Pilates versus Brueggerâs exercises for forward head posture associated with temporomandibular joint dysfunction
In: Comparative Exercise PhysiologySearch for other papers by G.S. Malode in
Current site
Google Scholar
Search for other papers by K. Vijay in
Current site
Google Scholar
Abstract
The aim of the trial was to determine and compare the effect of Pilates exercises and Brueggerâs exercises in conjunction with low level laser therapy (LLLT) in forward head posture (FHP) associated with temporomandibular joint dysfunction (TMD). The study was conducted on 30 participants diagnosed with TMD associated with forward head posture. Through randomisation, participants were divided into Pilates (n=15) and Brueggerâs (n=15) exercise groups. LLLT was a common intervention for both the groups. Intervention was given for 3 times a week for 3 weeks. Outcome measures were pain intensity using visual analogue scale (VAS), craniovertebral angle (CVA) using âON Protractorâ software application, range of motion (ROM) of temporomandibular joint (TMJ) using ruler and functional impairment using mandibular function impairment questionnaire (MFIQ) assessed at baseline and 3rd-week post-intervention. A statistically significant difference was noted in pain intensity, ROM of TMJ, CVA and functional impairment with pre- and post-intervention comparison (P<0.001). Between-group analysis showed that Pilates group was better than Brueggerâs exercise group in terms of improving CVA (P<0.001), mouth opening (P<0.01) and reducing functional impairment (P<0.01). However, both the groups were equally effective in in reducing pain intensity (P<0.01). Pilates was better compared to Brueggerâs exercises in reducing functional impairment, improved mouth opening and correcting FHP. Further both the groups were equally effective in reducing pain intensity.
Clinical trial registry India: CTRI/2021/09/046969
Purchase
Buy instant access (PDF download and unlimited online access):
Institutional Login
Log in with Open Athens, Shibboleth, or your institutional credentials
Personal login
Log in with your brill.com account
-
Ahmad, S.A., Hasan, S., Saeed, S., Khan, A. and Khan, M., 2021. Low-level laser therapy in temporomandibular joint disorders: a systematic review. Journal of Medicine and Life 14: 148-164. https://doi.org/10.25122/jml-2020-0169
-
Atılgan, E., Aytar, A., ÇagÌlar, A., TıgÌlı, A.A., Arın, G., Yapalı, G., Kısacık, P., BerberogÌlu, U., Şener, H.Ã. and Ãnal, E., 2017. The effects of clinical Pilates exercises on patients with shoulder pain: a randomised clinical trial. Journal of Bodywork and Movement Therapies 21: 847-851. https://doi.org/10.1016/j.jbmt.2017.02.003
-
Ayyildiz, S., Emir, F. and Sahin, C., 2015. Evaluation of Low-Level Laser Therapy in TMD Patients. Zawawi, KH., editor. Case Reports in Dentistry 424213. https://doi.org/10.1155/2015/424213
-
Bhadauria, E.A. and Gurudut, P., 2017. Comparative effectiveness of lumbar stabilization, dynamic strengthening, and Pilates on chronic low back pain: randomized clinical trial. Journal of Exercise Rehabilitation 13: 477-485. https://doi.org/10.12965/jer.1734972.486
-
Boonstra, A.M., Preuper, H.R., Reneman, M.F., Posthumus J.B. and Stewart, R.E., 2008. Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain. International Journal of Rehabilitation Research 31: 165-169. https://doi.org/10.1097/MRR.0b013e3282fc0f93
-
De Araujo Cazotti, L., Jones, A., Roger-Silva, D., Ribeiro, L.H. and Natour, J., 2018. Effectiveness of the Pilates method in the treatment of chronic mechanical neck pain: a randomized controlled trial. Archives of Physical Medicine and Rehabilitation 99: 1740-1746. https://doi.org/10.1016/j.apmr.2018.04.018
-
De Carli, B.M.G., Magro, A.K.D., Souza-Silva, B.N., De Matos, F.S. and Magro, E.D., 2016. The effect of laser and botulinum toxin in the treatment of myofascial pain and mouth opening: a randomized clinical trial. Journal of Photochemistry and Photobiology Biology. 159: 120-123. DOI: 10.1016/j.jphotobiol.2016.03.038
-
De Wijer, A., Steenks, M.H., Bosman, F., Helders, P.J. and Faber, J., 1996. Symptoms of the stomatognathic system in temporomandibular and cervical spine disorders. Journal of Oral Rehabilitation 23: 733-741. https://doi.org/10.1046/j.1365-2842.1996.00427.x
-
Dunleavy, K., Kava, K., Goldberg, A., Malek, M.H., Talley, S.A., Tutag-Lehr, V. and Hildreth, J., 2016. Comparative effectiveness of Pilates and yoga group exercise interventions for chronic mechanical neck pain: quasi-randomised parallel controlled study. Physiotherapy 102: 236-242. https://doi.org/10.1016/j.physio.2015.06.002
-
Emshoff, R., Bösch, R., Pümpel, E, Schöning, H. and Strobl, H., 2008. Low-level laser therapy for treatment of temporomandibular joint pain: a double-blind and placebo-controlled trial. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 105: 452-456. https://doi.org/10.1016/j.tripleo.2007.09.012
-
Gopal, S.K., Shankar, R. and Vardhan, H.B., 2014. Prevalence of temporo-mandibular joint disorders in symptomatic and asymptomatic patients: a cross-sectional study. International Journal of Advanced Health Sciences 6: 14-20.
