{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T03:04:49Z","timestamp":1792033489018,"version":"4.4.0"},"reference-count":51,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,5,17]],"date-time":"2024-05-17T00:00:00Z","timestamp":1715904000000},"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":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Myogenic temporomandibular disorders (M\u2010TMD) commonly involve occlusal splint (OS) therapy and musculoskeletal physiotherapy (MPT).<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To compare the effects of combining OS with MPT and education (EG) against OS and education (CG), in chronic M\u2010TMD patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this double\u2010blind randomised controlled trial, 62 participants were assigned to either EG or CG. The primary outcomes, pain levels at rest (VAS rest), maximum oral opening (VAS open) and during chewing (VAS chew), were measured by Visual Analogue Scale (VAS) in cm. The secondary outcome was the range of motion (ROM) for maximum oral opening. Both interventions lasted 3\u2009months, with outcomes assessed at baseline (T0), post\u2010treatment (T1) and 3\u2009months post\u2010treatment (T2).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Intention\u2010to\u2010treat analysis revealed significant improvements favouring EG (VAS rest\u2009=\u2009\u22121.50\u2009cm [CI<jats:sub>95%<\/jats:sub>: \u22122.67, \u22120.32], <jats:italic>p<\/jats:italic>\u2009=\u2009.04; VAS open\u2009=\u2009\u22122.00\u2009cm [CI<jats:sub>95%<\/jats:sub>: \u22123.23, \u22120.75], <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.01; VAS chew\u2009=\u2009\u22121.71\u2009cm [CI<jats:sub>95%<\/jats:sub>: \u22122.90, \u22120.52], <jats:italic>p<\/jats:italic>\u2009=\u2009.01; ROM\u2009=\u20094.61 [CI<jats:sub>95%<\/jats:sub>: 0.93, 8.30], <jats:italic>p<\/jats:italic>\u2009=\u2009.04). Additionally, VAS measures were influenced by follow\u2010up times (VAS rest\u2009=\u2009\u22120.73\u2009cm [CI<jats:sub>95%<\/jats:sub>: \u22121.30, \u22120.17], <jats:italic>p<\/jats:italic>\u2009=\u20090.03; VAS open\u2009=\u2009\u22120.97\u2009cm [CI<jats:sub>95%<\/jats:sub>: \u22121.57, \u22120.37], <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.01; VAS chew\u2009=\u2009\u22121.15\u2009cm [CI<jats:sub>95%<\/jats:sub>: \u22121.73, \u22120.58], <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.01). At T1, EG demonstrated higher number of responders compared to CG for VAS open (<jats:italic>\u03c7<\/jats:italic><jats:sup>2<\/jats:sup>(1)\u2009=\u20094.39, <jats:italic>p<\/jats:italic>\u2009=\u2009.04) and VAS chew (<jats:italic>\u03c7<\/jats:italic><jats:sup>2<\/jats:sup>(1)\u2009=\u200911.58, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Adding MPT to education and OS yields better outcomes in terms of pain reduction and ROM improvement, in chronic M\u2010TMD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Trial Registration Number<\/jats:title><jats:p>NCT03726060.<\/jats:p><\/jats:sec>","DOI":"10.1111\/joor.13729","type":"journal-article","created":{"date-parts":[[2024,5,17]],"date-time":"2024-05-17T07:30:08Z","timestamp":1715931008000},"page":"1566-1578","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Physical therapy in addition to occlusal splint in myogenic temporomandibular disorders: A randomised controlled trial"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4894-1438","authenticated-orcid":false,"given":"Antonio","family":"Romeo","sequence":"first","affiliation":[{"name":"Department of Biomedical and Neuromotor Sciences (DIBINEM) Alma Mater University of Bologna  Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2759-7930","authenticated-orcid":false,"given":"Cristina","family":"Incorvati","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Neuromotor Sciences (DIBINEM) Alma Mater University of Bologna  Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7741-9200","authenticated-orcid":false,"given":"Carla","family":"Vanti","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Neuromotor Sciences 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