Effects of Therapeutic and Aerobic Exercise Programs on Pain, Neuromuscular Activation, and Bite Force in Patients with Temporomandibular Disorders

Pain in masticatory muscles is one of the most frequent symptoms in patients with temporomandibular disorders (TMD) and can lead to changes in the patterns of neuromuscular activity of masticatory muscles and decrease in bite force. This study assesses the effects of three eight-week exercise progra...

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Autores principales:	Paula Manuela Mendes Moleirinho-Alves, Pedro Miguel Teixeira Cravas Cebola, Paulo Duarte Guia dos Santos, José Pedro Correia, Catarina Godinho, Raul Alexandre Nunes da Silva Oliveira, Pedro Luís Cemacelha Pezarat-Correia
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	temporomandibular disorders physiotherapy surface electromyography aerobic exercise therapeutic exercise Medicine R
Acceso en línea:	https://doaj.org/article/3ab5bb6d0b024415a208f24a081e5251
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spelling	oai:doaj.org-article:3ab5bb6d0b024415a208f24a081e52512021-11-25T18:07:45ZEffects of Therapeutic and Aerobic Exercise Programs on Pain, Neuromuscular Activation, and Bite Force in Patients with Temporomandibular Disorders10.3390/jpm111111702075-4426https://doaj.org/article/3ab5bb6d0b024415a208f24a081e52512021-11-01T00:00:00Zhttps://www.mdpi.com/2075-4426/11/11/1170https://doaj.org/toc/2075-4426Pain in masticatory muscles is one of the most frequent symptoms in patients with temporomandibular disorders (TMD) and can lead to changes in the patterns of neuromuscular activity of masticatory muscles and decrease in bite force. This study assesses the effects of three eight-week exercise programs on pain intensity, neuromuscular activation, and bite force of masticatory muscles in patients with TMD. Forty-five patients were divided into three groups: a therapeutic exercise program (G1), a therapeutic and aerobic exercise program (G2), and an aerobic exercise program (G3). The masticatory muscles’ pain was evaluated using the numeric pain rating scale (NPRS), surface electromyographic (sEMG) activity of the masseter was recorded during maximum voluntary contraction and at rest, and bite force was evaluated using a dynamometer. These parameters were evaluated twice at baseline (A01/A02), at the end of the eight-week intervention period (A1), and 8–12 weeks after the end of the intervention (A2). After intervention, G2 showed the best results, with a significantly decrease in masticatory muscles’ pain and increase in bite force. These results suggest that interventions to reduce pain in patients with TMD should be multimodal.Paula Manuela Mendes Moleirinho-AlvesPedro Miguel Teixeira Cravas CebolaPaulo Duarte Guia dos SantosJosé Pedro CorreiaCatarina GodinhoRaul Alexandre Nunes da Silva OliveiraPedro Luís Cemacelha Pezarat-CorreiaMDPI AGarticletemporomandibular disordersphysiotherapysurface electromyographyaerobic exercisetherapeutic exerciseMedicineRENJournal of Personalized Medicine, Vol 11, Iss 1170, p 1170 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	temporomandibular disorders physiotherapy surface electromyography aerobic exercise therapeutic exercise Medicine R
spellingShingle	temporomandibular disorders physiotherapy surface electromyography aerobic exercise therapeutic exercise Medicine R Paula Manuela Mendes Moleirinho-Alves Pedro Miguel Teixeira Cravas Cebola Paulo Duarte Guia dos Santos José Pedro Correia Catarina Godinho Raul Alexandre Nunes da Silva Oliveira Pedro Luís Cemacelha Pezarat-Correia Effects of Therapeutic and Aerobic Exercise Programs on Pain, Neuromuscular Activation, and Bite Force in Patients with Temporomandibular Disorders
description	Pain in masticatory muscles is one of the most frequent symptoms in patients with temporomandibular disorders (TMD) and can lead to changes in the patterns of neuromuscular activity of masticatory muscles and decrease in bite force. This study assesses the effects of three eight-week exercise programs on pain intensity, neuromuscular activation, and bite force of masticatory muscles in patients with TMD. Forty-five patients were divided into three groups: a therapeutic exercise program (G1), a therapeutic and aerobic exercise program (G2), and an aerobic exercise program (G3). The masticatory muscles’ pain was evaluated using the numeric pain rating scale (NPRS), surface electromyographic (sEMG) activity of the masseter was recorded during maximum voluntary contraction and at rest, and bite force was evaluated using a dynamometer. These parameters were evaluated twice at baseline (A01/A02), at the end of the eight-week intervention period (A1), and 8–12 weeks after the end of the intervention (A2). After intervention, G2 showed the best results, with a significantly decrease in masticatory muscles’ pain and increase in bite force. These results suggest that interventions to reduce pain in patients with TMD should be multimodal.
format	article
author	Paula Manuela Mendes Moleirinho-Alves Pedro Miguel Teixeira Cravas Cebola Paulo Duarte Guia dos Santos José Pedro Correia Catarina Godinho Raul Alexandre Nunes da Silva Oliveira Pedro Luís Cemacelha Pezarat-Correia
author_facet	Paula Manuela Mendes Moleirinho-Alves Pedro Miguel Teixeira Cravas Cebola Paulo Duarte Guia dos Santos José Pedro Correia Catarina Godinho Raul Alexandre Nunes da Silva Oliveira Pedro Luís Cemacelha Pezarat-Correia
author_sort	Paula Manuela Mendes Moleirinho-Alves
title	Effects of Therapeutic and Aerobic Exercise Programs on Pain, Neuromuscular Activation, and Bite Force in Patients with Temporomandibular Disorders
title_short	Effects of Therapeutic and Aerobic Exercise Programs on Pain, Neuromuscular Activation, and Bite Force in Patients with Temporomandibular Disorders
title_full	Effects of Therapeutic and Aerobic Exercise Programs on Pain, Neuromuscular Activation, and Bite Force in Patients with Temporomandibular Disorders
title_fullStr	Effects of Therapeutic and Aerobic Exercise Programs on Pain, Neuromuscular Activation, and Bite Force in Patients with Temporomandibular Disorders
title_full_unstemmed	Effects of Therapeutic and Aerobic Exercise Programs on Pain, Neuromuscular Activation, and Bite Force in Patients with Temporomandibular Disorders
title_sort	effects of therapeutic and aerobic exercise programs on pain, neuromuscular activation, and bite force in patients with temporomandibular disorders
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/3ab5bb6d0b024415a208f24a081e5251
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Effects of Therapeutic and Aerobic Exercise Programs on Pain, Neuromuscular Activation, and Bite Force in Patients with Temporomandibular Disorders

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