Quick Links
Archives
How    to    cite    this    Article:     Parth    Trivedi,    Preeti    Bhatt,    Sathiyavani    Dhanakotti,    Gopal    Nambi.        COMPARISON    OF    MUSCLE    ENERGY TECHNIQUE   AND   MYOFASCIAL   RELEASE   TECHNIQUE   ON   PAIN   AND   RANGE   OF   MOTION   IN   PATIENTS   WITH   TEMPOROMANDIBULAR   JOINT DYSFUNCTION: A RANDOMIZED CONTROLLED STUDY.  Int J Physiother Res 2016;4(6):1788-1792. DOI: 10.16965/ijpr.2016.192.
Type of Article: Original Research DOI: http://dx.doi.org/10.16965/ijpr.2016.192 Page No.:  1788-1792
COMPARISON   OF   MUSCLE   ENERGY   TECHNIQUE   AND   MYOFASCIAL   RELEASE   TECHNIQUE   ON   PAIN   AND   RANGE   OF   MOTION   IN   PATIENTS WITH TEMPOROMANDIBULAR JOINT DYSFUNCTION: A RANDOMIZED CONTROLLED STUDY Parth Trivedi * 1 , Preeti Bhatt 2 ,   Sathiyavani Dhanakotti 3 , Gopal Nambi 4 . *1  Lecturer, C.M. Patel College of Physiotherapy, Gandhinagar, Gujarat, India. 2  Drug Safety Physician, Apcer Lifesciences, Ahmedabad, Gujarat, India. 3  Vice-Principal, C.U.Shah Physiotherapy College, Surendranagar, Gujarat, India. 4 Assistant   Professor,   Department   of   Physical   Therapy   &   Rehabilitation,   College   of   Applied   Medical   Sciences,   Prince   Sattam   Bin   Abdul   Aziz   University, Al.Kharaj, Saudi Arabia. Corresponding Author:  Dr. Parth Trivedi. PT., Lecturer, C.M. Patel College of Physiotherapy, Gandhinagar, Gujarat, India. E-Mail:  drparthtrivedi@live.in ABSTRACT Background:    Temporomandibular   joint   dysfunction   (TMJD)   refers   to   a   group   of   problems   related   to   the   temporomandibular   joint.   The   etiology   of   TMJD   is still   unclear   and   is   believed   to   be   complex.   Temporomandibular   Joint   (TMJ)   disorders   are   generally   divided   into   two   categories;   articular   disorders   (e.g., ankylosis,    developmental    disorders,    disk    derangement    disorders,    fractures,    etc.)    &    masticatory    muscle    disorders    (e.g.,    myofascial    pain,    myofibrotic contracture, etc.). Objective:    To   compare   the   effectiveness   of   Muscle   Energy   Technique   and   Myofascial   Release   Technique   on   pain   and   range   of   motion   in   temporomandibular joint dysfunction patients. Materials   and   Methods:    Chronic   temporomandibular   joint   dysfunction   patients   (N=36)   were   recruited   and   randomly   allocated   into   three   groups   (Muscle Energy Technique- MET; Myofascial Release Technique-MFR and Control; N=12 in each group). All the groups completed 4 weeks of intervention. Results:    The   4   weeks   of   treatment   program   resulted   in   significant   improvement   in   reduction   of   pain   (NPRS   p<0.05)   &   increase   in   range   of   motion   (p<0.05) in   TMJD   patients   which   was   not   evident   in   the   control   group.   However,   MET   was   found   to   be   more   clinically   effective   compared   to   MFR   in   all   outcome scores. Conclusions:    Both   MET   and   MFR   are   effective   in   reducing   pain   and   increasing   ROM   in   chronic   TMJD   subjects.   However,   MET   was   found   to   be   superior   to MFR. KEY WORDS: Temporomandibular joint dysfunction. Muscle Energy Technique; Myofascial Release Technique, NPRS & ROM. References 1 . McNeill   C.   Epidemiology.   In:   McNeil   C,   ed.   Temporomandibular   Disorders:   Guidelines   for   Classification,   Assessment,   and   Management.   2 nd    ed. Chicago, Ill: Quintessence Publishing Co; 1993:19-22. 2 . Di Fabio RP. Physical therapy for patients with TMD: a descriptive study of treatment, disability, and health status. J Orofac Pain. 1998;12:124-135. 3 . Gremillion HA. The prevalence and etiology of temporomandibular disorders and orofacial pain. Tex Dent J. 2000;117:30-39. 4 . Benoit   P.   History   and   physical   examination   for   TMD.   In:   Kraus   SL,   ed.   Temporomandibular   Disorders.   