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Osteopathic manipulative treatment (OMT) effects on mandibular kinetics: kinesiographic study

Journal: European Journal of Paediatric Dentistry Date: 2008/03, 9(1):Pages: 37-42, type of study: randomized controlled trial

Free full text   (https://pubmed.ncbi.nlm.nih.gov/18380529/)

Keywords:

child [312]
dental occlusion [2]
facial pain [11]
jaw movements [1]
kinesiography [1]
magnetics [1]
osteopathic manipulation [43]
range of motion [80]
sympathetic nervous system [18]
temporomandibular dysfunction [32]
temporomandibular joint [47]
temporomandibular joint disorders [7]
TMD [14]

Abstract:

AIM: The aim of this study was to evaluate the effects of Osteopathic Manipulative Treatment (OMT) on mandibular kinematics in TMD patients. METHODS: The study was conduced on 28 children with non-specific TMD symptoms, limited mouth opening, history of trauma (delivery trauma, accident trauma). Patients were randomly divided into two groups: an OMT group (study group) and a no-intervention group (control group). All subjects underwent a first kinesiographic recording to evaluate the amplitude and velocity of maximal opening-closing movements. Study group patients underwent a second kinesiographic recording 2 months after OMT. Control group patients were submitted to a control kinesiographic recording six months after the first one. Kinesiographic tracings were acquired using the K7I system. RESULTS/STATISTICS: The kinesiographic data of the study group showed a moderate statistically significant difference (p<.07) of maximal mouth opening (MO) parameter and a high statistically significant difference (p<.03) of maximal mouth opening velocity (MOV) parameter. No statistically significative difference (null hypothesis confirmed) of kinesiographic parameters in the control group was observed. CONCLUSION: The results of this study suggest that OMT can induce changes in the stomatognathic dynamics, offering a valid support in the clinical approach to TMD. Multifactorial genesis of chronic disorders is also confirmed.


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