TY - JOUR
T1 - Impact of physiotherapy on orofacial manifestations of juvenile idiopathic arthritis
AU - Vassis, Stratos
AU - Resnick, Cory M.
AU - Nørgaard, Mette
AU - Strawn, Kathleen M.
AU - Grove, Helle
AU - Noeldeke, Beatrice
AU - Herlin, Troels
AU - Pedersen, Thomas Klit
AU - Stoustrup, Peter Bangsgaard
PY - 2023/12
Y1 - 2023/12
N2 - Background: Physiotherapy appears as a promising therapy option for patients with Juvenile Idiopathic Arthritis (JIA) [1, 2], but the effects of physiotherapy and jaw exercises on JIA-related orofacial symptoms remain unknown [3]. The aim of this proof-of-concept study was to assess the impact of orofacial physiotherapy and home-exercise programs in patients with JIA and temporomandibular joint (TMJ) involvement. Methods: Twelve patients with JIA and TMJ involvement received a treatment of physiotherapy, complemented by prescribed home exercises spanning over eight weeks. Orofacial symptoms and dysfunction were monitored pre-treatment, during treatment, after treatment, and at a three-months follow-up. Results: Orofacial pain frequency and intensity significantly decreased during the course of the treatment (p = 0.009 and p = 0.006), with further reductions observed at the three-month follow-up (p = 0.007 and p = 0.002). During treatment, the mandibular function improved significantly in terms of maximal mouth opening capacity, laterotrusion, and protrusion. Conclusions: This proof-of-concept study shows favourable effects of physiotherapy and home excercises in the management of JIA-related orofacial symptoms and dysfunctions.
AB - Background: Physiotherapy appears as a promising therapy option for patients with Juvenile Idiopathic Arthritis (JIA) [1, 2], but the effects of physiotherapy and jaw exercises on JIA-related orofacial symptoms remain unknown [3]. The aim of this proof-of-concept study was to assess the impact of orofacial physiotherapy and home-exercise programs in patients with JIA and temporomandibular joint (TMJ) involvement. Methods: Twelve patients with JIA and TMJ involvement received a treatment of physiotherapy, complemented by prescribed home exercises spanning over eight weeks. Orofacial symptoms and dysfunction were monitored pre-treatment, during treatment, after treatment, and at a three-months follow-up. Results: Orofacial pain frequency and intensity significantly decreased during the course of the treatment (p = 0.009 and p = 0.006), with further reductions observed at the three-month follow-up (p = 0.007 and p = 0.002). During treatment, the mandibular function improved significantly in terms of maximal mouth opening capacity, laterotrusion, and protrusion. Conclusions: This proof-of-concept study shows favourable effects of physiotherapy and home excercises in the management of JIA-related orofacial symptoms and dysfunctions.
KW - Home exercises
KW - Juvenile idiopathic arthritis
KW - Orofacial symptoms, TMJ arthritis
KW - Physiotherapy
UR - http://www.scopus.com/inward/record.url?scp=85174213196&partnerID=8YFLogxK
U2 - 10.1186/s12969-023-00900-0
DO - 10.1186/s12969-023-00900-0
M3 - Journal article
C2 - 37828517
AN - SCOPUS:85174213196
SN - 1546-0096
VL - 21
JO - Pediatric Rheumatology
JF - Pediatric Rheumatology
IS - 1
M1 - 116
ER -