Effects of subcranial myofascial distraction and condylar remodeling exercises on temporomandibular disability index score in patients with temporomandibular joint disorders

Abstract

Background : The patients with temporomandibular joint disorders will be likely to benefit from combination of subcranial myofascial distraction and condylar remodeling exercises. Aim of the study- To study effects of subcranial myofascial distraction and condylar remodeling exercises in patients with temporomandibular joint disorders. Methods: A randomized control trial, in which 120 patients were selected using block randomisation method, was carried out. They were divided into 3 groups of 40 each, Group A- subcranial myofascial distraction, Group B- combination of subcranial myofascial distraction and condylar remodeling exercises, Group C- condylar remodeling exercises alone. These patients were assessed for outcome measure i.e. temporomandibular disability index score. The frequency of therapeutic protocol for subcranial myofascial distraction was 3 repetitions of 90 seconds hold period each, rest period of 60 seconds between two repetitions. This intervention was given for 6 days/week for 2 weeks. Every exercise in condylar remodeling exercises was performed 6 times in one session under the supervision of physiotherapist and same session was performed at home by the patient preferably in evening for 6 days/week for 2 weeks. Results: The data was analyzed using one way ANOVA, repeated measure ANOVA, Kruskal Wallis Non parametric ANOVA test. Patients receiving a combination of subcranial myofascial distraction and condylar remodeling exercises (Group B) showed greater improvement compared to other two groups (Group C and A ). Conclusion: Subcranial myofascial distraction and condylar remodeling exercises help in decreasing disability associated with temporomandibular joint disorder.