{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T23:38:54Z","timestamp":1780616334060,"version":"3.54.1"},"reference-count":43,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2024,6,18]],"date-time":"2024-06-18T00:00:00Z","timestamp":1718668800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2024,9]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Although awake bruxism is associated with temporomandibular disorder (TMD) as well as head and neck pain, the effects of physical therapy and bruxism education to address these factors have not been investigated.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n The aim of this study was to evaluate the effects of oro\u2010facial manual therapy and bruxism neuroscience education (BNE) on awake bruxism over a 3\u2010week period with an open\u2010ended follow\u2010up questionnaire after 3 months.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Subjects (\n n<\/jats:italic>\n \u2009=\u200928) were randomly allocated to one of two groups, an intervention group and a control group. Data regarding disability, function and pain were collected pre\u2010 and post\u2010assessment, with all measures administered in a single\u2010blind fashion. Participants in both groups received six treatment sessions during this period. In addition to manual therapy, participants were provided with information on the neurophysiological mechanisms of bruxism and contributing factors. Individual behavioural guidelines and daily exercises were determined in consultation with the therapist. An introduction to a bruxism specific app (Brux.App) was also provided, which all participants used as an adjunct to their treatment.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The intervention group demonstrated notable improvement as indicated by their scores in the Neck Disability Index (NDI) (\n p<\/jats:italic>\n \u2009=\u2009.008), Pain Disability Index (PDI) (\n p<\/jats:italic>\n \u2009=\u2009.007) and Jaw Disability List (JDL) (\n p<\/jats:italic>\n \u2009=\u2009.03). Furthermore, clinical assessments of the temporomandibular joint (TMJ) revealed a significant progress in terms of mouth opening (\n p<\/jats:italic>\n \u2009=\u2009.03) and lateral jaw movement (laterotrusion) (\n p<\/jats:italic>\n \u2009=\u2009.03). The mechanical pain threshold (PTT) of both the masseter (\n p<\/jats:italic>\n \u2009=\u2009.02) and temporalis muscle (\n p<\/jats:italic>\n \u2009=\u2009.05) also showed significant improvement. At 3\u2010month follow\u2010up, the questionnaire revealed that the majority of the intervention group (13\/15, 87%) reported a benefit from the treatment.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The reduction in pain and disability together with improvement in function and increased coping suggest a potential modification of awake bruxism through specialised musculoskeletal intervention and BNE tailored to the individual patient.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/joor.13740","type":"journal-article","created":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T01:43:53Z","timestamp":1718761433000},"page":"1692-1700","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Does combining oro\u2010facial manual therapy with bruxism neuroscience education affect pain and function in cases of awake bruxism? A pilot study"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4509-929X","authenticated-orcid":false,"given":"Harry","family":"von Piekartz","sequence":"first","affiliation":[{"name":"Department Movement and Rehabilitation Science, Faculty of Business, Management and Social Science Osnabruck Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonja","family":"Bleiss","sequence":"additional","affiliation":[{"name":"Department Movement and Rehabilitation Science, Faculty of Business, Management and Social Science Osnabruck Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Herzer","sequence":"additional","affiliation":[{"name":"Department Movement and Rehabilitation Science, Faculty of Business, Management and Social Science Osnabruck Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toby","family":"Hall","sequence":"additional","affiliation":[{"name":"Curtin School of Allied Health Curtin University Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolaus","family":"Ballenberger","sequence":"additional","affiliation":[{"name":"Department Movement and Rehabilitation Science, Faculty of Business, Management and Social Science Osnabruck 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