Article

The purpose of this prospective case series was to observe and describe changes
in patients with chronic cervico-craniofacial pain of muscular origin treated
with multimodal physiotherapy based on a biobehavioral approach. Nine patients
diagnosed with chronic myofascial temporomandibular disorder and neck pain were
treated with 6 sessions over the course of 2 weeks including:
(1) orthopedic
manual physiotherapy (joint mobilizations, neurodynamic mobilization, and dynamic
soft tissue mobilizations) ;
(2) therapeutic exercises (motor control and muscular
endurance exercises);
and (3) patient education.
The outcome measures of
craniofacial (CF-PDI) and neck disability (NDI), kinesiophobia (TSK-11) and
catastrophizing (PCS), and range of cervical and mandibular motion (ROM) and
posture were collected at baseline, and at 2 and 14 weeks post-baseline. Compared
to baseline, statistically significant (p < 0.01) and clinically meaningful
improvements that surpassed the minimal detectable change were observed at 14
weeks in CF-PDI (mean change, 8.11 points; 95% confidence interval (CI): 2.55 to
13.69; d = 1.38), in NDI (mean change, 5 cm; 95% CI: 1.74-8.25; d = 0.98), and in
the TSK-11 (mean change, 6.55 cm; 95% CI: 2.79-10.32; d = 1.44). Clinically
meaningful improvements in self-reported disability, psychological factors, ROM,
and craniocervical posture were observed following a multimodal physiotherapy
treatment based on a biobehavioral approach.

Langue : ANGLAIS