Immediate effect of a motor control exercise target to the neck muscles on upper cervical range of motion and motor control in patients with temporomandibular disorder

Authors

  • Alexandra Daniele de Fontes Coutinho Universidade Federal de Pernambuco https://orcid.org/0000-0001-9287-9320
  • Ana Izabela Sobral de Oliveira-Souza Universidade Federal de Pernambuco
  • Lais Ribeiro Sales Universidade Federal de Pernambuco
  • Daniella Araújo de Oliveira Universidade Federal de Pernambuco

DOI:

https://doi.org/10.48208/HeadacheMed.2021.18

Keywords:

Temporomandibular joint disorders, Range of motion, Facial pain , Exercise , Rotation , Women

Abstract

Objective
To evaluate whether a single specific motor control training session for the neck flexor and deep extensor muscles improves upper cervical range of motion and neck motor control in patients with temporomandibular disorder (TMD) and compare them to a group without TMD.
Methods
This is a before and after, controlled study. The TMD group included women aged between 18-45 years old, complaining of pain in the orofacial region in the last 6 months and diagnosed with masticatory myofascial pain according to Research Diagnostic Criteria (RDC/MD). The control group included match-controls without TMD. The participants were evaluated to global and upper (Flexion Rotation Test - FRT) neck range of motion (ROM) and to neck motor control (Cranio-Cervical Flexion Test - CCFT). They were treated with a protocol of specific motor control exercises targeted to flexor and extensor neck muscles for 30 minutes. One day after the protocol the patients were reevaluated.
Results
A total of 23 volunteers were evaluated. The TMD group showed immediate improvement in left cervical rotation (p=0.043) and right FRT (p=0.036), while the control group did not show any improvement. There was no difference between the groups before and after treatment in relation to cervical movements. Regarding cervical motor control in both groups, the highest prevalence was of results between 24 and 26 mmHg after treatment, different from before the intervention (20 and 22 mmHg) in both groups.
Conclusion
A single session of specific neck motor control training only improved the left cervical rotation and upper right rotation in the TMD group, but not in the control group. There is no difference at the end of treatment between the groups. Volunteers with TMD showed improvement in the pattern of motor control of the neck when compared to volunteers without TMD.

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Author Biographies

Alexandra Daniele de Fontes Coutinho, Universidade Federal de Pernambuco

Universidade Federal de Pernambuco, Recife, Brazil

Ana Izabela Sobral de Oliveira-Souza, Universidade Federal de Pernambuco

Universidade Federal de Pernambuco, Recife, Brazil

Lais Ribeiro Sales, Universidade Federal de Pernambuco

Universidade Federal de Pernambuco, Recife, Brazil

References

Pereira KNF, de Andrade LLS, da Costa MLG and Portal TF. Sinais e sintomas de pacientes com disfunção

temporomandibular. Rev CEFAC 2005;7(2):221-228

Okeson JP and de Kanter RJ. Temporomandibular disorders in the medical practice. J Fam Pract 1996;43(4):347-356

Tuncer AB, Ergun N, Tuncer AH and Karahan S. Effectiveness of manual therapy and home physical therapy in patients with temporomandibular disorders: A randomized controlled trial. J Bodyw Mov Ther 2013;17(3):302-308 Doi:10.1016/j.jbmt.2012.10.006 DOI: https://doi.org/10.1016/j.jbmt.2012.10.006

Leeuw R and Klasser GD. Orofacial pain: guidelines for assessment, diagnosis, and management. Am J Orthod

Dentofacial Orthop 2008;134(1):171 Doi:10.1016/j.ajodo.2008.05.001 DOI: https://doi.org/10.1016/j.ajodo.2008.05.001

Milanesi JDM, Corrêa ECR, Borin GS, Souza JA and Pasinato F. Atividade elétrica dos músculos cervicais e amplitude de movimento da coluna cervical em indivíduos com e sem DTM. Fisioter e Pesq 2011;18(4):317-322 Doi:10.1590/s1809-29502011000400004 DOI: https://doi.org/10.1590/S1809-29502011000400004

Ogince M, Hall T, Robinson K and Blackmore AM. The diagnostic validity of the cervical flexionrotation test in C1/2-related cervicogenic headache. Man Ther 2007;12(3):256-262 Doi:10.1016/j.math.2006.06.016 DOI: https://doi.org/10.1016/j.math.2006.06.016

