Startseite Effectiveness of OMT and OCMM for Temporomandibular Disorders
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Effectiveness of OMT and OCMM for Temporomandibular Disorders

  • Melissa Yunting Tang und Hollis H. King
Veröffentlicht/Copyright: 1. Mai 2017
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Journal of Osteopathic Medicine
Aus der Zeitschrift Journal of Osteopathic Medicine Band 117 Heft 5

Gesslbauer C, Vavti N, Keilani M, Mickel M, Crevenna R. Effectiveness of osteopathic manipulative treatment versus osteopathy in the cranial field in temporomandibular disorders: a pilot study. Disabil Rehabil. 2016;1-6. doi:10.1080/09638288.2016.1269368

Temporomandibular disorders (TMDs) are the second most common musculoskeletal condition, negatively affecting both somatic and psychosocial function. Thus, the need for first-line conservative treatment like osteopathic manipulative treatment (OMT) and therapy (OMTh; manipulative care provided by foreign-trained osteopaths) is recognized.1,2 Researchers at the Medical University of Vienna conducted a randomized clinical trial to compare the effectiveness of OMTh with osteopathy in the cranial field in managing symptoms in patients with TMD.

Thirty-six women aged 18 to 55 years who experienced symptoms of TMD for more than 3 months were included in the study. Diagnosis was based on abnormal function, pain, tenderness, and joint sounds on mouth opening. Exclusion criteria included patients with previous operations or trauma to the region, patients with rheumatic or psychiatric disorders, and patients taking anti-inflammatory or muscle-relaxing medications. Participants were randomly assigned to receive either 30 minutes of OMTh or cranial osteopathy once per week for 5 weeks. The outcome measures included patient-reported pain intensity measured by a visual analog scale and the severity of TMD using the Helkimo Index. The patients also completed a questionnaire and a Short Form-36 Health Survey. These measures were taken at baseline and at the end of treatment. Data were analyzed using SPSS software (IBM), and intergroup comparisons were performed using a paired sample t test, the Wilcoxon signed-rank test, or the Mann-Whitney U test.

Statistically significant improvements were detected in all outcome measures, with no significant difference between the groups. Pain intensity improved 44% in the OMTh group and 48% in the cranial osteopathy group, and the calculation for all patients showed improvement after the treatments (paired sample t test: t35=6.7; P<.001). Additionally, the average value on the Helkimo Index decreased in both groups, with an improvement of 31% in the OMTh group and a 41% improvement in the cranial osteopathy group in TMD severity. The calculation for all patients showed an improvement after 5 treatments (Wilcoxon signed-rank test: z=−3.7; P<.001).

These findings demonstrate the benefit of OMTh in the management of musculoskeletal conditions. The findings also support the need for the osteopathic profession to continue funding and conducting large-scale randomized controlled trials that examine a variety of conditions to substantiate the use of manual manipulation for a variety of medical concerns.

Western University of Health Sciences, College of Osteopathic Medicine of the Pacific, Pomoma, California University of California, San Diego School of Medicine

References

1. Cuccia AM , CaradonnaC, AnnunziataV, CaradonnaD. Osteopathic manual therapy versus conventional therapy in the treatment of temporomandibular disorders: a randomized controlled trial. J Bodyw Mov Ther. 2010;14(2):179-184. doi:10.1016/j.jbmt.2009.08.002Suche in Google Scholar PubMed

2. Monaco A , CozzolinoV, CattaneoR, CutilliT, SpadaroA. Osteopathic manipulative treatment (OMT) effects on mandibular kinetics; kinesiographic study. Eur J Paediatr Dent. 2008;9(1):37-42.Suche in Google Scholar
Published Online: 2017-05-01
Published in Print: 2017-05-01

