title: Long-term outcome after treatment of temporomandibular joint osteoarthritis with exercise and manual therapy.
abstract: In a previous study, exercise and manual therapy demonstrated a 90% success rate in patients with osteoarthrosis of the temporomandibular joints in the short-term. The aim of this follow-up study was to assess the long-term effect of these treatment modalities. Seventeen patients were evaluated. All patients suffered from osteoarthrosis of the temporomandibular joints with pain in the temporomandibular joint at baseline and were treated successfully in a prior short-term study. The parameters were pain at rest and at chewing, impairment in daily life, and mouth opening. At follow-up, 11 patients (65%) experienced no pain and 13 patients (76%) had no pain at rest (Fisher's Exact Test: p<0.02). Thirteen patients (76%) had a normal incisal edge clearance, and ten patients (59%) felt no impairment due to the disease (Fisher's Exact Test: p=0.01). Thirteen patients (76%), who had been treated once successfully, have not needed treatment within the three years after cessation of their therapy. Exercise therapy is an effective tool to treat osteoarthrosis of the temporomandibular joints.
authors.affiliation: University of Vienna, Department of Physical Medicine and Rehabilitation, Wien, Austria. Peter.Nicolakis@akh-wien.ac.at
authors.forename: Peter
authors.initials: P
authors.lastname: Nicolakis
authors.forename: Celal Burak
authors.initials: CB
authors.lastname: Erdogmus
authors.forename: Josef
authors.initials: J
authors.lastname: Kollmitzer
authors.forename: Katharina
authors.initials: K
authors.lastname: Kerschan-Schindl
authors.forename: Michaela
authors.initials: M
authors.lastname: Sengstbratl
authors.forename: Martin
authors.initials: M
authors.lastname: Nuhr
authors.forename: Richard
authors.initials: R
authors.lastname: Crevenna
authors.forename: Veronika
authors.initials: V
authors.lastname: Fialka-Moser
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D003766:Dental Occlusion; D005081:Exercise Therapy; D005157:Facial Pain / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008334:Mandible / Q000503:physiopathology; D008875:Middle Aged; D009068:Movement; D010003:Osteoarthritis / Q000628:therapy*; D010147:Pain Measurement; D026741:Physical Therapy Modalities; D012008:Recurrence; D013223:Statistics as Topic; D018709:Statistics, Nonparametric; D013705:Temporomandibular Joint Disorders / Q000628:therapy*; D016896:Treatment Outcome