PMID- 24976748
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20140630
LR  - 20211021
IS  - 1066-9817 (Print)
IS  - 2042-6186 (Electronic)
IS  - 1066-9817 (Linking)
VI  - 22
IP  - 1
DP  - 2014 Feb
TI  - Use of orthopedic manual physical therapy to manage chronic orofacial pain and 
      tension-type headache in an adolescent.
PG  - 51-8
LID - 10.1179/2042618613Y.0000000054 [doi]
AB  - Temporomandibular dysfunction (TMD) is frequently associated with multiple 
      headache types. While the efficacy of orthopedic manual physical therapy (OMPT) 
      intervention for TMD with/without headache symptoms has been investigated, it has 
      received less attention than other musculoskeletal conditions. This case 
      describes the OMPT treatment and outcome of a 14 year-old female with a 2-year 
      history of facial pain surrounding the right temporomandibular joint (TMJ), and 
      bilateral occipital and temporal tension-type headaches (TTHs). Intervention 
      included manual mobilization of the TMJ and surrounding cervical/facial soft 
      tissue structures, postural re-education, and patient/family education on 
      prevention, self-treatment, and postural adaptations. Outcomes included pain free 
      and maximal mouth opening (MMO), pressure pain threshold (PPT) over the masseter 
      muscle belly, fear avoidance beliefs questionnaire-physical activity subscale 
      (FABQ-PA), jaw pain and function questionnaire (JPFQ), visual analog pain scale 
      (VAS) for facial pain, and headache frequency, duration, and intensity on a VAS. 
      Results included increased pain free and MMO by 22 mm, improved PPT bilaterally 
      by 403.05 kPa on the affected, and 360.88 kPa on the unaffected side, and 
      decreased reported headache frequency, duration, and intensity. Score decreases 
      of 5 points on VAS with MMO, 8 points on FABQ-PA, and 5 points on JPFQ were also 
      noted. Further research is warranted to investigate the effects of OMPT on pain 
      processing and functional outcomes in patients with TMD and headache.
FAU - Stuhr, Sarah H
AU  - Stuhr SH
AD  - University of Illinois Hospital and Health System, Chicago, IL, USA.
FAU - Earnshaw, Darren H
AU  - Earnshaw DH
AD  - University of Illinois Hospital and Health System, Chicago, IL, USA.
FAU - Duncombe, Alison M
AU  - Duncombe AM
AD  - University of Illinois Hospital and Health System, Chicago, IL, USA.
LA  - eng
PT  - Journal Article
PL  - England
TA  - J Man Manip Ther
JT  - The Journal of manual & manipulative therapy
JID - 9433812
PMC - PMC4062352
OTO - NOTNLM
OT  - Central sensitization
OT  - Headache
OT  - Orthopedic manual physical therapy
OT  - Temporomandibular joint
EDAT- 2014/07/01 06:00
MHDA- 2014/07/01 06:01
PMCR- 2015/02/01
CRDT- 2014/07/01 06:00
PHST- 2014/07/01 06:00 [entrez]
PHST- 2014/07/01 06:00 [pubmed]
PHST- 2014/07/01 06:01 [medline]
PHST- 2015/02/01 00:00 [pmc-release]
AID - 232 [pii]
AID - 10.1179/2042618613Y.0000000054 [doi]
PST - ppublish
SO  - J Man Manip Ther. 2014 Feb;22(1):51-8. doi: 10.1179/2042618613Y.0000000054.