© 2017 American Osteopathic Association

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Artikel in diesem Heft

  1. EDITORIAL
  2. 10.7556/jaoa.2017.049
  3. LETTERS TO THE EDITOR
  4. Osteopathic Manipulative Treatment During the Third Trimester of Pregnancy
  5. RESPONSE
  6. Response
  7. CORRECTION
  8. Correction
  9. AOA COMMUNICATION
  10. Official Call: 2017 Annual Business Meeting of the American Osteopathic Association
  11. ORIGINAL CONTRIBUTION
  12. Employer-Funded Complete Health Improvement Program: Preliminary Results of Biomarker Changes
  13. EVIDENCE-BASED CLINICAL REVIEW
  14. Vitamin D Deficiency, Its Role in Health and Disease, and Current Supplementation Recommendations
  15. CLINICAL PRACTICE
  16. An Osteopathic Approach to Chronic Pain Management
  17. MEDICAL EDUCATION
  18. Preparing Physicians for Rural-Based Primary Care Practice: A Preliminary Evaluation of Rural Training Initiatives at OSU-COM
  19. SPECIAL COMMUNICATION
  20. Introducing High School Students to Careers in Osteopathic Medicine
  21. THE SOMATIC CONNECTION
  22. Cardiorespiratory Benefit of Aerobic Exercise for Patients With Asthma
  23. Cost-Effective Management of Low Back and Joint Pain by Specialty
  24. Benefit of OMT in Patients Who Underwent Heart Surgery
  25. Addition of Osteopathic Visceral Manipulation to OMT for Low Back Pain Decreases Pain and Increases Quality of Life
  26. Effectiveness of OMT and OCMM for Temporomandibular Disorders
  27. Noninvasive Interventions Efficacious in Reducing Symptoms of Low Back Pain
  28. The Fundamental Frequency: A New Approach to Concussion Diagnosis in Children
  29. CLINICAL IMAGES
  30. Pacemaker Twiddler Syndrome
  31. Retroperitoneal Fibrosis
https://doi.org/10.7556/jaoa.2017.063
Creative Commons
BY-NC-ND 4.0

Artikel in diesem Heft

  1. EDITORIAL
  2. 10.7556/jaoa.2017.049
  3. LETTERS TO THE EDITOR
  4. Osteopathic Manipulative Treatment During the Third Trimester of Pregnancy
  5. RESPONSE
  6. Response
  7. CORRECTION
  8. Correction
  9. AOA COMMUNICATION
  10. Official Call: 2017 Annual Business Meeting of the American Osteopathic Association
  11. ORIGINAL CONTRIBUTION
  12. Employer-Funded Complete Health Improvement Program: Preliminary Results of Biomarker Changes
  13. EVIDENCE-BASED CLINICAL REVIEW
  14. Vitamin D Deficiency, Its Role in Health and Disease, and Current Supplementation Recommendations
  15. CLINICAL PRACTICE
  16. An Osteopathic Approach to Chronic Pain Management
  17. MEDICAL EDUCATION
  18. Preparing Physicians for Rural-Based Primary Care Practice: A Preliminary Evaluation of Rural Training Initiatives at OSU-COM
  19. SPECIAL COMMUNICATION
  20. Introducing High School Students to Careers in Osteopathic Medicine
  21. THE SOMATIC CONNECTION
  22. Cardiorespiratory Benefit of Aerobic Exercise for Patients With Asthma
  23. Cost-Effective Management of Low Back and Joint Pain by Specialty
  24. Benefit of OMT in Patients Who Underwent Heart Surgery
  25. Addition of Osteopathic Visceral Manipulation to OMT for Low Back Pain Decreases Pain and Increases Quality of Life
  26. Effectiveness of OMT and OCMM for Temporomandibular Disorders
  27. Noninvasive Interventions Efficacious in Reducing Symptoms of Low Back Pain
  28. The Fundamental Frequency: A New Approach to Concussion Diagnosis in Children
  29. CLINICAL IMAGES
  30. Pacemaker Twiddler Syndrome
  31. Retroperitoneal Fibrosis
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