Immediate effect of cervical mobilization in temporomandibular disorder patients

Authors

  • Cristiane Rodrigues Pedroni University of Campinas – Piracicaba Dental School
  • Anamaria Siriani Oliveira Ribeirão Preto School of Medicine, University of São Paulo
  • Fausto Bérzin University of Campinas – Piracicaba Dental School

DOI:

https://doi.org/10.20396/bjos.v4i15.8641857

Keywords:

Mobilization. Cervical spine. Temporomandibular disorder. Pain

Abstract

The 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.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Author Biographies

Cristiane Rodrigues Pedroni, University of Campinas – Piracicaba Dental School

Possui graduação em Fisioterapia pela Universidade Federal de São Carlos (1999), mestrado em Fisioterapia pela Universidade Federal de São Carlos (2003) e doutorado em Biologia Buco-Dental pela Faculdade de Odontologia de Piracicaba - FOP/UNICAMP (2007). É sócia da Abrapg.ft e sócia-fundadora da Sociedade Brasileira de Eletromiografia e Cinesiologia, docente da Universidade Estadual Paulista - UNESP.

Anamaria Siriani Oliveira, Ribeirão Preto School of Medicine, University of São Paulo

Dr. Oliveira is physiotherapist and received her Ph.D. degree (2002) in Anatomy from Campinas University, São Paulo, Brazil. She is currently Associate Professor of Physical Therapy in the Ribeirão Preto Medical School, University of São Paulo USP, Brazil, where she teaches Kinesiology and Biomechanics, and Non-Pharmalogical Conservative Pain Management. She was Visitor Professor in the Division of Physical Therapy of Department of Rehabilitation Medicine da University of Washington, Seattle, USA (2008-2009). Dr. Oliveira is a founder member of the Brazilian Society of Kinesiologic Electromyography, and is an Editorial Board Member (Specialist Editor for Musculoskeletal PT) for the Brazilian Journal of Physical Therapy. She has coordinated the Posture and Human Movement Analysis Laboratory since 2003 where hers group works on shoulder biomechanics, especially during exercises, and pain related to chronic musculoskeletal disorders as impingment syndrome. She has been financial supported by São Paulo Research Foundation (FAPESP) and National Council for Scientific and Technological Development (CNPq) since 1998, among others.

Fausto Bérzin, University of Campinas – Piracicaba Dental School

Possui Graduação em Odontologia pela Universidade Estadual de Campinas (1966) e Especialização em Anatomia pela Universidade de São Paulo (1970), Doutorado em Ciências pela Faculdade de Odontologia de Piracicaba (1974). Professor Titular de 1966 a 2010 pela Faculdade de Odontologia de Piracicaba-UNICAMP. Atualmente é Professor Colaborador da Faculdade de Odontologia de Piracicaba-UNICAMP, Professor Visitante do Programa de Pós-Graduação em Fisioterapia, da Universidade Federal de São Carlos, no período de Março de 1998 a Setembro de 2010, Assessor do Fundo de Apoio ao Ensino à Pesquisa, Assessor da Fundação de Amparo à Pesquisa do Estado de São Paulo e Assessor do CNPq

References

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.

Downloads

Published

2015-11-19

How to Cite

1.
Pedroni CR, Oliveira AS, Bérzin F. Immediate effect of cervical mobilization in temporomandibular disorder patients. Braz. J. Oral Sci. [Internet]. 2015 Nov. 19 [cited 2022 Nov. 26];4(15):911-8. Available from: https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8641857

Issue

Section

Article

Most read articles by the same author(s)

1 2 > >>