sub-occipital muscles are the group of muscle extending from spinous process of C2 vertebrae to inferior nuchal line of occipital bone. Tightness of this muscle lead to extension of upper cervical spine and flexion of lower cervical spine. The common causes of temporomandibular dysfunction includes injury to jaw, overuse, inflammatory condition like arthritis and bruxism. Our aim is to find out the efficacy of sub-occipital Myofacial Release versus conventional physiotherapy on functional disability of TMJ. The clinical trial registry-India(CTRI) registration number for this trial is CTRI/2021/05/033493.

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Effectiveness of a specific manual approach to the suboccipital region in patients with chronic mechanical neck pain and rotation deficit in the upper cervical spine: study protocol for a randomized controlled trial

BMC Musculoskeletal Disorders ◽

10.1186/s12891-017-1744-5 ◽

2017 ◽

Vol 18 (1) ◽

Cited By ~ 4

Author(s):

Vanessa González Rueda ◽

Carlos López de Celis ◽

Martín Eusebio Barra López ◽

Andoni Carrasco Uribarren ◽

Sara Castillo Tomás ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Cervical Spine ◽

Neck Pain ◽

Study Protocol ◽

Controlled Trial ◽

Upper Cervical Spine ◽

Randomized Controlled ◽

Upper Cervical

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PREVALENCE OF NECK PAIN AMONG TAILORS IN NORTH GUJARAT - A CROSS SECTIONAL STUDY

10.36106/ijsr/8324703 ◽

2021 ◽

pp. 49-51

Author(s):

Nipa V. Patel ◽

Roshani A. Patel

Keyword(s):

Neck Pain ◽

Functional Disability ◽

Cross Sectional Study ◽

Use Of Self ◽

Sectional Study ◽

Cross Sectional ◽

Musculoskeletal Problems ◽

The Common ◽

North Gujarat ◽

Awkward Posture

Background: - Neck pain is one of the common musculoskeletal problems faced by tailors due to constant work on the sewing machine with the awkward posture. Aim:-The aim of study is to nd out the prevalence of neck pain among Tailors. Objective:-To nd out the prevalence of neck pain among Tailors use of self questionnaire. Materials And Methodology:-Across sectional study was performed among 100 tailors working in North Gujarat to determine the prevalence of neck pain in them. Aself – questionnaire was used. Result: - 91% prevalence of neck pain was found among the tailors in North Gujarat. Also 67% tailors have activity limitation. Conclusion: -The prevalence of neck pain among Tailors in North Gujarat is found to be highest (91%). Neck pain is one of the common condition contributing to the increase in functional disability

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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

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17186601 ◽

2020 ◽

Vol 17 (18) ◽

pp. 6601 ◽

Cited By ~ 2

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.

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Neck Pain Following Concussion

Concussion ◽

10.1093/med/9780190937447.003.0025 ◽

2019 ◽

pp. 151-154

Author(s):

Brian Hainline ◽

Lindsey J. Gurin ◽

Daniel M. Torres

Keyword(s):

Cervical Spine ◽

Neck Pain ◽

Cervical Spine Injury ◽

Cervicogenic Headache ◽

Spine Injury ◽

Upper Cervical Spine ◽

Persistent Symptoms ◽

Upper Cervical ◽

Vestibular Symptoms ◽

Serious Injury

Neck pain and cervicalgia are common following concussion. The cervical spine should be carefully examined in any individual who has sustained a concussion, because neck pain may be a sign of more serious underlying cervical spine injury. Even when a more serious injury has been ruled out, it is noteworthy that the cervical structures are vulnerable to stress and injury at their end range of motion, and such motion occurs commonly in an accelerated fashion with concussion. Further, cervical spine injury may cause faulty proprioceptive input from the upper cervical spine, resulting in vestibular symptoms. Cervicalgia is a source of persistent symptoms following concussion and frequently manifests with dizziness and cervicogenic headache. Individuals with persistent symptoms of cervicalgia or cervicogenic headache may benefit from a combination of physical therapy and vestibular therapy.

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Extension and flexion in the upper cervical spine in neck pain patients

Manual Therapy ◽

10.1016/j.math.2014.12.005 ◽

2015 ◽

Vol 20 (4) ◽

pp. 547-552 ◽

Cited By ~ 15

Author(s):

Markus J. Ernst ◽

Rebecca J. Crawford ◽

Sarah Schelldorfer ◽

Anne-Kathrin Rausch-Osthoff ◽

Marco Barbero ◽

...

Keyword(s):

Cervical Spine ◽

Neck Pain ◽

Upper Cervical Spine ◽

Upper Cervical ◽

Pain Patients

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Impact of Cervical Spine Rehabilitation on Temporomandibular Joint Functioning in Patients with Idiopathic Neck Pain

BioMed Research International ◽

10.1155/2021/6886373 ◽

2021 ◽

Vol 2021 ◽

pp. 1-13

Author(s):

Łukasz Oleksy ◽

Renata Kielnar ◽

Anna Mika ◽

Agnieszka Jankowicz-Szymańska ◽

Dorota Bylina ◽

...

