In this respect, massage and exercises have been reported to reduce pain and relaxation therapy to improve mandibular opening, pain, anxiety, stress, and depression. Physical therapy can be accomplished using various treatment modalities, some of them being manual therapy, therapeutic exercises, and relaxation techniques. ĭue to this possible association of psychosocial factors with bruxism and its several clinical manifestations, physical therapy interventions based on biomedical and bio-psycho-social models can be directed towards modifying the influence of these features and bruxism. Bruxism has been frequently linked with craniofacial pain or as the major risk factor. And this disorder has often been associated with detrimental consequences. Psychosocial factors such as anxiety, stress, and depression can play a role in the etiology of bruxism. Therefore, there is the superior effect of the combination of two physical therapy interventions in bruxism.īruxism is defined as repetitive jaw-muscle activity characterized by clenching and/or grinding of the teeth and classified as awake and/or sleep bruxism. In the comparison among the three groups, there were significant differences for the most outcomes with the higher improvement of Group 3 after 6-week and two months (p<0.05). Results: After six weeks and two-month, significant improvements were observed in muscle pain, state anxiety, stress, depression, and sleep for three groups (p<0.05). Muscle pain, pain threshold, maximum mandibular opening, anxiety, stress, depression, oral health, and sleep were established as outcome variables. Assessments were made before, after 6-week and two months. Methods: Seventy-two participants were randomly assigned to Group 1 (massage with stretching exercises, n=24), Group 2 (relaxation with imagination therapy, n=24) or Group 3 (two interventions combinate, n=24). Objective: To compare massage and stretching exercises relaxation and imagination therapy and a combination of these two interventions in bruxism.
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