{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T19:08:10Z","timestamp":1788894490764,"version":"build-2803163510"},"reference-count":46,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,6,4]],"date-time":"2023-06-04T00:00:00Z","timestamp":1685836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Disc displacement with reduction (DDwR) therapy should be performed only when pain or discomfort is presented. Data on treatment options for painful DDwR are very limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim was to investigate whether isometric training of the lateral pterygoid muscle (LPM) is equivalent to stabilisation appliance therapy with regard to the treatment of painful DDwR. The training program is based on the science of Janda.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This was a prospective, randomised study with a comparative treatment group. Sixty patients (\u226518\u2009years) with DDwR and pain were randomly assigned to two groups: (1) muscle training and (2) stabilisation appliance. The following variables were recorded at baseline examination and after 2, 4 and 6\u2009months: changes in orofacial pain, clicking sounds of the temporomandibular joint (TMJ), force degrees for the lateral movement of the mandible and interincisal opening distance.\n                      <jats:italic>p<\/jats:italic>\n                      values of &lt;.05 were considered statistically significant but 95% confidence intervals were also presented.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A decrease in orofacial pain intensity was seen in both groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.0001). Registered TMJ clicking disappeared after 6\u2009months of treatment in 37% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200911) of the patients in the training group and in 27% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20098) of the appliance group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.0009 and\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.0047). Muscle training showed 27 improvements in Janda force degrees at the end of the study (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.0001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Muscle training and appliance therapy improved mouth opening and reduced pain intensity in both patient groups. Muscle training might be a promising option in the treatment of patients suffering from painful DDwR.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.13517","type":"journal-article","created":{"date-parts":[[2023,5,25]],"date-time":"2023-05-25T02:07:41Z","timestamp":1684980461000},"page":"921-930","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Training of the lateral pterygoid muscle in the treatment of temporomandibular joint disc displacement with reduction: A randomised clinical trial"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8896-874X","authenticated-orcid":false,"given":"Christin","family":"Olbort","sequence":"first","affiliation":[{"name":"Dental Practice, with Focus on Temporomandibular Disorders, Competence Centre  Steina Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Falk","family":"Pfanne","sequence":"additional","affiliation":[{"name":"Dental Practice, with Focus on Temporomandibular Disorders, Competence Centre  Steina Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Schwahn","sequence":"additional","affiliation":[{"name":"Department of Prosthetic Dentistry, Gerodontology and Biomaterials University Medicine Greifswald  Greifswald Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olaf","family":"Bernhardt","sequence":"additional","affiliation":[{"name":"Department of Restorative Dentistry, Periodontology, Endodontology, Preventive Dentistry and Pediatric Dentistry University Medicine Greifswald  Greifswald Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,4]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2842.2005.01522.x"},{"key":"e_1_2_11_3_1","first-page":"109","article-title":"A 20\u2010year follow\u2010up of signs and symptoms of temporomandibular disorders and malocclusions in subjects with and without orthodontic treatment in childhood","volume":"73","author":"Egermark I","year":"2003","journal-title":"Angle Orthod"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.21608\/edj.2020.79131"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2010.01.006"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2011.04.021"},{"key":"e_1_2_11_7_1","first-page":"153","article-title":"Risk factors for anterior disc displacement with reduction and intermittent locking in adolescents","volume":"25","author":"Kalaykova SI","year":"2011","journal-title":"J Orofac Pain"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.11607\/jop.1151"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/24.4.343"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3913(88)90224-7"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1053\/joms.2003.50005"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.5772\/55018"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbmt.2007.10.001"},{"key":"e_1_2_11_14_1","first-page":"51","article-title":"Shoulder muscle imbalance and subacromial impingement syndrome in overhead athletes","volume":"6","author":"Page P","year":"2011","journal-title":"Int J Sports Phys Ther"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.5040\/9781718211445"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13102-022-00500-7"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmpt.2011.09.004"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12888"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.11607\/ofph.2359"},{"key":"e_1_2_11_20_1","volume-title":"Muscle function testing","author":"Janda V","year":"1983"},{"key":"e_1_2_11_21_1","volume-title":"Trans. diagnostic criteria for temporomandibular disorders: assessment instruments. 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