-
Gurudut, P., Welling, A. and Chodankar, A., 2020. Effect of self-care exercises in forward head posture on craniovertebral angle and craniocervical flexion endurance: a pilot study. Indian Journal of Physical Therapy and Research 2: 25-30. https://doi.org/10.4103/ijptr.ijptr_48_19
-
Hürer, C., Angın, E. and Tüzün, E.H., 2021. Effectiveness of clinical Pilates and home exercises in sagittal cervical disorientation: randomized controlled study. Journal of Comparative Effectiveness Research10: 365-380. https://doi.org/10.2217/cer-2020-0186
-
Karegeannes, M., 2016. The detrimental effects of forward head posture on neck pain, headaches, and temporomandibular dysfunction. Available at: https://www.treatingtmj.com/tmd/detrimental-effects-of-forward-head-posture/
-
Khairnar, S., Kalyani Bhate, S.K., Kshirsagar, K., Jagtap, B. and Kakodkar, P., 2019. Comparative evaluation of low-level laser therapy and ultrasound heat therapy in reducing temporomandibular joint disorder pain. Scandinavian Journal of Rheumatology 19: 289-294. https://doi.org/10.17245/jdapm.2019.19.5.289
-
Kulekcioglu, S., Sivrioglu, K., Ozcan, O. and Parlak, M., 2003. Effectiveness of low-level laser therapy in temporomandibular disorder. Scandinavian Journal of Rheumatology 32: 114-118. https://doi.org/10.1080/03009740310000139
-
Lee, S.M., Lee, C.H., OâSullivan, D., Jung, J.H. and Park, J.J., 2016. Clinical effectiveness of a Pilates treatment for forward head posture. Journal of Physical Therapy Science 28: 2009-2013. https://doi.org/10.1589/jpts.28.2009
-
LeResche, L., 1997. Epidemiology of temporomandibular disorders: implications for the investigation of etiologic factors. Critical Reviews in Oral Biology and Medicine 8: 291-305. https://doi.org/10.1177/10454411970080030401
-
Lewis, F. and Naude, B., 2010. The effectiveness of physiotherapy in cervicogenic headache and concurring temporomandibular dysfunction: a case report. South African Journal of Physiotherapy 66: 26-30. https://doi.org/10.4102/sajp.v66i1.60
-
Makofsky, H.W., 2000. The influence of forward head posture on dental occlusion. Cranio 18: 30-39. https://doi.org/10.1080/08869634.2000.11746111
-
MaÅgorzata, P., MaÅgorzata, K.M., Karolina, C. and Gala, A., 2020. Diagnostic of temporomandibular disorders and other facial pain conditions â narrative review and personal experience. Medicina 56: 472-484. https://doi.org/10.3390/medicina56090472
-
Mamania, J.A., Anap, D.B. and Tanksale, D., 2017. Validity and reliability of âon protractorâ smartphone application for measurement of craniovertebral and cranio-horizontal angle. International Journal of Physiotherapy 4: 207-211. https://doi.org/10.15621/ijphy/2017/v4i4/154708
-
Manfredini, D., Arveda, N., Guarda-Nardini, L., SeguÌ, M. and Collesano, V., 2012. Distribution of diagnoses in a population of patients with temporomandibular disorders. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 114: e35-41. https://doi.org/10.1016/j.oooo.2012.03.023
-
Monteiro, L., Ferreira, R., Resende, T., Pacheco, J.J. and Salazar, F., 2020. Effectiveness of photobiomodulation in temporomandibular disorder-related pain using a 635 nm diode laser: a randomized, blinded, and placebo-controlled clinical trial. Photobiomodulation, Photomedicine, and Laser Surgery 38: 280-288. https://doi.org/10.1089/photob.2019.4730
-
Muscolino, J., 2013. Advanced treatment techniques for the manual therapist. Lippincott Williams & Wilkins, Baltimore, MD, USA, pp. 256-257.
