AbstractThe aim of this study was to assess the immediate effect of cervical mobilization on pain intensity and cervical range of motion in patients with temporomandibular dysfunction (TMD). Twenty-two volunteers, all females, participated in this study. The experimental and placebo groups were comprised of TMD patients with rotation at least one of the three first cervical vertebrae observed by radiographic examination, while the control group was comprised of TMD-free subjects without cervical vertebrae rotation. The results showed that there was a significant decrease in pain intensity and a significant increase in rotation and lateral flexion range of motion of volunteers of experimental group immediately after application of the cervical mobilization procedure. However, all these effects were of short duration.
Rocabado M. Biomechanical relationship of the cranial cervical and hyoid regions. Cranio. 1983; 1: 61-6.
Janda V. Some aspects of extracranial causes of facial pain. J Prosthet Dent. 1986; 56: 484-7.
Clark GT, Green EM, Dornan MR, Flack VF. Craniocervical dysfunction levels in a patient sample from a temporomandibular joint clinic. J Am Dent Assoc. 1987; 115: 251-6.
Kirveskari P, Alanen P, Karskela V, Kaitaniemi P, Holtari M, Virtanen T, Laine M. Association of functional state of stomatognathic system with mobility of cervical spine and neck muscle tenderness. Acta Odontol Scand. 1988; 46: 281-6.
Steenks MH, De Wijer A. Disfunções da articulação temporomandibular do ponto de vista da fisioterapia e da odontologia. São Paulo: Santos; 1996.
Zafar H. Integrated jaw and neck function in man: studies of mandibular and head-neck movements during jaw opening-closing tasks. Swed Dent J Suppl. 2000; 143: 1-4.
Kraus SL. Cervical spine influences on the craniomandibular region. In: Kraus SL. The TMJ disorders management of the craniomandibular complex. New York: Churchill Livingstone; 1988.
Cacchiotti Da, Plesh O, Bianchi P, Mcneill C. Signs and symptoms in samples with and without temporomandibular disorders. J Craniomandib Disord. 1991; 5: 167-72.
De Laat A, Meuleman H, Stevens A. Relation between functional limitations of the cervical spine and temporomandibular disorders (abstract) J Orofac Pain. 1993; 1: 109.
De Wijer A, Steenks MH, Bosman F, Helders PJM. Symptoms of the stomatognathic system in temporomandibular and cervical dysfunction. J Oral Rehabil. 1996; 23: 733-41.
Pedroni CR, Oliveira AS, Guaratini MI. Prevalence study and symptoms of temporomandibular disorders in university students. J Oral Rehabil. 2003; 30: 283-9.
Di Fabio RP. Efficacy of manual therapy. Phys Ther. 1992; 72: 853-64.
Trott PH, Goss AN. Physiotherapy in diagnosis and treatment of the myofascial pain dysfunction syndrome. J Oral Surg. 1978; 7: 360-5.
Richardson JK, Iglarsh AZ. Clinical orthopaedic physical therapy. Philadelphia: Saunders, 1994.
Eriksen K. Comparisons between upper cervical x-ray listings and technique analyses utilizing a computerized database. Chiropr Res J. 1996; 3: 13-24.
Knutson GA. Atlas laterality/laterality & rotation and the angular acceleration of the head and neck in motor vehicle accident.Chiropr Res J. 1996; 3: 11-9.
Knutson GA, Jacob M. Possible manifestation of temporomandibular joint dysfunction on chiropractic cervical X-ray studies. J Manipulative Physiol Ther. 1999; 22: 32-7.
Corrigan B, Maitland GD. Ortopedia & reumatologia – diagnóstico e tratamento. São Paulo: Premier; 2000.
Farrell J, Jensen GM. Foreword: Manual Therapy. Phys Ther. 1992; 72: 842-52.
Twomey LT. A rationale for the treatment of back pain and joint pain by manual therapy. Phys Ther. 1992; 72: 885-92.
Threlkeld AJ. The effects of manual therapy on connective tissue. Phys Ther. 1992; 72: 893-902.
Norderman R, Thorner C. Treatment of acute cervical pain: a comparative group study. Pain. 1981; 10: 93-101.
Nwuga VCB. Relative therapeutic efficacy of vertebral manipulation and conventional treatment in back pain management. Am J Phys Med. 1982; 61: 273-8.
Brodin H. Cervical pain and mobilization. Int J Rehabil Res. 1984; 7: 190-1.
Cassidy JD, Lopes AA, Young-Hing, K. The immediate effect of manipulation versus mobilization on pain and range of motion in the cervical spine: a randomized controlled trial. J.
Manipulative Physiol Ther. 1992; 15: 570-5.
Calonego CA, Rebelato JR. Comparação entre a aplicação do Método Maitland e da Terapia Convencional no tratamento de lombalgia aguda. Rev Bras Fisioter. 2002 6: 97-104.
Guyton A. Fisiologia humana. 6. ed. Rio de Janeiro: Guanabara Koogan; 1988.
Walker JM. Pathomechanics and classification of cartilage lesions, facilitation of repair. J Orthop Sports Phys Ther. 1998; 28: 216-31.
Edmond S. Manipulação e mobilização: técnicas para membros e coluna. São Paulo: Manole; 2000.
Alter MJ. Ciência da flexibilidade. Porto Alegre: Artemed; 1999.
Sterling M, Jull G, Wright A. Cervical mobilization: concurrent effects of pain, sympathetic nervous system activity and motor activity. Man Ther. 2001; 6: 72-81.
Cooper BJ, Sessle BJ. Anatomy, physiology, and pathophysiology of trigeminal system parathesias and dysesthesias. Oral Maxilofac Surg Clin North Am. 1992 4: 297-322.
Swift JQ, Garry MG, Roszkowski MT, Hargreaves KM. Effect of Flurbiprofen on tissue Levels of Immunoreactive Bradykinin and Acute Postoperative Pain. J Oral. Maxilofac Surg. 1993; 51: 112-6.
Zusman M. Spinal manipulative therapy: review of some proposed mechanisms and a new hypotesis. Aust J Physiother.
; 32: 89-99. 35. Meissner L. Terapia manual. In: Eitner D, Kuprian W, Meissner L, Ork H. Fisioterapia nos esportes. São Paulo: Manole; 1984.
Hurwitz EL, Aker PD, Adams AH, Meeker WC, Shekelle PG. Manipulation and mobilization of the cervical spine. a systematic review of the literature. Spine. 1996; 21: 1746-60.
The Brazilian Journal of Oral Sciences uses the Creative Commons license (CC), thus preserving the integrity of the articles in an open access environment.