The immediate effect of muscular soft techniques of the temporomandibular joint on postural balance in subjects with myogenous temporomandibular disorders: a randomized, double blind, placebo controlled clinical trial.
Item
- Title
- The immediate effect of muscular soft techniques of the temporomandibular joint on postural balance in subjects with myogenous temporomandibular disorders: a randomized, double blind, placebo controlled clinical trial.
- Abstract
-
NAME: Geens Jan. TUTOR: Van Eupen Luc. METHODOLOGICAL TUTOR: Quaghebeur Jörgen. YEAR: 2018.
TITLE: Temporomandibular disorders and postural balance. RESEARCH TITLE: The immediate effect of muscular soft techniques of the temporomandibular joint on postural balance in subjects with myogenous temporomandibular disorders: a randomized, double blind, placebo controlled clinical trial.
BACKGROUND: Global body posture and postural balance are an important topic in the osteopathic field. A good global posture and balance are crucial for the optimal function of the human body. Nowadays research shows that the posture and postural balance of patients with temporomandibular disorders (TMD) and especially of patients with myogenous TMD, are affected. To our knowledge, no study investigated the effect of an osteopathic treatment on the postural balance in patients with myogenous TMD. OBJECTIVE: To evaluate the short-term effect of osteopathic muscular soft tissue techniques on the static postural balance in patients with myogenous TMD. METHOD: Subjects (n=40) with myogenous TMD, according the DC/TMD classification, were randomly assigned to an intervention (n=20) or a placebo group (n=20). The intervention group was treated with osteopathic muscular soft tissue techniques on the temporomandibular joint (TMJ) and the placebo group underwent a sham intervention of microcurrent on the TMJ. Outcome variables were the centre of pressure sway area (AREA) and mean velocity (VEL), which were measured using a force platform in four different situations: eyes opened mandibular rest position (EOREST), eyes closed mandibular rest position (ECREST), eyes opened maximum intercuspation (EOMAX) and eyes closed maximum intercuspation (ECMAX). RESULTS: Wilcoxon signed rank test showed no significant difference between the intervention group and placebo group after treatment/sham intervention for VEL EOREST (p=0,17), AREA EOREST (p=0,40), AREA ECREST (p=0,46) and AREA EOMAX (p=0,15). A significant difference however was found for AREA ECMAX (p=0,03), VEL ECREST (p=0,02), VEL EOMAX (p=0,007) and VEL ECMAX (p=0.01). No significant placebo effect was found in the sham group. DISCUSSION: This study lacks power (39%). A study in this setting, repeated on a larger sample size, could show stronger results. CONLUSION: Osteopathic muscular soft tissue techniques cause a significant direct improvement of the postural balance in subjects with myogenous TMD.
Keywords (MeSH terms): myogenous temporomandibular disorders, postural balance, muscular soft tissue techniques, force platform, osteopathy. - presented at
- FICO
- Date Accepted
- 2018
- Date Submitted
- 31.7.2018 16:26:19
- Type
- osteo_thesis
- Language
- English
- Number of pages
- 127
- Submitted by:
- 4400
- Pub-Identifier
- 16189
- Inst-Identifier
- 1169
- Keywords
- Myogenous temporomandibular disorders, postural balance, muscular soft tissue techniques, force platform, osteopathy
- Recommended
- 1
- Item sets
- Thesis
“The immediate effect of muscular soft techniques of the temporomandibular joint on postural balance in subjects with myogenous temporomandibular disorders: a randomized, double blind, placebo controlled clinical trial.”, Osteopathic Research Web, accessed May 6, 2024, https://www.osteopathicresearch.com/s/orw/item/1628