Efficacy of Biofeedback-Based Treatments for Temporomandibular Disorders

@article{Crider2005EfficacyOB,
  title={Efficacy of Biofeedback-Based Treatments for Temporomandibular Disorders},
  author={Andrew B. Crider and Alan G. Glaros and Richard Gevirtz},
  journal={Applied Psychophysiology and Biofeedback},
  year={2005},
  volume={30},
  pages={333-345}
}
Bibliographic searches identified 14 controlled and uncontrolled outcome evaluations of biofeedback-based treatments for temporomandibular disorders published since 1978. This literature includes two randomized controlled trials (RCTs) of each of three types of biofeedback treatment: (1) surface electromyographic (SEMG) training of the masticatory muscles, (2) SEMG training combined with adjunctive cognitive-behavioral therapy (CBT) techniques, and (3) biofeedback-assisted relaxation training… Expand
Biofeedback-based Cognitive-Behavioral Treatment Compared With Occlusal Splint for Temporomandibular Disorder: A Randomized Controlled Trial
TLDR
The fact that BFB-CBT resulted in larger improvements in pain coping skills, and was well accepted by the patients, underlines the importance and feasibility of psychological treatments in the clinical management of TMD. Expand
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TLDR
The study suggests that both chiropractic IMT and IMTESC were superior to no-treatment of chronic myogenous TMD over the course of 1 year, with IMT ESC also being superior to IMT at 1 year. Expand
Modern therapeutic management of temporomandibular disorders: A review
TLDR
The effective temporomandibular disorders (TMD) therapeutic management can be performed only if the causal factors are accurately detected and the management of psychological and behavioral factors must be considered and approached simultaneously with physical factors to accelerate the return to normal functioning of TMD patients with chronic pain. Expand
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TLDR
The efficacy of NFB as a treatment for pain, psychological symptoms and impaired quality of life associated with fibromyalgia supports the efficacy of EEG Biofeedback. Expand
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EMG biofeedback procedures in which patients are shown their levels of masticatory muscle tension and taught to recognize and then control tension levels is a highly effective way to treat muscleExpand
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TLDR
Most SRs had pain and clinical measures as primary outcome variables, while few SRs reported psychological status, daily activities, or quality of life, and one limitation of most of the reviewed SRs was that the considerable variation in methodology between the primary studies made definitive conclusions impossible. Expand
[Relaxation treatments and biofeedback for anxiety and somatic stress-related disorders].
TLDR
TR and BFB are effective for anxiety and somatic stress-related disorders, associated with coping and quality of life improvement and affordable costs; they are minimally invasive but needing an active participation in the treatment process. Expand
Therapeutic Modalities for Temporomandibular Joint Arthrosis in the Speciality of Oral and Maxillofacial Surgery
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The effectiveness of self-mouth opening exercises, internal use of NSAIDs, and acupuncture for temporomandibular arthrosis was revealed and the effectiveness of homogeneity and validity of research design was revealed. Expand
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References

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A meta-analysis of EMG biofeedback treatment of temporomandibular disorders.
TLDR
Although limited in extent, the available data support the efficacy of EMG biofeedback treatments for TMD, and mean effect sizes for both reported pain and clinical exam outcomes were substantially larger for bio feedback treatments than for control conditions. Expand
Long-Term Efficacy of Biobehavioral Treatment of Temporomandibular Disorders
TLDR
The combined biofeedback and CBST treatment produced the most comprehensive improvements across all outcome measures, demonstrating the heuristic value of adopting a biopsychosocial perspective to the assessment and treatment of chronic medical/dental disorders such as TMD. Expand
Dysfunctional patients with temporomandibular disorders: evaluating the efficacy of a tailored treatment protocol.
TLDR
Only the groups receiving the treatment that included the CT demonstrated continued improvements to the follow-up on pain associated with muscle palpation, self-reported pain severity, depression, and use of medications, support the efficacy of the tailored treatment for dysfunctional TMD. Expand
Effects of intraoral appliance and biofeedback/stress management alone and in combination in treating pain and depression in patients with temporomandibular disorders.
TLDR
The combined treatment approach was more effective than either of the single treatments alone, particularly in pain reduction, at the 6-month follow-up, and support the importance of using both dental and psychologic treatments to successfully treat TMD patients if treatment gains are to be maintained. Expand
Myofascial pain dysfunction syndrome—how effective is biofeedback assisted relaxation training?
TLDR
Relaxation training appears to be as effective as other conservative methods for the treatment of MPDS and the addition of biofeedback to this method of treatment appears to render it no more effective. Expand
The Relative Efficacy of Three Cognitive-Behavioral Treatment Approaches to Temporomandibular Disorders
TLDR
Results demonstrated that, in terms of a self-reported pain score, all three treatment groups had significantly decreased pain scores from pretreatment to posttreatment, while the no-treatment group did not. Expand
EMG feedback in the treatment of myofascial pain dysfunction syndrome.
TLDR
It is concluded that biofeedback training facilitated muscular relaxation and self-regulation in the EXP group and that visual EMG feedback, consisting of a patterning of frontalis and masseter muscle activity, can be recommended as an integrated part of MPD syndrome treatment. Expand
A comparison of treatment modes in the management of myofascial pain dysfunction syndrome
TLDR
Different treatment regimes for the management of chronic facial pain associated with the masticatory musculature are compared, consistent with the concept of MPD as a psychological response to stress which maintains chronic pain through increased muscle tension in the jaw. Expand
Subjective, clinical and EMG effects of biofeedback and splint treatment.
TLDR
Patients suffering from myofascial pain dysfunction were trained to maintain constant levels of EMG masseter activity with the aid of biofeedback and showed significantly more improvement in clinical dysfunction and subjective symptoms related to pain and mandibular movement than either the splint group or the control group. Expand
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TLDR
Initial treatment of TMD requires relatively simple modalities, such as patient education, adherence to a soft diet, reducing oral habits, self-directed home physical therapy, muscle relaxation, the use of medication, and the proper use of bite plates. Expand
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