ELİSA ÇALIŞGAN, BURCU TALU, Oğuzhan ALTUN, Numan DEDEOĞLU, ŞUAYİP BURAK DUMAN

The effects of proprioceptive neuromuscular facilitation, myofascial releasing maneuvers and home exercises on pain and jaw function in patients with bruxism

To evaluate the effects of proprioceptive neuromuscular facilitation exercises, myofascial releasing techniques and home exercises on temporamandibular joint pain and jaw function in patients with bruxism. This randomized, controlled experimental trial included 52 patients (42 females, 10 males) aged 16 to 50 years (a mean age of 28.9 ± 11.05 years) with bruxism. The patients were separated into 3 groups, as Group 1 (n: 20) treated with proprioceptive neuromuscular facilitation exercises + myofascial release techniques + home exercise, Group 2 (n: 15) treated with myofascial release + home exercise and Group 3 (n: 17), as the control group, treated with the classical methods of occlusal splint, antidepressant drugs and botox. The Visual Analog Scale, Jaw Restriction Scale and Oral Habits Checklist were used to evaluate pain, restriction of jaw movements and bad habits, respectively. All groups were evaluated at the end of 2 weeks and 6 weeks. When the pre-treatment and post-treatment parameters were compared between the groups, a decrease was determined in the parameters of pain, limitation of jaw function, and restriction of oral behavioursin Group1 and Group2 (p = 0.001, p = 0.05, respectively). This decrease was statistically greater in Group 1. No statistically significant difference was determined in Group 3 in respect of resting, active and night pain, limitation of jaw function and restriction of oral behaviour (p>0.05). Proprioceptive Neuromuscular Facilitation Exercises + myofascial releasing techniques + home exercise were found to be effective in reducing pain, improving restriction of jaw movement and oral behaviors in patients with bruxism. As the first such study, the results of this study can be considered to provide important contributions to the understanding and treatment of patients with bruxism.

PDF

___

Aguilera SB, Brown L, Perico VA Aesthetic Treatment of Bruxism. J Clin Aesthet Dermatol 2017;10:49-55.

Folkins CH. Effects of physical training on mood. J Clin Psychol. 1976;32:385-7.

Livanelioğlu A, Erden Z, Günel MK Proprioseptif Nöromusküler Fasilitasyon Teknikleri. 1. Baskı, Ankamat Matbaacılık, Ankara. 2014;87-90.

Ohrbach R Diagnostic Criteria for Temporamandibular Disorders: Assessment Instruments. 2016;15.

Lobbezoo F, Van der Zaag J, Van Selms MK, et al. Principles for the management of bruxism. J Oral Rehabil. 2008;35:509-23.

Macedo CR, Silva AB, Machado MA, et al. Occlusal splints for treating sleep bruxism. Cohrane Database Syst Rev. 2007;17:CD005514

Sefton JM, Yarar C, Berry JW, et al. Therapeutic massage of the neck and shoulders produces changes in peripheral blood flow when assessed with dynamic infrared thermography. J Altern Complement Med. 2010;16:723-32.

Lobbezoo F, Ahlberg J, Glaros AG, et al Bruxism defined and graded: an international consensus. J Oral Rehabil. 2013;40:2-4.

Manfredini D, Lobbezoo F. Role of psychosocial factors in the etiology of bruxism. J Orofac Pain. 2009;23:153-66.

Ohayon MM, Li KK, Guilleminault C. Risk factors for sleep bruxism in the general population. Chest. 2001;119:53-61.

Lavigne GJ, Khoury S, Abe S, et al. Bruxism physiology andpathology: on overview for clinicians. J Oral Rehabil 2008;35:476-94.

Bortoletto CC, Cordeiro da Silva F, Silva PF, et al: Evaluation of craniocervical posture in children with bruxism before and after bite plate therapy: a pilot project. J Phys Ther Sci. 2014;26:1125-8.

Gomes CA, El- Hage Y, Amaral AP, et al. Effects of massage therapy and occlusal splint usage on quality of life and pain in individuals with sleep bruxism: a randomized controlled trial. J Jpn The Assoc. 2015;18:1-6.

Clark GT, Ram S. Four oral motor disorders: bruxism, dystonia, dyskinesia and drug-induced dystonic extrapyramidal reactions. Dent Clin North Am. 2007;51:225-43.

Michelotti A, Steens MH, Farella M, et al. Short-term effects of physiotherapy versus counseling for the treatment of myofascial pain of the jaw muscles. J Oral Rehabil. 2002;29:87. 1

Ferreira-Valente MA, Pais-Ribeiro JL, Jensen MP. Validity of four pain intensity rating scales. Pain. 2011;152:2399-404.

Robinson MW, Baiungo J, Hohman M, et al. Facial rehabilitation. Operative Techniques in Otolaryngology. 2012;23:288-96.

Messina G, Martines F, Thoms E, et al. Treatment of chronic pain associated with bruxism through Myofunctional therapy. Eur J Transl Myol. 2017;27:6759.

Jensen R, Rasmussen BK, Pedersen B, et al. Prevalence of oromandibular dysfunction in a general population. J Orofac Pain. 1993;7:175-82.

Kaur J, Masaun M, Bhatia MS. Role of physiotherapy in mental health disorders. Delhi Psychiatry J.2013;16:404-8.

Visser A, McCarroll RS, Naeije M. Masticatory muscle activity in different jaw relations during submaximal clenching efforts. J Dent Res. 1992;71:3729.

Harness DM, Peltier B. Comparison of MMPI scores with self-report of sleep disturbance and bruxism in the facial pain population. Cranio. 1992;10:70-4.

Kato T, Rompré P, Montplaisir JY, et al. Sleep bruxism: an oromotor activity secondary to micro-arousal. J Dent Res. 2001;80:1940-4.

Polat S, Polat NT, Çetinoğlu A. et al. Temporamandibuler Düzensizlikler için Tanı Kriterleri Değerlendirme Araçları: Turkish Version. 2016.

Lobbezoo F, Ahlberg J, Glaros AG, et al. Bruxism defined and graded: an international consensus. J Oral Rehabil. 2013;40:2-4.

Valiente López M, van Selms MK, van der Zaag J, et al. Do sleep hygiene measures and progressive muscle relaxation influence sleep bruxism? Report of a randomised controlled trial. J Oral Rehabil. 2015;42:259-65.

Verde TJ Short-term exercise and immune function. In: Watson RR, Eisinger M, eds. Exercise and disease. Boca Raton, FL: CRCPress. 1992;71-88.

. Rener-Sitar K, Celebic A, Mehulic K, et al. Factors related to oral health related quality of life in TMD patients. Coll Antropol. 2013;37:407-13.

Landry ML, Rompré PH, Manzini C, et al.. Reduction of sleep bruxism using a mandibular advancement device: an experimental controlled study. Int J Prosthodont. 2006;19:549-56.

Nishigawa K, Bando E, Nakano M. Quantitative study of bite force during sleep associated bruxism. J Oral Rehabil. 2001;28:485-91.

Cooke HG. Reversible pulpitis with etiology of bruxism. J Endod. 1982;8:280-1.

Van der Zaag J, Lobbezoo F, et al. Controlled assessment of the efficacy of occlusal stabilization splints on sleep bruxism. J Orofac Pain. 2005;19:151-8.

Santos Miotto Amorim C, Firsoff EF, Vieira GF, et al. Effectiveness of two physical therapy interventions, relative to dental treatment in individuals with bruxism: Study protocol of a randomized clinical trial, Trials. 2014;15:8.