Keyword(s):

Cervical Spine ◽

Neck Pain ◽

Pain Intensity ◽

Range Of Motion ◽

Temporomandibular Joint ◽

Clinical Condition ◽

Rehabilitation Programme ◽

Cervical Region ◽

Head Posture ◽

Tmj Pain

Objective. The aim of this study was to assess the effectiveness of a 3-week rehabilitation programme focusing only on the cervical region, pain intensity, range of motion in the cervical spine, head posture, and temporomandibular joint (TMJ) functioning in subjects with idiopathic neck pain who did not report TMJ pain. Design. A parallel group trial with follow-up. Methods. The study included 60 participants divided into 2 groups: experimental: n = 25 , 27-57 years old, experiencing idiopathic neck pain and who underwent a 3-week rehabilitation programme, and the control, n = 35 , 27-47 years, who were cervical pain-free. At baseline and after 3 weeks of treatment in the experimental group and with a 3-week time interval in the control group, pain intensity, head posture in the sagittal plane, range of motion in the cervical spine, and TMJ functioning were evaluated. Results. After 3 weeks of rehabilitation, there was a significant decrease in pain intensity, improved range of motion of the cervical spine and head posture, and improved clinical condition of TMJ in participants with idiopathic neck pain who did not report TMJ pain. Conclusion. The study suggested that idiopathic neck pain is associated with limited range of motion in the cervical spine, incorrect head posture, and TMJ dysfunction. Our data suggests that therapy focusing only on the cervical region may improve the clinical condition of the TMJ in subjects with idiopathic neck pain who do not report TMJ pain. These observations could be helpful in physiotherapeutic treatment of neck and craniofacial area dysfunctions. This trial is registered with ISRCTN Registry ISRCTN14511735.

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IDENTIFICATION OF CORRELATION OF TEMPOROMANDIBULAR DYSFUNCTION AND CERVICAL SPINE DISORDERS

Medical Science of Ukraine (MSU) ◽

10.32345/2664-4738.1-2.2019.08 ◽

2019 ◽

Vol 15 (1-2) ◽

pp. 59-64 ◽

Cited By ~ 1

Author(s):

V.V. Vovk ◽

V.P. Nespriadko

Keyword(s):

Cervical Spine ◽

Neck Pain ◽

Myofascial Pain ◽

Bone Structure ◽

Temporomandibular Disorder ◽

Whole Body ◽

Clinical Group ◽

Temporomandibular Dysfunction ◽

Lateral Group ◽

Spine Disorders

Relevance. Temporomandibular dysfunction is associated with imbalance of the whole body in static and dynamic. Myofascial Pain in Temporomandibular joint often coexist with chronic neck pain, impacting on posture straightly by changing head position or indirectly by instability of muscles chains. Objective. This study aimed to evaluate frequency of cervical spine disorders (CSD) in case of Temporomandibular dysfunction (TMD), possible correlations between TMD and CSD in frontal and lateral planes depends on ethiological factors. Materials and methods. The study included 208 patients. Study group consisted of 170 patients with TMD (female – 62,9 %, male – 37,1 %). Contol group consisted of 38 patients. Subjects were examined according to international clinical protocol RDC/TMD, NDI, masticatory,neck motor system were analysed by (BioPak EMG), position of condyles and bone structure – via computed tomography, position and disc reduction – via magnetic resonance imaging, occlusion – via TScan III, cephalometric analysis (frontal, lateral view), statistical analyses with program IBM SPSS Statistic Base v.22. Results. Female more often has temporomandibular dysfunction (62,9 %) than male (37,1 %) among the population. 47,05% were under 30 years. About 98,2 % of patients, presented complaining of Temporomandibular disorder symptoms had neck pain concomitantly and cervical spine disorders in different planes, 44,7% of patients without TMD, but with CSD, value at risk 2,2(95% VaR 1,54-3,13). Moreover 100% of those who did not report pain in the Temporomandibular joints, but presented only with clicking, had reported pain in the neck during physical examination. After examination patients were divided into 4 different clinical groups of TMD depends on ethiology-TMD-neck spinal disability. The largest is combined group – 67,67 % of total patients and is clinical manifested with TMD, spinal neck disorders in several planes. Different dysfunctional conditions between facial skull boned and cervical spine are closely interconnected with each other. Conclusions. There is positive, mild power of correlations between muscles groups trapezius-masseter, trapezius-temporalis (r=0,477, p<0,05), sternocleidomastoideus-temporalis (0,527, p<0,05), sternocleidomastoideus-masseter (0,575, p<0,05), which indicates cooperation between facial muscles and cervical spine muscles. There is changes in cervical spine depends on clinical group: lateral group – C type scoliosis, sagittal – from straightening of cervical lordosis to kyphosis, vertical – «wave» type of cervical spine, combined – combine of pathology in different planes. Initial form of lateral group TMD is characterized as myofascial pain syndrome with specific clinical symptoms, but without condyle and disc displacement, thus it can be as an early prophylactic stage and risk of disc subluxation.

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