Journal article
A pilot study of a chiropractic intervention for management of chronic myofascial temporomandibular disorder
The Journal of the American Dental Association (1939), Vol.144(10), pp.1154-1163
10/01/2013
DOI: 10.14219/jada.archive.2013.0034
PMCID: PMC4103021
PMID: 24080932
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 (0.92.5) 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.
Details
- Title: Subtitle
- A pilot study of a chiropractic intervention for management of chronic myofascial temporomandibular disorder
- Creators
- James W. DeVocht - Palmer College of ChiropracticChristine M. Goertz - Palmer College of ChiropracticMaria A. Hondras - Palmer College of ChiropracticCynthia R. Long - Palmer College of ChiropracticWally SchaefferLauren Thomann - University of IowaMichael Spector - University of IowaClark M. Stanford - University of Iowa
- Resource Type
- Journal article
- Publication Details
- The Journal of the American Dental Association (1939), Vol.144(10), pp.1154-1163
- DOI
- 10.14219/jada.archive.2013.0034
- PMID
- 24080932
- PMCID
- PMC4103021
- NLM abbreviation
- J Am Dent Assoc
- ISSN
- 0002-8177
- eISSN
- 1943-4723
- Publisher
- Amer Dental Assoc
- Number of pages
- 10
- Grant note
- C06 RR15433-01 / National Center for Research Resources, NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Research Resources (NCRR) C06RR015433 / NATIONAL CENTER FOR RESEARCH RESOURCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Research Resources (NCRR) National Institutes of Health (NIH), Bethesda, Md; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA U19AT004663 / NATIONAL CENTER FOR COMPLEMENTARY & ALTERNATIVE MEDICINE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Complementary & Alternative Medicine U19AT004663 / National Center for Complementary and Alternative Medicine (NCCAM); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Complementary & Alternative Medicine 2 UL1 TR000442-06 / National Center for Advancing Translational Sciences, NIH at the University of Iowa, Iowa City UL1TR000442 / NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Advancing Translational Sciences (NCATS)
- Language
- English
- Date published
- 10/01/2013
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Epidemiology; Dentistry Administration; Prosthodontics; Orthopedics and Rehabilitation; Craniofacial Anomalies Research Center; Family Dentistry
- Record Identifier
- 9984367633402771
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