Comparison of the effectiveness of three different conservative methods in myogenous temporomandibular disorders

dc.contributor.authorYıldız, Nazım Tolgahan
dc.contributor.authorErden, Zafer
dc.contributor.authorCoşkun, Gürsoy
dc.contributor.authorCan, Filiz
dc.contributor.authorTüz, Hakan Hıfzı
dc.date.accessioned2025-08-11T12:06:55Z
dc.date.available2025-08-11T12:06:55Z
dc.date.issued2025
dc.departmentKMÜ, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü
dc.description.abstractThe aim of this study was to compare the effectiveness of exercise, transcutaneous electrical nerve stimulation, and manual therapy on pain intensity, maximum mouth opening, and masticatory muscle activity-during chewing of the masseter and temporalis anterior in myogenous temporomandibular disorders. METHODS: A total of 51 myogenous temporomandibular disorders patients were randomly assigned to three groups: exercise group, transcutaneous electrical nerve stimulation group, and manual therapy group. For 6 weeks, exercise group received exercise only, transcutaneous electrical nerve stimulation group received exercise+transcutaneous electrical nerve stimulation, and manual therapy group received exercise+manual therapy. At baseline and after 6-week treatment, pain intensity was assessed using a visual analog scale, maximum mouth opening using a millimeter ruler, and masticatory muscle activity-during chewing of the masseter and temporalis anterior using surface electromyography. RESULTS: After treatment, significant improvements in pain intensity, maximum mouth opening, and masticatory muscle activity-during chewing values were found in all the three groups. The greatest improvements were seen in manual therapy group. The decreases in pain intensity and increases in masticatory muscle activity-during chewing values were statistically significantly higher in transcutaneous electrical nerve stimulation group than in exercise group (p<0.05). The increases in maximum mouth opening were similar in transcutaneous electrical nerve stimulation group and exercise group. CONCLUSION: Exercise is an effective method for improving pain intensity, maximum mouth opening, and masticatory muscle activity-during chewing in myogenous temporomandibular disorders. Combining exercise with manual therapy may provide the highest therapeutic effect on these parameters. Combining exercise with transcutaneous electrical nerve stimulation may also lead to further improvements in pain intensity and masticatory muscle activity-during chewing.
dc.identifier.doi10.1590/1806-9282.20242102
dc.identifier.issn01044230
dc.identifier.issue6
dc.identifier.pmid40638472
dc.identifier.urihttps://www.doi.org/10.1590/1806-9282.20242102
dc.identifier.urihttps://hdl.handle.net/11492/11005
dc.identifier.volume71
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorYıldız, Nazım Tolgahan
dc.institutionauthoridYıldız, Nazım Tolgahan/0000-0002-2404-2884
dc.language.isoen
dc.publisherAssociacao Medica Brasileira
dc.relation.ispartofRevista da Associacao Medica Brasileira
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectConservative Treatments
dc.subjectMasticatory Muscles
dc.subjectSurface Electromyography
dc.subjectTemporomandibular Disorders
dc.titleComparison of the effectiveness of three different conservative methods in myogenous temporomandibular disorders
dc.typeArticle

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