Effects of Therapeutic and Aerobic Exercise Programs on Pain, Neuromuscular Activation, and Bite Force in Patients with Temporomandibular Disorders
Pain in masticatory muscles is one of the most frequent symptoms in patients with temporomandibular disorders (TMD) and can lead to changes in the patterns of neuromuscular activity of masticatory muscles and decrease in bite force. This study assesses the effects of three eight-week exercise progra...
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| Format: | Article |
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MDPI AG
2021-11-01
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| Series: | Journal of Personalized Medicine |
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| Online Access: | https://www.mdpi.com/2075-4426/11/11/1170 |
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| author | Paula Manuela Mendes Moleirinho-Alves Pedro Miguel Teixeira Cravas Cebola Paulo Duarte Guia dos Santos José Pedro Correia Catarina Godinho Raul Alexandre Nunes da Silva Oliveira Pedro Luís Cemacelha Pezarat-Correia |
| author_facet | Paula Manuela Mendes Moleirinho-Alves Pedro Miguel Teixeira Cravas Cebola Paulo Duarte Guia dos Santos José Pedro Correia Catarina Godinho Raul Alexandre Nunes da Silva Oliveira Pedro Luís Cemacelha Pezarat-Correia |
| author_sort | Paula Manuela Mendes Moleirinho-Alves |
| collection | DOAJ |
| description | Pain in masticatory muscles is one of the most frequent symptoms in patients with temporomandibular disorders (TMD) and can lead to changes in the patterns of neuromuscular activity of masticatory muscles and decrease in bite force. This study assesses the effects of three eight-week exercise programs on pain intensity, neuromuscular activation, and bite force of masticatory muscles in patients with TMD. Forty-five patients were divided into three groups: a therapeutic exercise program (G1), a therapeutic and aerobic exercise program (G2), and an aerobic exercise program (G3). The masticatory muscles’ pain was evaluated using the numeric pain rating scale (NPRS), surface electromyographic (sEMG) activity of the masseter was recorded during maximum voluntary contraction and at rest, and bite force was evaluated using a dynamometer. These parameters were evaluated twice at baseline (A01/A02), at the end of the eight-week intervention period (A1), and 8–12 weeks after the end of the intervention (A2). After intervention, G2 showed the best results, with a significantly decrease in masticatory muscles’ pain and increase in bite force. These results suggest that interventions to reduce pain in patients with TMD should be multimodal. |
| first_indexed | 2024-03-10T05:21:31Z |
| format | Article |
| id | doaj.art-3ab5bb6d0b024415a208f24a081e5251 |
| institution | Directory Open Access Journal |
| issn | 2075-4426 |
| language | English |
| last_indexed | 2024-03-10T05:21:31Z |
| publishDate | 2021-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Personalized Medicine |
| spelling | doaj.art-3ab5bb6d0b024415a208f24a081e52512023-11-22T23:58:57ZengMDPI AGJournal of Personalized Medicine2075-44262021-11-011111117010.3390/jpm11111170Effects of Therapeutic and Aerobic Exercise Programs on Pain, Neuromuscular Activation, and Bite Force in Patients with Temporomandibular DisordersPaula Manuela Mendes Moleirinho-Alves0Pedro Miguel Teixeira Cravas Cebola1Paulo Duarte Guia dos Santos2José Pedro Correia3Catarina Godinho4Raul Alexandre Nunes da Silva Oliveira5Pedro Luís Cemacelha Pezarat-Correia6CIPER Neuromuscular Research Lab, Faculty of Human Kinetics, University of Lisbon, 1499-002 Cruz Quebrada, PortugalGrupo de Patologia Médica, Nutrição e Exercício Clínico (PaMNEC) do Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), 2829-511 Monte de Caparica, PortugalCIPER Neuromuscular Research Lab, Faculty of Human Kinetics, University of Lisbon, 1499-002 Cruz Quebrada, PortugalCIPER Neuromuscular Research Lab, Faculty of Human Kinetics, University of Lisbon, 1499-002 Cruz Quebrada, PortugalGrupo de Patologia Médica, Nutrição e Exercício Clínico (PaMNEC) do Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), 2829-511 Monte de Caparica, PortugalCIPER Neuromuscular Research Lab, Faculty of Human Kinetics, University of Lisbon, 1499-002 Cruz Quebrada, PortugalCIPER Neuromuscular Research Lab, Faculty of Human Kinetics, University of Lisbon, 1499-002 Cruz Quebrada, PortugalPain in masticatory muscles is one of the most frequent symptoms in patients with temporomandibular disorders (TMD) and can lead to changes in the patterns of neuromuscular activity of masticatory muscles and decrease in bite force. This study assesses the effects of three eight-week exercise programs on pain intensity, neuromuscular activation, and bite force of masticatory muscles in patients with TMD. Forty-five patients were divided into three groups: a therapeutic exercise program (G1), a therapeutic and aerobic exercise program (G2), and an aerobic exercise program (G3). The masticatory muscles’ pain was evaluated using the numeric pain rating scale (NPRS), surface electromyographic (sEMG) activity of the masseter was recorded during maximum voluntary contraction and at rest, and bite force was evaluated using a dynamometer. These parameters were evaluated twice at baseline (A01/A02), at the end of the eight-week intervention period (A1), and 8–12 weeks after the end of the intervention (A2). After intervention, G2 showed the best results, with a significantly decrease in masticatory muscles’ pain and increase in bite force. These results suggest that interventions to reduce pain in patients with TMD should be multimodal.https://www.mdpi.com/2075-4426/11/11/1170temporomandibular disordersphysiotherapysurface electromyographyaerobic exercisetherapeutic exercise |
| spellingShingle | Paula Manuela Mendes Moleirinho-Alves Pedro Miguel Teixeira Cravas Cebola Paulo Duarte Guia dos Santos José Pedro Correia Catarina Godinho Raul Alexandre Nunes da Silva Oliveira Pedro Luís Cemacelha Pezarat-Correia Effects of Therapeutic and Aerobic Exercise Programs on Pain, Neuromuscular Activation, and Bite Force in Patients with Temporomandibular Disorders Journal of Personalized Medicine temporomandibular disorders physiotherapy surface electromyography aerobic exercise therapeutic exercise |
| title | Effects of Therapeutic and Aerobic Exercise Programs on Pain, Neuromuscular Activation, and Bite Force in Patients with Temporomandibular Disorders |
| title_full | Effects of Therapeutic and Aerobic Exercise Programs on Pain, Neuromuscular Activation, and Bite Force in Patients with Temporomandibular Disorders |
| title_fullStr | Effects of Therapeutic and Aerobic Exercise Programs on Pain, Neuromuscular Activation, and Bite Force in Patients with Temporomandibular Disorders |
| title_full_unstemmed | Effects of Therapeutic and Aerobic Exercise Programs on Pain, Neuromuscular Activation, and Bite Force in Patients with Temporomandibular Disorders |
| title_short | Effects of Therapeutic and Aerobic Exercise Programs on Pain, Neuromuscular Activation, and Bite Force in Patients with Temporomandibular Disorders |
| title_sort | effects of therapeutic and aerobic exercise programs on pain neuromuscular activation and bite force in patients with temporomandibular disorders |
| topic | temporomandibular disorders physiotherapy surface electromyography aerobic exercise therapeutic exercise |
| url | https://www.mdpi.com/2075-4426/11/11/1170 |
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