{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T10:37:03Z","timestamp":1792233423139,"version":"4.4.0"},"reference-count":37,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,5,25]],"date-time":"2023-05-25T00:00:00Z","timestamp":1684972800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The therapeutic approach to myofascial TMD should focus on pain relief and rehabilitation of function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study investigated whether pressure release technique (PRT) is effective for reducing pain in people with chronic myofascial temporomandibular disorders (TMD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A single\u2010blinded randomised parallel\u2010group trial, with 3\u2009months follow\u2010up was conducted. A total of 72 patients were randomly allocated to receive PRT or sham PRT. Primary outcome was pain assessed with a visual analogue scale (VAS). Secondary outcomes included pressure pain thresholds (PPTs), range of opening of the mouth (ROM), Neck Disability Index (NDI), Pain Catastrophizing Scale (PCS), Tampa Scale for Kinesiophobia (TSK\u201011), State\u2013Trait Anxiety Index (STAI) and State\u2013Trait Depression Index (ST\u2010DEP). All parameters were assessed at baseline, at the end of the treatment and at 3\u2009months follow\u2010up. Statistical analysis was performed by ANOVA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were significant main effects of time, group and interaction between time and group (<jats:italic>F<\/jats:italic>\u2009\u2265\u200921.92; <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001) on VAS pain. Post hoc tests showed a significant reduction in VAS pain scores in the PRT group (\u226531.9%; <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). Effect sizes were moderate in the PRT group at all follow\u2010up periods (\u22651.25 Cohen's <jats:italic>d<\/jats:italic>). Also, there were significant effects of time in secondary outcomes (<jats:italic>F<\/jats:italic>\u2009\u2265\u20099.65; <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001), and there were also interactions between time and group (<jats:italic>F<\/jats:italic>\u2009\u2265\u20093.82; <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.002) with better effects in the PRT group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The inclusion of PRT to conventional management with occlusal splints and self\u2010care management appears to be effective to improve self\u2010reported levels of pain in patients with chronic myofascial TMD pain. Retrospectively registered (<jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/clinicaltrials.gov\">ClinicalTrials.gov<\/jats:ext-link>: NCT03619889).<\/jats:p><\/jats:sec>","DOI":"10.1111\/joor.13490","type":"journal-article","created":{"date-parts":[[2023,5,11]],"date-time":"2023-05-11T04:45:08Z","timestamp":1683780308000},"page":"782-791","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Pressure release technique versus placebo applied to cervical and masticatory muscles in patients with chronic painful myofascial temporomandibular disorder: A randomised clinical trial"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2446-9490","authenticated-orcid":false,"given":"Gema","family":"Serrano\u2010Hernanz","sequence":"first","affiliation":[{"name":"Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry Complutense University of Madrid  Madrid Spain"},{"name":"Department of Stomatology, Faculty of Odontology Complutense University of Madrid  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5176-6418","authenticated-orcid":false,"given":"Teresa","family":"Angulo\u2010Carrere","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry Complutense University of Madrid  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3943-0502","authenticated-orcid":false,"given":"Ignacio","family":"Ardizone\u2010Garc\u00eda","sequence":"additional","affiliation":[{"name":"Department of Stomatology, Faculty of Odontology Complutense University of Madrid  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5809-8037","authenticated-orcid":false,"given":"Peter","family":"Svensson","sequence":"additional","affiliation":[{"name":"Section for Orofacial Pain and Jaw Function, Department of Dentistry and Oral Health Aarhus University  Aarhus Denmark"},{"name":"Faculty of Odontology, Scandinavian Center for Orofacial Neurosciences (SCON) Malm\u00f8 University  Malm\u00f8 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1178-9073","authenticated-orcid":false,"given":"Ana M.","family":"\u00c1lvarez\u2010M\u00e9ndez","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry Complutense University of Madrid  Madrid 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