2nd   ed.   New   York,   NY:   Churchill   Livingstone; 1994:71-98. 5 . de    Wijer    A,    de    Leeuw    JR,    Steenks    MH,    Bosman    F.    Temporomandibular    and    cervical    spine    disorders:    self-reported    signs    and    symptoms.Spine. 1996;21:1638-1646. 6 . Morris    S,    Benjamin    S,    Gray    R,    Bennett    D.    Physical,    psychiatric    and    social    characteristics    of    the    temporomandibular    disorder    pain    dysfunction syndrome: the relationship of mental disorders to presentation.Br Dent J. 1997;182:255-260. 7 . Fricton JR, Dubner R, eds. Orofacial Pain and Temporomandibular Disorders. New York, NY: Raven Press; 1995:538. 8 . Feine   JS,   Lund   JP.   An   assessment   of   the   efficacy   of   physical   therapy   and   physical   modalities   for   the   control   of   chronic   musculoskeletal   pain.   Pain. 1997;71:5-23. 9 . Dimitroulis G, Gremillion HA, Dolwick MF, Walter JH. Temporomandibular disorders, 2: non-surgical treatment. Aust Dent J. 1995;40:372-376. 1 0 . McNamara JA Jr, Seligman DA, Okeson JP. Occlusion, orthodontic treatment, and temporomandibular disorders: a review. J Orofac Pain.1995;9:73-90. 1 1 . Leon Chaitow. Muscle Energy Techniques. 3rd ed. China. Elsevier; 2006 1 2 . Lars R. et all, Myofascial release: an evidenced based treatment approach. International Musculoskeletal Medicine 2008;30(1):29-35. 1 3 . McNeely   ML,   Armijo   Olivo   S,   Magee   DJ.   A   systematic   review   of   the   effectiveness   of   physical   therapy   interventions   for   temporomandibular   disorders. Phys Ther. 2006;86:710-725 . 1 4 . Milan etal. Physical rehabilitation treatment of the temporomandibular pain dysfunction syndrome.Medicine and Biology 2008;15(3):113-118 . 1 5 . Tuncer     A,     Ergun     N,     Karahan     S.     Temporomandibular     disorders     treatment:     comparison     of     home     exercise     and     manual     therapy,     Fizyoter Rehabil.2013;24(1):09-16 . 1 6 . Vishwas   Rajadurai,   The   effect   of   muscle   energy   technique   on   temporomandibular   joint   dysfucntion:   A   Randomised   Controlled   Trial,   Asian   journal   of scientific research 2011;4(1):71-77. 1 7 . David    Smékal,    Kristýna    Velebová,    Dagmar    Hanáková,    Magdaléna    Lepšíková.    The    effectiveness    of    specific    physiotherapy    in    the    treatment    of temporomandibular disorders,Acta Univ. Palacki. Olomuc,Gymn. 2008;38(2):45-53 . 1 8 . Sivarama Prasad et al, Chiropractic treatment of temporomandibular disorders, Altern Ther Health Med. 2008;14(4):60-63. 1 9 . Carol J.Manheim. The Myofascial Release Manual. 3rd ed. NJ. Slack Incorporation; 1985 . 2 0 . Edward   F.   Wright,   Sarah   L.   NORTH,   Management   And   Treatment   Of   Temporomandibular   Disorders:   A   Clinical   Perspective,   The   JOURNAL   OF   MANUAL & MANIPULATIVE THERAPY 2012;17(4):247-252 . 2 1 . Royder. Structural influences in Temporomandibular Joint pain & dysfunction,J.AM osteopathic ASSO. 1982;80:460-467 . 2 2 . Anderson,   The   Effect   of   Specific      Isometric   Muscle   Energy   Technique   on   Range   of   Mouthopening   of   Temporomandibular   Joint,   J.AM   Osetopathic Medicine;2004;42(2):445-450. 2 3 . Bell W.E, Temporomandibular Dysfunction (classification, diagnosis & management),3 rd  Edition,Year book Medical Publishers,pp:309-311. 2 4 . Lewitt K & D.G.Simons, Myofascial pain: Relief by post isometric relaxation, Arch Phys  Med Rehab, 1984;65(2):452-456. 2 5 . Brodin H, Lumbar treatment using muscle energy technique. Osteopathic Ann,101-23-24 .





International Journal of Physiotherapy and Research ISSN (O): 2321-1822  ISSN (P): 2321-8975 Volume 4 |Issue 6 |  2016 Date of Publication:  11 December 2016 http://ijmhr.org/ijpr.html editor_physiotherapy@hotmail.com HOME ABOUT US EDITORIAL BOARD AUTHOR GUIDELINES SPECIAL SERVICES CONTACT US
DOWNLOAD PDF
TABLE OF CONTENTS