Soares JC, Weber P, Trevisan ME, Trevisan CM and Rossi AG. Correlação entre postura da cabeça, intensidade da

dor e índice de incapacidade cervical em mulheres com queixa de dor cervical. Fisioter Pesq 2012;19(1):68-72

Doi:10.1590/S1809-29502012000100013 DOI: https://doi.org/10.1590/S1809-29502012000100013

Costa DR, Lima Ferreira AP, Pereira TA, Porporatti AL, Conti PC, Costa YM and Bonjardim LR. Neck disability is

associated with masticatory myofascial pain and regional muscle sensitivity. Arch Oral Biol 2015;60(5):745-752

Doi:10.1016/j.archoralbio.2015.02.009 DOI: https://doi.org/10.1016/j.archoralbio.2015.02.009

Menezes Kinote APB, Monteiro LT, Vieira AAC, Ferreira NMN and Vasconcellos Abdon APJ. Perfil funcional de pacientes com disfunção temporomandibular em tratamento fisioterápico. Rev Bras Promoç Saúde 2011;24(4):306-312 Doi:10.5020/2087

Armijo-Olivo S and Magee D. Cervical musculoskeletal impairments and temporomandibular disorders. J Oral Maxillofac Res 2013;3(4):e4 Doi:10.5037/jomr.2012.3404 DOI: https://doi.org/10.5037/jomr.2012.3404

Kraus S. Temporomandibular disorders, head and orofacial pain: cervical spine considerations. Dent Clin North Am 2007;51(1):161-193, vii Doi:10.1016/j.cden.2006.10.001 DOI: https://doi.org/10.1016/j.cden.2006.10.001

Bogduk N. The neck and headaches. Neurol Clin 2004;22(1):151-171, vii Doi:10.1016/s0733-8619(03)00100-2 DOI: https://doi.org/10.1016/S0733-8619(03)00100-2

Armijo-Olivo S, Pitance L, Singh V, Neto F, Thie N and Michelotti A. Effectiveness of Manual Therapy and

Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis. Phys Ther 2016;96(1):9-25 Doi:10.2522/ptj.20140548 DOI: https://doi.org/10.2522/ptj.20140548

Medlicott MS and Harris SR. A systematic review of the effectiveness of exercise, manual therapy, electrotherapy, relaxation training, and biofeedback in the management of temporomandibular disorder. Phys Ther 2006;86(7):955-973 DOI: https://doi.org/10.1093/ptj/86.7.955

McNeely ML, Armijo Olivo S and Magee DJ. A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Phys Ther 2006;86(5):710-725 DOI: https://doi.org/10.1093/ptj/86.5.710

Miller J, Gross A, D'Sylva J, Burnie SJ, Goldsmith CH, Graham N, . . . Hoving JL. Manual therapy and exercise for neck pain: A systematic review. Man Ther 2010;Doi:10.1016/j.math.2010.02.007 DOI: https://doi.org/10.1016/j.math.2010.02.007

Falla D, Lindstrøm R, Rechter L, Boudreau S and Petzke F. Effectiveness of an 8-week exercise programme on pain

and specificity of neck muscle activity in patients with chronic neck pain: a randomized controlled study. Eur

J Pain 2013;17(10):1517-1528 Doi:10.1002/j.1532-2149.2013.00321.x DOI: https://doi.org/10.1002/j.1532-2149.2013.00321.x

Jull GA, Falla D, Vicenzino B and Hodges PW. The effect of therapeutic exercise on activation of the deep

cervical flexor muscles in people with chronic neck pain. Man Ther 2009;14(6):696-701 Doi:10.1016/j. DOI: https://doi.org/10.1016/j.math.2009.05.004

math.2009.05.004 DOI: https://doi.org/10.1088/1475-7516/2009/05/004

Bronfort G, Evans R, Nelson B, Aker PD, Goldsmith CH and Vernon H. A randomized clinical trial of exercise

and spinal manipulation for patients with chronic neck pain. Spine (Phila Pa 1976) 2001;26(7):788-797 Doi:10.1097/00007632-200104010-00020 DOI: https://doi.org/10.1097/00007632-200104010-00020

Ylinen J, Takala EP, Nykänen M, Häkkinen A, Mälkiä E, Pohjolainen T, . . . Airaksinen O. Active neck muscle

training in the treatment of chronic neck pain in women: a randomized controlled trial. Jama 2003;289(19):2509-