-
Muthukrishnan, A. and Sekar, G.S., 2015. Prevalence of temporomandibular disorders in Chennai population. Journal of Indian Academy of Oral Medicine and Radiology 27: 508-515. https://doi.org/10.4103/0972-1363.188686
-
NuÌnÌez, S.C., Garcez, A.S., Suzuki, S.S. and Ribeiro, M.S., 2006. Management of mouth opening in patients with temporomandibular disorders through low-level laser therapy and transcutaneous electrical neural stimulation. Photomedicine and Laser Surgery 24: 45-49. https://doi.org/10.1089/pho.2006.24.45
-
Parikh, C.M. and Arora, M., 2016. Role of Pilates in rehabilitation: a literature review. International Journal of Therapies and Rehabilitation Research 5: 77-83. https://doi.org/10.5455/IJTRR.000000148
-
Rajalaxmi, V., Nandhini, G., Senthilnathan, C.V., Yuvarani, G. and Tharani, G., 2020. Efficacy of Jandaâs approach versus Brueggerâs exercise in pelvic cross syndrome and its impact on quality of life. International Journal of Research in Pharmaceutical Sciences 11: 1701-1706. https://doi.org/10.26452/ijrps.v11i2.2071
-
Rocha, C.P., Croci, C.S. and Caria, P.H., 2013. Is there relationship between temporomandibular disorders and head and cervical posture? A systematic review. Journal of Oral Rehabilitation 40: 875-881. https://doi.org/10.1111/joor.12104
-
Schiffman, E., Ohrbach, R., Truelove, E., Look, J., Anderson, G., Goulet, J.P., List, T., Svensson, P., Gonzalez Y., Lobbezoo F. and Michelotti A.D., 2014. 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. Journal of Oral and Facial Pain and Headache 28: 6-27. https://doi.org/10.11607/jop.1151
-
Stegenga, B., De Bont, L.G., De Leeuw, R. and Boering, G., 1993. Assessment of mandibular function impairment associated with temporomandibular joint osteoarthrosis and internal derangement. Journal of Rehabilitation Medicine 7: 183-195.
-
UluGÌ, N., Yilmaz, Ã.T., Kara, M. and Ozcakar, L., 2018. Effects of Pilates and yoga in patients with chronic neck pain: a sonographic study. Journal of Rehabilitation Medicine 50: 80-85. https://doi.org/10.2340/16501977-2288
-
Visscher, C.M., Lobbezoo, F., De Boer, W., Van Der Zaag, J. and Naeije, M., 2001. Prevalence of cervical spinal pain in craniomandibular pain patients. European Journal of Oral Sciences 109: 76-80. https://doi.org/10.1034/j.1600-0722.2001.00996.x
-
Waters, T., 2013. The effect of brueggerâs exercise on chronic low back pain in. Masterâs Degree in Technology: Chiropractic. Faculty of Health Sciences, University of Johannesburg, South Africa.
-
Wright, E.F., Domenech, M.A. and Fischer, J.R., 2000. Usefulness of posture training for patients with temporomandibular disorders. Journal of the American Dental Association 131: 202-210. https://doi.org/10.14219/jada.archive.2000.0148
-
Zengin Alpozgen, A., Razak Ozdincler, A., Karanlik, H., Yaman Agaoglu, F. and Narin, A.N., 2017. Effectiveness of Pilates-based exercises on upper extremity disorders related with breast cancer treatment. European Journal of Cancer Care 26: 1-8. https://doi.org/10.1111/ecc.12532
| All Time | Past 365 days | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 2064 | 449 | 34 |
| Full Text Views | 50 | 5 | 1 |
| PDF Views & Downloads | 50 | 11 | 0 |
Pilates versus Brueggerâs exercises for forward head posture associated with temporomandibular joint dysfunction
In: Comparative Exercise PhysiologySearch for other papers by G.S. Malode in
Current site
Google Scholar
PubMed
Search for other papers by K. Vijay in
Current site
Google Scholar
PubMed
Abstract
The aim of the trial was to determine and compare the effect of Pilates exercises and Brueggerâs exercises in conjunction with low level laser therapy (LLLT) in forward head posture (FHP) associated with temporomandibular joint dysfunction (TMD). The study was conducted on 30 participants diagnosed with TMD associated with forward head posture. Through randomisation, participants were divided into Pilates (n=15) and Brueggerâs (n=15) exercise groups. LLLT was a common intervention for both the groups. Intervention was given for 3 times a week for 3 weeks. Outcome measures were pain intensity using visual analogue scale (VAS), craniovertebral angle (CVA) using âON Protractorâ software application, range of motion (ROM) of temporomandibular joint (TMJ) using ruler and functional impairment using mandibular function impairment questionnaire (MFIQ) assessed at baseline and 3rd-week post-intervention. A statistically significant difference was noted in pain intensity, ROM of TMJ, CVA and functional impairment with pre- and post-intervention comparison (P<0.001). Between-group analysis showed that Pilates group was better than Brueggerâs exercise group in terms of improving CVA (P<0.001), mouth opening (P<0.01) and reducing functional impairment (P<0.01). However, both the groups were equally effective in in reducing pain intensity (P<0.01). Pilates was better compared to Brueggerâs exercises in reducing functional impairment, improved mouth opening and correcting FHP. Further both the groups were equally effective in reducing pain intensity.
Clinical trial registry India: CTRI/2021/09/046969
| All Time | Past 365 days | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 2064 | 449 | 34 |
| Full Text Views | 50 | 5 | 1 |
| PDF Views & Downloads | 50 | 11 | 0 |
