A pilot study of a chiropractic intervention for management of chronic myofascial temporomandibular disorder

James W DeVocht, Christine M Goertz, Maria Hondras, Cynthia R Long, Wally Schaeffer, Lauren Thomann, Michael Spector, Clark M Stanford

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

BACKGROUND: Temporomandibular pain has multiple etiologies and a range of therapeutic options. In this pilot study, the authors assessed the feasibility of conducting a larger trial to evaluate chiropractic treatment of temporomandibular disorders (TMDs).

METHODS: The authors assigned 80 participants randomly into one of the following four groups, all of which included a comprehensive self-care program: reversible interocclusal splint therapy (RIST), Activator Method Chiropractic Technique (AMCT) (Activator Methods International, Phoenix), sham AMCT and self-care only. They made assessments at baseline and at month 2 and month 6, including use of the Research Diagnostic Criteria for Temporomandibular Disorders.

RESULTS: The authors screened 721 potential participants and enrolled 80 people; 52 participants completed the six-month assessment. The adjusted mean change in current pain over six months, as assessed on the 11-point numerical rating scale, was 2.0 (95 percent confidence interval, 1.1-3.0) for RIST, 1.7 (0.9-2.5) for self-care only, 1.5 (0.7-2.4) for AMCT and 1.6 (0.7-2.5) for sham AMCT. The authors also assessed bothersomeness and functionality.

CONCLUSIONS: The authors found the study design and methodology to be manageable. They gained substantial knowledge to aid in conducting a larger study. AMCT, RIST and self-care should be evaluated in a future comparative effectiveness study.

PRACTICAL IMPLICATIONS: This pilot study was a necessary step to prepare for a larger study that will provide clinicians with information that should be helpful when discussing treatment options for patients with TMD.

OriginalsprogEngelsk
TidsskriftJournal of the American Dental Association
Vol/bind144
Udgave nummer10
Sider (fra-til)1154-63
Antal sider10
ISSN0002-8177
DOI
StatusUdgivet - 2013

Fingeraftryk

Chiropractic
Confidence Intervals
Research

Citer dette

DeVocht, J. W., Goertz, C. M., Hondras, M., Long, C. R., Schaeffer, W., Thomann, L., ... Stanford, C. M. (2013). A pilot study of a chiropractic intervention for management of chronic myofascial temporomandibular disorder. Journal of the American Dental Association, 144(10), 1154-63. https://doi.org/10.14219/jada.archive.2013.0034
DeVocht, James W ; Goertz, Christine M ; Hondras, Maria ; Long, Cynthia R ; Schaeffer, Wally ; Thomann, Lauren ; Spector, Michael ; Stanford, Clark M. / A pilot study of a chiropractic intervention for management of chronic myofascial temporomandibular disorder. I: Journal of the American Dental Association. 2013 ; Bind 144, Nr. 10. s. 1154-63.
@article{0ed40e12624742ec83cb779d991113d9,
title = "A pilot study of a chiropractic intervention for management of chronic myofascial temporomandibular disorder",
abstract = "BACKGROUND: Temporomandibular pain has multiple etiologies and a range of therapeutic options. In this pilot study, the authors assessed the feasibility of conducting a larger trial to evaluate chiropractic treatment of temporomandibular disorders (TMDs).METHODS: The authors assigned 80 participants randomly into one of the following four groups, all of which included a comprehensive self-care program: reversible interocclusal splint therapy (RIST), Activator Method Chiropractic Technique (AMCT) (Activator Methods International, Phoenix), sham AMCT and self-care only. They made assessments at baseline and at month 2 and month 6, including use of the Research Diagnostic Criteria for Temporomandibular Disorders.RESULTS: The authors screened 721 potential participants and enrolled 80 people; 52 participants completed the six-month assessment. The adjusted mean change in current pain over six months, as assessed on the 11-point numerical rating scale, was 2.0 (95 percent confidence interval, 1.1-3.0) for RIST, 1.7 (0.9-2.5) for self-care only, 1.5 (0.7-2.4) for AMCT and 1.6 (0.7-2.5) for sham AMCT. The authors also assessed bothersomeness and functionality.CONCLUSIONS: The authors found the study design and methodology to be manageable. They gained substantial knowledge to aid in conducting a larger study. AMCT, RIST and self-care should be evaluated in a future comparative effectiveness study.PRACTICAL IMPLICATIONS: This pilot study was a necessary step to prepare for a larger study that will provide clinicians with information that should be helpful when discussing treatment options for patients with TMD.",
author = "DeVocht, {James W} and Goertz, {Christine M} and Maria Hondras and Long, {Cynthia R} and Wally Schaeffer and Lauren Thomann and Michael Spector and Stanford, {Clark M}",
year = "2013",
doi = "10.14219/jada.archive.2013.0034",
language = "English",
volume = "144",
pages = "1154--63",
journal = "Journal of the American Dental Association",
issn = "0002-8177",
publisher = "The American Dental Association",
number = "10",

