Efficacy of Aerobic Exercise on Widespread Pain Sensitization in Patients with Temporomandibular Disorders: A Preliminary Randomized Controlled Study
Myogenic temporomandibular disorders (TMDs) are commonly associated with pain sensitization (PS), manifesting decreased local and distal pressure pain thresholds (PPTs). Aerobic exercise (AE) has shown hypoalgesic effects on PS. This study aimed to analyze the effects of AE in addition to physical t...
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MDPI AG
2024-02-01
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| Series: | Applied Sciences |
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| Online Access: | https://www.mdpi.com/2076-3417/14/5/1799 |
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| author | Flora Dantony Daniel Romero-Rodríguez Silvia Pérez-Guillén Sara Cabanillas-Barea Kohei Yogi David Blanco Natalia Felipe-Spada Andoni Carrasco-Uribarren |
| author_facet | Flora Dantony Daniel Romero-Rodríguez Silvia Pérez-Guillén Sara Cabanillas-Barea Kohei Yogi David Blanco Natalia Felipe-Spada Andoni Carrasco-Uribarren |
| author_sort | Flora Dantony |
| collection | DOAJ |
| description | Myogenic temporomandibular disorders (TMDs) are commonly associated with pain sensitization (PS), manifesting decreased local and distal pressure pain thresholds (PPTs). Aerobic exercise (AE) has shown hypoalgesic effects on PS. This study aimed to analyze the effects of AE in addition to physical therapy (PT) on widespread PS in myogenic TMDs. A randomized controlled trial was carried out, involving 20 subjects allocated to PT (n = 10) or PT + AE (n = 10). Both groups performed six sessions over four weeks, consisting of education, manual therapy, and therapeutic exercise. The PT + AE group also performed high-intensity intervallic AE on a stationary bike. Primary outcome: PPT in the Achilles tendon assessed with an algometer. Secondary outcome: Central Sensitization Inventory (CSI). Outcomes were recorded at baseline (T0), post-intervention (T1), and after 12 weeks (T2). Significant between-groups differences were found favoring PT + AE at T1 and T2 for the left Achilles PPT (T1 <i>p</i> < 0.01; d = 1.3; T2 <i>p</i> < 0.001; d = 2.5) and CSI (T1 <i>p</i> < 0.001; d = 2.3; T2 <i>p</i> < 0.01; d = 1.7), and at T2 for the right Achilles PPT (<i>p</i> < 0.001; d = 0.9). Thus, adding AE to PT improved widespread PS more than only PT in myogenic TMD. |
| first_indexed | 2024-04-25T00:35:39Z |
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| language | English |
| last_indexed | 2024-04-25T00:35:39Z |
| publishDate | 2024-02-01 |
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| series | Applied Sciences |
| spelling | doaj.art-9fcbf382f83d49518134b1fb0f8f07fd2024-03-12T16:38:59ZengMDPI AGApplied Sciences2076-34172024-02-01145179910.3390/app14051799Efficacy of Aerobic Exercise on Widespread Pain Sensitization in Patients with Temporomandibular Disorders: A Preliminary Randomized Controlled StudyFlora Dantony0Daniel Romero-Rodríguez1Silvia Pérez-Guillén2Sara Cabanillas-Barea3Kohei Yogi4David Blanco5Natalia Felipe-Spada6Andoni Carrasco-Uribarren7Department of Physiotherapy, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya (UIC), C/Josep Trueta s/n, Sant Cugat del Vallès, 08195 Barcelona, SpainDepartment of Physiotherapy, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya (UIC), C/Josep Trueta s/n, Sant Cugat del Vallès, 08195 Barcelona, SpainDepartment of Physiotherapy, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya (UIC), C/Josep Trueta s/n, Sant Cugat del Vallès, 08195 Barcelona, SpainDepartment of Physiotherapy, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya (UIC), C/Josep Trueta s/n, Sant Cugat del Vallès, 08195 Barcelona, SpainDepartment of Physiotherapy, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya (UIC), C/Josep Trueta s/n, Sant Cugat del Vallès, 08195 Barcelona, SpainDepartment of Physiotherapy, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya (UIC), C/Josep Trueta s/n, Sant Cugat del Vallès, 08195 Barcelona, SpainDepartment of TMJ, Faculty of Dentistry, Universitat Internacional de Catalunya (UIC), C/Josep Trueta s/n, Sant Cugat del Vallès, 08195 Barcelona, SpainDepartment of Physiotherapy, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya (UIC), C/Josep Trueta s/n, Sant Cugat del Vallès, 08195 Barcelona, SpainMyogenic temporomandibular disorders (TMDs) are commonly associated with pain sensitization (PS), manifesting decreased local and distal pressure pain thresholds (PPTs). Aerobic exercise (AE) has shown hypoalgesic effects on PS. This study aimed to analyze the effects of AE in addition to physical therapy (PT) on widespread PS in myogenic TMDs. A randomized controlled trial was carried out, involving 20 subjects allocated to PT (n = 10) or PT + AE (n = 10). Both groups performed six sessions over four weeks, consisting of education, manual therapy, and therapeutic exercise. The PT + AE group also performed high-intensity intervallic AE on a stationary bike. Primary outcome: PPT in the Achilles tendon assessed with an algometer. Secondary outcome: Central Sensitization Inventory (CSI). Outcomes were recorded at baseline (T0), post-intervention (T1), and after 12 weeks (T2). Significant between-groups differences were found favoring PT + AE at T1 and T2 for the left Achilles PPT (T1 <i>p</i> < 0.01; d = 1.3; T2 <i>p</i> < 0.001; d = 2.5) and CSI (T1 <i>p</i> < 0.001; d = 2.3; T2 <i>p</i> < 0.01; d = 1.7), and at T2 for the right Achilles PPT (<i>p</i> < 0.001; d = 0.9). Thus, adding AE to PT improved widespread PS more than only PT in myogenic TMD.https://www.mdpi.com/2076-3417/14/5/1799temporomandibular disorderspain sensitizationaerobic exercisephysical therapy |
| spellingShingle | Flora Dantony Daniel Romero-Rodríguez Silvia Pérez-Guillén Sara Cabanillas-Barea Kohei Yogi David Blanco Natalia Felipe-Spada Andoni Carrasco-Uribarren Efficacy of Aerobic Exercise on Widespread Pain Sensitization in Patients with Temporomandibular Disorders: A Preliminary Randomized Controlled Study Applied Sciences temporomandibular disorders pain sensitization aerobic exercise physical therapy |
| title | Efficacy of Aerobic Exercise on Widespread Pain Sensitization in Patients with Temporomandibular Disorders: A Preliminary Randomized Controlled Study |
| title_full | Efficacy of Aerobic Exercise on Widespread Pain Sensitization in Patients with Temporomandibular Disorders: A Preliminary Randomized Controlled Study |
| title_fullStr | Efficacy of Aerobic Exercise on Widespread Pain Sensitization in Patients with Temporomandibular Disorders: A Preliminary Randomized Controlled Study |
| title_full_unstemmed | Efficacy of Aerobic Exercise on Widespread Pain Sensitization in Patients with Temporomandibular Disorders: A Preliminary Randomized Controlled Study |
| title_short | Efficacy of Aerobic Exercise on Widespread Pain Sensitization in Patients with Temporomandibular Disorders: A Preliminary Randomized Controlled Study |
| title_sort | efficacy of aerobic exercise on widespread pain sensitization in patients with temporomandibular disorders a preliminary randomized controlled study |
| topic | temporomandibular disorders pain sensitization aerobic exercise physical therapy |
| url | https://www.mdpi.com/2076-3417/14/5/1799 |
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