Communication Affichée: Appareil locomoteur SOFMER/ SOFCOT

Le 02/12/2022 de 08:00 à 09:30

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Effets de la physiothérapie chez les patients souffrant des troubles de l'articulation temporo-mandibulaire

Ameni Ameur (Monastir, Tunisie), Amine Kalai (Monastir, Tunisie), Anis Jellad (Monastir, Tunisie), Houda Migaou (Monastir, Tunisie), Soumaya Boudokhane (Monastir, Tunisie), Sana Salah (Monastir, Tunisie)

Objective : To investigate the effects of craniomandibular rehabilitation on patients with temporomandibular disorders (TMD).


Material / Patients and Methods : A prospective study including 24 patients with TMD was performed over six weeks with 3 sessions a week. The protocol consisted of active and passive jaw movement exercises, tongue rehabilitation, correction of mandibular kinetics, and relaxation techniques. The outcome measures were pain (VAS), range of motion, Functional disability (TMD disability index), and frequency of the clicking sound.

Results : Our series was made up of 18 women and 6 men, with a sex ratio of 0.5. The mean age was 38 years. Patients showed significant improvement in VAS score, jaw function limitation (p<0.001), and Temporomandibular disability index (TDI) whose mean dropped from 33.3% to 18.5% after rehabilitation (p< 0.001). Click sound frequency reduced in 91% of patients (66% of women and 25% of men) while it remained stable in 8% (women).


Discussion - Conclusion : Our findings support the use of physical therapy as an effective treatment modality in patients with TMD which is consistent with previous results. Thus, short and long-term improvement results require repeated rehabilitation sessions over several weeks. In addition, other therapeutic options have proven their benefits such as osteopathic manipulative treatment and osteopathy in the cranial field which encourage further comparative research.


Keywords : Craniomandibular rehabilitation, temporomandibular disorders, click sound frequency, temporomandibular disability index