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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Effects of Upper Thoracic Manipulation on Pressure Pain Sensitivity in Women with Temporomandibular Disorder A Randomized, Double-Blind, Clinical Trial

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Author(s):
Packer, Amanda Carine [1] ; Pires, Paulo Fernandes [1] ; Dibai-Filho, Almir Vieira [1] ; Rodrigues-Bigaton, Delaine [1]
Total Authors: 4
Affiliation:
[1] Univ Metodista Piracicaba, Lab Therapeut Resources, Postgrad Program Physiotherapy, Sao Paulo - Brazil
Total Affiliations: 1
Document type: Journal article
Source: AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION; v. 93, n. 2, p. 160-168, FEB 2014.
Web of Science Citations: 10
Abstract

Objective: The aim of the present study was to evaluate the effects of upper thoracic manipulation on pain in subjects with temporomandibular disorder. Design: Thirty-two women with a diagnosis of temporomandibular disorder were randomly allocated to an experimental group (n = 16), submitted to upper thoracic manipulation, and a placebo group (n = 16), submitted to a procedure in the thoracic region with no therapeutic effect. All volunteers underwent an evaluation of pain in the masticatory muscles and the temporomandibular joint using an algometer and the visual analog scale before and immediately after the procedure as well as after 48-72 hrs. Two-way repeated-measures analysis of variance was used for the intragroup and intergroup analyses, with the level of significance set to 5% (P < 0.05). Cohen d was calculated for the determination of the effect size. Results: No significant group-by-time interaction was found (P > 0.05) for algometry in any analysis, and Cohen d revealed no significant effect of the treatment. Moreover, no significant group-by-time interaction was found for facial pain intensity determined using the visual analog scale (P > 0.05), and Cohen d also revealed no significant effect of the treatment regarding this variable. Conclusions: On the basis of the present findings, upper thoracic spinal manipulation does not lead to a reduction in pain in women with temporomandibular disorder. (AU)

FAPESP's process: 11/16050-1 - Immediate effects of high thoracic spine manipulation on temporomandibular disorder: Blind and randomized clinical trial
Grantee:Amanda Carine Packer
Support Opportunities: Scholarships in Brazil - Master