Efficacy of Aerobic Exercise on Widespread Pain Sensitization in Patients with Temporomandibular Disorders: A Preliminary Randomized Controlled Study
Source abstract
Abstract
Myogenic temporomandibular disorders (TMDs) are commonly associated with pain sensitization (PS), manifesting decreased local and distal pressure pain thresholds (PPTs). Aerobic exercise (AE) has shown hypoalgesic effects on PS. This study aimed to analyze the effects of AE in addition to physical therapy (PT) on widespread PS in myogenic TMDs. A randomized controlled trial was carried out, involving 20 subjects allocated to PT (n = 10) or PT + AE (n = 10). Both groups performed six sessions over four weeks, consisting of education, manual therapy, and therapeutic exercise. The PT + AE group also performed high-intensity intervallic AE on a stationary bike. Primary outcome: PPT in the Achilles tendon assessed with an algometer. Secondary outcome: Central Sensitization Inventory (CSI). Outcomes were recorded at baseline (T0), post-intervention (T1), and after 12 weeks (T2). Significant between-groups differences were found favoring PT + AE at T1 and T2 for the left Achilles PPT (T1 p < 0.01; d = 1.3; T2 p < 0.001; d = 2.5) and CSI (T1 p < 0.001; d = 2.3; T2 p < 0.01; d = 1.7), and at T2 for the right Achilles PPT (p < 0.001; d = 0.9). Thus, adding AE to PT improved widespread PS more than only PT in myogenic TMD.
Source: crossref · Quality: baseline
Research context
OpenAlex topics: Temporomandibular Joint Disorders · Pain Mechanisms and Treatments · Botulinum Toxin and Related Neurological Disorders
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
Affiliations
Department of Physiotherapy, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya (UIC), C/Josep Trueta s/n, Sant Cugat del Vallès, 08195 Barcelona, Spain
Department of TMJ, Faculty of Dentistry, Universitat Internacional de Catalunya (UIC), C/Josep Trueta s/n, Sant Cugat del Vallès, 08195 Barcelona, Spain
Funding
Col·legi de Fisioterapeutes de Catalunya
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