Jaw Exercises in the Treatment of Temporomandibular Disorders-An International Modified Delphi Study

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

DOI

  • Erik Lindfors, SCON
  • ,
  • Taro Arima, Hokkaido Univ, Hokkaido University, Sect Int Affairs, Fac & Grad Sch Dent Med
  • ,
  • Lene Baad-Hansen
  • Merete Bakke, Univ Copenhagen, University of Copenhagen, Fac Hlth & Med Sci, Dept Odontol, Sect Periodontol
  • ,
  • Antoon De Laat, Katholieke Univ Leuven, KU Leuven, Univ Hosp, Dept Dent
  • ,
  • Nikolaos Nikitas Giannakopoulos, Univ Wurzburg, University of Wurzburg, Dept Prothodont
  • ,
  • Alan Glaros, Univ Missouri, University of Missouri System, University of Missouri Kansas City, Sch Dent
  • ,
  • Antonio Sergio Guimaraes, Fac Sao Leopoldo Mand, Faculdade Sao Leopoldo Mandic
  • ,
  • Anders Johansson, Haukeland Hosp, University of Bergen, Haukeland University Hospital, Natl Unit Orofacial Pain
  • ,
  • Yrsa Le Bell, Univ Turku, University of Turku, Inst Dent
  • ,
  • Frank Lobbezoo, Univ Amsterdam, Academic Center for Dentistry Amsterdam, University of Amsterdam, Vrije Universiteit Amsterdam, Acad Ctr Dent Amsterdam ACTA, Dept Oral Hlth Sci, Vrije Univ Amsterdam, Vrije Universiteit Amsterdam, Dept Hematol, Med Ctr
  • ,
  • Ambra Michelotti, Univ Naples Federico II, University of Naples Federico II, Dept Neurosci Reprod Sci & Oral Sci, Div Orthodont
  • ,
  • Frauke Mueller, Univ Geneva, University of Geneva, Univ Clin Dent Med
  • ,
  • Richard Ohrbach, Univ Buffalo, State University of New York (SUNY) System, State University of New York (SUNY) Buffalo, Sch Dent Med, Dept Oral Diagnost Sci
  • ,
  • Anders Wanman, Umea Univ, Umea University, Fac Med, Dept Odontol Clin Oral Physiol
  • ,
  • Tomas Magnusson, Jonkoping Univ, Jonkoping University, Sch Hlth & Welf, Dept Nat Sci & Biomed
  • ,
  • Malin Ernberg, SCON

Aims: To investigate whether an international consensus exists among TMD experts regarding indications, performance, follow-up, and effectiveness of jaw exercises. Methods: A questionnaire with 31 statements regarding jaw exercises was constructed. Fourteen international experts with some geographic dispersion were asked to participate in this Delphi study, and all accepted. The experts were asked to respond to the statements according to a 5-item verbal Likert scale that ranged from 'strongly agree' to 'strongly disagree." The experts could also leave free-text comments, which was encouraged. After the first round, the experts received a compilation of the other experts' earlier responses. Some statements were then rephrased and divided to clarify the essence of the statement. Subsequently, the experts were then asked to answer the questionnaire (32 statements) again for the second round. Consensus was set to 80% agreement or disagreement. Results: There is consensus among TMD experts that jaw exercises are effective and can be recommended to patients with myalgia in the jaw muscles, restricted mouth opening capacity due to hyperactivity in the jaw closing muscles, and disc displacement without reduction. The patients should always be instructed in an individualized jaw exercise program and also receive both verbal advice and written information about the treatment modality. Conclusion: This Delphi study showed that there is an international consensus among TMD experts that jaw exercises are an effective treatment and can be recommended to patients with TMD pain and disturbed jaw function.

OriginalsprogEngelsk
Artikelnummer31247061
TidsskriftJournal of Oral & Facial Pain and Headache
Vol/bind33
Nummer4
Sider (fra-til)389-398
Antal sider10
ISSN2333-0384
DOI
StatusUdgivet - 2019

Se relationer på Aarhus Universitet Citationsformater

ID: 189824661