Physiotherapeutic treatment for temporomandibular disorders (TMD)

  • Débora Bevilaqua Grossi School of Medicine, State University of São Paulo
  • Thais Cristina Chaves School of Medicine, Ribeirão Preto, State University of São Paulo.
Keywords: TMD. Physiotherapeutic treatment. Evaluation. Therapeutic resources. Craniocervical posture


To a correct approach for TMD patient the physiotherapist must perform a diagnostic and anamnesis evaluation to make an effective therapeutic intervention. Literature presents some schemes, anamnesis indexes and standardized and validated questionnaires to evaluate TMD. Another important aspect is the biomechanical evaluation of the cervical spine alterations in TMD patients, due to the evidences of symptoms and biomechanical associations between cervical and masticatory systems. Manual therapy, therapeutical resources (like as ultra-sound, TENS) and postural re-education must be applied in a physical therapy treatment for TMD patients, but an appropriate intervention should be related not only to symptoms relief, but look for TMD´s etiology. In view of such considerations one of the most important approachs for TMD physical therapy treatment must be the modification of craniocervical biomechanics and its effects to posture as an etiologic or perpetuating TMD factor


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Author Biographies

Débora Bevilaqua Grossi, School of Medicine, State University of São Paulo
graduate at Physiotherapy and Occupational Therapy from Universidade Federal de São Carlos (1990), master's at Odontology from Universidade Estadual de Campinas (1996) and ph.d. at Odontology from Universidade Estadual de Campinas (1998). Has experience in Physiotherapy and Occupational Therapy, focusing on Physiotherapy and Occupational Therapy, acting on the following subjects: eletromiografia, fisioterapia, exercícios, cadeia cinética fechada and desordem craniomandibular.
Thais Cristina Chaves, School of Medicine, Ribeirão Preto, State University of São Paulo.
Atualmente é Docente da Faculdade de Medicina de Ribeirão Preto lotada no Departamento de Neurociências e Ciências do comportamento (USP). Possui graduação em Fisioterapia pela Universidade Federal de São Carlos (2002), mestrado e doutorado pelo programa de pós-graduação em Ortopedia, Traumatologia e Reabilitação da Faculdade de Medicina de Ribeirão Preto da USP. Realizou estágio de pós-doutorado com bolsa Fapesp na FMRP/USP. É docente do curso de Terapia Ocupacional e docente do Programa de Pós-graduação em Reabilitação e Desempenho Funcional da FMRP/USP.


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How to Cite
Grossi, D. B., & Chaves, T. C. (2015). Physiotherapeutic treatment for temporomandibular disorders (TMD). Brazilian Journal of Oral Sciences, 3(10), 492-497.
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