Psycho-education programme for temporomandibular disorders: a pilot studyReportar como inadecuado

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Journal of Negative Results in BioMedicine

, 6:4

First Online: 23 March 2007Received: 23 October 2006Accepted: 23 March 2007DOI: 10.1186-1477-5751-6-4

Cite this article as: Jerjes, W., Madland, G., Feinmann, C. et al. J Negat Results BioMed 2007 6: 4. doi:10.1186-1477-5751-6-4


BackgroundTemporomandibular disorders TMDs are by far the most predominant condition affecting the temporomandibular joint TMJ, however many patients have mild self-limiting symptoms and should not be referred for specialist care.

The aim of this pilot study was to develop a simple, cost-effective management programme for TMDs using CD-ROM. 41 patients age 18–70 participated in this study, patients were divided into three groups: the 1st group were involved in an attention placebo CD-ROM contain anatomical information about the temporomandibular system, the 2nd group received information on CD-ROM designed to increase their control and self efficacy, while the 3rd group received the same programme of the 2nd group added to it an introduction to self-relaxing techniques followed by audio tape of progressive muscle relaxation exercises. Each of the groups was asked to complete a number of questionnaires on the day of initial consultation and six weeks afterwards.

ResultsThe two experimental groups 2nd and 3rd were equally effective in reducing pain, disability and distress, and both were more effective than the attention placebo group 1st, however the experimental groups appeared to have improved at follow-up relative to the placebo-group in terms of disability, pain and depressed mood.

ConclusionThis pilot study demonstrates the feasibility and acceptability of the design. A full, randomized, controlled trial is required to confirm the efficacy of the interventions developed here.

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Autor: Waseem Jerjes - Geir Madland - Charlotte Feinmann - Mohammed El Maaytah - Mahesh Kumar - Colin Hopper - Tahwinder Upile - S


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