Effects of Subcranial Myofascial Distraction and Condylar Remodeling Exercises in Patients with Temporomandibular Joint Disorders

Aim Studying effect of subcranial myofascial distraction and condylar remodeling exercises in temporomandibular joint disorders. Methods A randomized control trial carried out amongst 120 temporomandibular disorder patients, divided into 3 groups of 40 each, GroupA-subcranial myofascial distraction, GroupB- combination of subcranial myofascial distraction and condylar remodeling exercises, GroupC- condylar remodeling exercises alone. Patients were assessed for temporomandibular range of motion, temporomandibular disability index score and patient specific functional scale score. Frequency for subcranial myofascial distraction was 3 repetitions of 90 seconds hold period each, rest period of 60 seconds between two repetitions. Intervention was given for 6 days/week for 2 weeks. Each condylar remodeling exercise was performed 6 times/session and same performed at home for 6 days/week for 2 weeks. Results Data analyzed using one way ANOVA, repeated measure ANOVA, Post hoc bonferroni test, Kruskal Wallis Non-parametric ANOVA. Combination of subcranial myofascial distraction and condylar remodeling exercises (group B) showed greater improvement compared to group C and A. Conclusion subcranial myofascial distraction and condylar remodeling exercises help in decreasing disability associated with temporomandibular joint disorder.