}

DeVocht, JW, Goertz, CM, Hondras, M, Long, CR, Schaeffer, W, Thomann, L, Spector, M & Stanford, CM 2013, 'A pilot study of a chiropractic intervention for management of chronic myofascial temporomandibular disorder', Journal of the American Dental Association, bind 144, nr. 10, s. 1154-63. https://doi.org/10.14219/jada.archive.2013.0034

A pilot study of a chiropractic intervention for management of chronic myofascial temporomandibular disorder. / DeVocht, James W; Goertz, Christine M; Hondras, Maria ; Long, Cynthia R; Schaeffer, Wally; Thomann, Lauren; Spector, Michael; Stanford, Clark M.

I: Journal of the American Dental Association, Bind 144, Nr. 10, 2013, s. 1154-63.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - A pilot study of a chiropractic intervention for management of chronic myofascial temporomandibular disorder

AU - DeVocht, James W

AU - Goertz, Christine M

AU - Hondras, Maria

AU - Long, Cynthia R

AU - Schaeffer, Wally

AU - Thomann, Lauren

AU - Spector, Michael

AU - Stanford, Clark M

PY - 2013

Y1 - 2013

N2 - BACKGROUND: Temporomandibular pain has multiple etiologies and a range of therapeutic options. In this pilot study, the authors assessed the feasibility of conducting a larger trial to evaluate chiropractic treatment of temporomandibular disorders (TMDs).METHODS: The authors assigned 80 participants randomly into one of the following four groups, all of which included a comprehensive self-care program: reversible interocclusal splint therapy (RIST), Activator Method Chiropractic Technique (AMCT) (Activator Methods International, Phoenix), sham AMCT and self-care only. They made assessments at baseline and at month 2 and month 6, including use of the Research Diagnostic Criteria for Temporomandibular Disorders.RESULTS: The authors screened 721 potential participants and enrolled 80 people; 52 participants completed the six-month assessment. The adjusted mean change in current pain over six months, as assessed on the 11-point numerical rating scale, was 2.0 (95 percent confidence interval, 1.1-3.0) for RIST, 1.7 (0.9-2.5) for self-care only, 1.5 (0.7-2.4) for AMCT and 1.6 (0.7-2.5) for sham AMCT. The authors also assessed bothersomeness and functionality.CONCLUSIONS: The authors found the study design and methodology to be manageable. They gained substantial knowledge to aid in conducting a larger study. AMCT, RIST and self-care should be evaluated in a future comparative effectiveness study.PRACTICAL IMPLICATIONS: This pilot study was a necessary step to prepare for a larger study that will provide clinicians with information that should be helpful when discussing treatment options for patients with TMD.

AB - BACKGROUND: Temporomandibular pain has multiple etiologies and a range of therapeutic options. In this pilot study, the authors assessed the feasibility of conducting a larger trial to evaluate chiropractic treatment of temporomandibular disorders (TMDs).METHODS: The authors assigned 80 participants randomly into one of the following four groups, all of which included a comprehensive self-care program: reversible interocclusal splint therapy (RIST), Activator Method Chiropractic Technique (AMCT) (Activator Methods International, Phoenix), sham AMCT and self-care only. They made assessments at baseline and at month 2 and month 6, including use of the Research Diagnostic Criteria for Temporomandibular Disorders.RESULTS: The authors screened 721 potential participants and enrolled 80 people; 52 participants completed the six-month assessment. The adjusted mean change in current pain over six months, as assessed on the 11-point numerical rating scale, was 2.0 (95 percent confidence interval, 1.1-3.0) for RIST, 1.7 (0.9-2.5) for self-care only, 1.5 (0.7-2.4) for AMCT and 1.6 (0.7-2.5) for sham AMCT. The authors also assessed bothersomeness and functionality.CONCLUSIONS: The authors found the study design and methodology to be manageable. They gained substantial knowledge to aid in conducting a larger study. AMCT, RIST and self-care should be evaluated in a future comparative effectiveness study.PRACTICAL IMPLICATIONS: This pilot study was a necessary step to prepare for a larger study that will provide clinicians with information that should be helpful when discussing treatment options for patients with TMD.

U2 - 10.14219/jada.archive.2013.0034

DO - 10.14219/jada.archive.2013.0034

M3 - Journal article

VL - 144

SP - 1154

EP - 1163

JO - Journal of the American Dental Association

JF - Journal of the American Dental Association

SN - 0002-8177

IS - 10

ER -