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Can postural manual osteopathic intervention improve temporo-mandibular joint (TMJ) opening in a client with scoliosis?

Journal: Journal of Complementary and Integrative Medicine Date: 2016/10, 13(4):Pages: eA14-eA15. doi: Subito , type of study: case report

Free full text   (https://www.degruyter.com/document/doi/10.1515/jcim-2016-0102/html)

Keywords:

case report [705]
OMT [3746]
osteopathic manipulative treatment [3766]
scoliosis [31]
temporomandibular dysfunction [50]

Abstract:

Background: Conventional treatments of temporo-mandibular disorder (TMD) are mainly given by dentists, doctors and physiotherapists. Treatments consist primarily of education on oral-motor functions and local exercises. TMJ splints and medications are often prescribed. Objectives: The objective of this single-case study is to demonstrate that manual osteopathic postural treatment could increase the efficacy of dentistry in clients with TMD. Methods: Initial TMJ opening was 23mm, measured with a caliper. The first osteopathic treatment addressed dysfunctions of the diaphragm, psoas, thoraco-lumbar region, and cervical fascias. Breathing and myofascial release on a foam roller were giving as exercises. After this first treatment, patient noted a marked improvement in TMJ opening. Treatment was repeated with addition of a right anterior iliac correction and occipital base release. After five treatments, TMJ opening was 38mm and the patient was pain free. Results: Following unexpected outcome from parietal treatment of the spine and pelvis on mouth opening, we questioned ourselves on potential effects of postural chain correction on the TMJ. The treatment applied aimed relief of postural chain tension with manual treatment combined with exercises for stretching and strengthening the pelvic girdle. TMJ range of motion was normal after 5 treatments without TMJ treatment. Conclusion: Co-morbidity of postural troubles and TMJ dysfunction is frequent. A global approach to these problems including osteopathic evaluation and treatment could increase efficiency of orthodontics mainly the TMJ range of motion and the reduction of pain.


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