Doi:10.1001/jama.289.19.2509 DOI: https://doi.org/10.1001/jama.289.19.2509

Slepian P, Bernier E, Scott W, Niederstrasser NG, Wideman T and Sullivan M. Changes in pain catastrophizing following physical therapy for musculoskeletal injury: the influence of depressive and post-traumatic stress symptoms. J Occup Rehabil 2014;24(1):22-31 Doi:10.1007/s10926-013-9432-2 DOI: https://doi.org/10.1007/s10926-013-9432-2

Falla D, Jull G, Dall'Alba P, Rainoldi A and Merletti R. An electromyographic analysis of the deep cervical flexor

muscles in performance of craniocervical flexion. Phys Ther 2003;83(10):899-906 DOI: https://doi.org/10.1093/ptj/83.10.899

O'Leary S, Cagnie B, Reeve A, Jull G and Elliott JM. Is there altered activity of the extensor muscles in chronic

mechanical neck pain? A functional magnetic resonance imaging study. Arch Phys Med Rehabil 2011;92(6):929-

Doi:10.1016/j.apmr.2010.12.021 DOI: https://doi.org/10.1016/j.apmr.2010.12.021

Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, . . . Dworkin SF. Diagnostic Criteria for

Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: recommendations of the

International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group†. J Oral Facial Pain

Headache 2014;28(1):6-27 Doi:10.11607/jop.1151 DOI: https://doi.org/10.11607/jop.1151

Audette I, Dumas JP, Côté JN and De Serres SJ. Validity and between-day reliability of the cervical range of

motion (CROM) device. J Orthop Sports Phys Ther 2010;40(5):318-323 Doi:10.2519/jospt.2010.3180 DOI: https://doi.org/10.2519/jospt.2010.3180

Oliveira-Souza AIS, Florencio LL, Carvalho GF, Fernández-De-Las-Peñas C, Dach F and Bevilaqua-Grossi

D. Reduced flexion rotation test in women with chronic and episodic migraine. Braz J Phys Ther 2019;23(5):387-

Doi:10.1016/j.bjpt.2019.01.001 DOI: https://doi.org/10.1016/j.bjpt.2019.01.001

Armijo-Olivo S, Silvestre R, Fuentes J, da Costa BR, Gadotti IC, Warren S, . . . Magee DJ. Electromyographic

activity of the cervical flexor muscles in patients with temporomandibular disorders while performing the

craniocervical flexion test: a cross-sectional study. Phys Ther 2011;91(8):1184-1197 Doi:10.2522/ptj.20100233 DOI: https://doi.org/10.2522/ptj.20100233

Shimada A, Ishigaki S, Matsuka Y, Komiyama O, Torisu T, Oono Y, . . . Sasaki K. Effects of exercise therapy on

painful temporomandibular disorders. J Oral Rehabil 2019;46(5):475-481 Doi:10.1111/joor.12770 DOI: https://doi.org/10.1111/joor.12770

Garrigós-Pedrón M, La Touche R, Navarro-Desentre P, Gracia-Naya M and Segura-Ortí E. Effects of a Physical

Therapy Protocol in Patients with Chronic Migraine and T emporomandibular Disorders: A Randomized, Single-

Blinded, Clinical Trial. J Oral Facial Pain Headache 2018;32(2):137-150 Doi:10.11607/ofph.1912 DOI: https://doi.org/10.11607/ofph.1912

Delgado de la Serna P, Plaza-Manzano G, Cleland J, Fernández-de-Las-Peñas C, Martín-Casas P and Díaz-Arribas MJ. Effects of Cervico-Mandibular Manual Therapy in Patients with Temporomandibular Pain Disorders and Associated Somatic Tinnitus: A Randomized Clinical Trial. Pain Med 2020;21(3):613-624 Doi:10.1093/pm/pnz278 DOI: https://doi.org/10.1093/pm/pnz278

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Published

2021-10-13

How to Cite

1.
Coutinho AD de F, Oliveira-Souza AIS de, Sales LR, Araújo de Oliveira D. Immediate effect of a motor control exercise target to the neck muscles on upper cervical range of motion and motor control in patients with temporomandibular disorder. Headache Med [Internet]. 2021 Oct. 13 [cited 2024 Jun. 17];12(2):83-91. Available from: https://headachemedicine.com.br/index.php/hm/article/view/438

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Section

Review