ArticleJournal of oral biology and craniofacial research
Multimodal physical therapy approach for the management of patients with temporomandibular disorder: Randomized control trial.
Article in Journal of oral biology and craniofacial research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
3 citing papers in PubMed.
- The effect of self-mobilization in combination with exercises on pain and function in patients with myogenic temporomandibular disorders; a self-controlled experimental study.BMC oral health · 2026Article
- Electroacupuncture for temporomandibular disorder-related pain: clinical evidence, mechanisms, and safety-a narrative review.Frontiers in pain research (Lausanne, Switzerland) · 2026Review
- Neurophysiological Examination for the Diagnosis of Orofacial Pain and Temporomandibular Disorders: A Literature Review.Diagnostics (Basel, Switzerland) · 2025Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Temporomandibular disorders (TMD) are musculoskeletal disorders frequently seen in physiotherapy and dental practices, affecting the temporomandibular joint (TMJ) and central nervous system. A multimodal treatment could be more beneficial with limitations of traditional treatment. Objective: The purpose of this research was to compare the outcomes of cranio-mandibular stabilisation exercises and a structured manual therapy protocol on pain reduction in TMD patients. A secondary purpose was to quantify improvements in mechanical tenderness and active mouth function. Methods: This single-blind, randomized trial recruited 146 participants (95 women, 51 men) aged 18-50 years with TMD. Participants were randomly allocated into two groups to maintain allocation concealment. The intervention was standardized, administered by skilled physical therapists. Validated instruments measured outcomes, namely pain intensity, mechanical tenderness and active mouth function tests. Results: Participants receiving cranio-mandibular stabilisation and manual therapy had significantly greater improvements in pain (P = 0.001, 95 %), mechanical tenderness (P = 0.001, 95 %) and active mouth function (P = 0.001, 95 %) compared to controls. Conclusions: Findings suggest that a multimodal treatment of cranio-mandibular stabilisation and structured manual therapy significantly decreases pain and improves mechanical tenderness and active mouth function in TMD patients. Future research should include long-term follow-up to assess effect sustainability and optimize treatment protocols for maximum benefits.
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