Temporomandibular Bozukluğu Olan Bireylerde Fasyal Distorsiyon Modeline Dayalı Manuel Tedavinin Etkinliğinin İncelenmesi

Abstract

The aim of this study was to investigate the effects of manual therapy based on the fascial distortion model (FDM) in patients with temporomandibular disorders (TMD) by comparing it with core stabilization training based on the Pilates method and a non- interventional control. The interventional groups received one of these two methods in addition to the conventional home program (CHP), while the control group received no treatment. Pain intensity was measured with the revised graded chronic pain scale, short form McGill pain questionnaire (SF-MPQ), visual analog scale (VAS) and numerical pain rating scale (NPRS). Head posture was assessed by photogrammetry. Temporomandibular joint range of motion was measured with a caliper. TMD severity, dysfunction, disability and quality of life were assessed by the Fonseca anamnestic index, the mandibular function impairment questionnaire, the craniofacial pain and disability inventory, and the cognitive exercise therapy approach-biopsychosocial questionnaire, respectively. The group-by-time interaction effect was statistically significant for laterotrusions, pain intensity in the last week according to NPRS and SF-MPQ, present pain intensity according to VAS and the index on SF-MPQ, TMD severity, and disability in jaw functional status (p <.05). In conclusion, once-per-week sessions of FDM, combined with CHP, clinically and/or statistically significantly improved pain-free maximum mouth opening, laterotrusions, present pain intensity and pain intensity in the last week, TMD severity, dysfunction and disability. It is suggested that FDM could be used as a new therapeutic tool for TMD. Future studies on immediate or short-term effects and different session frequencies are needed.