{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:46:20Z","timestamp":1760147180809,"version":"build-2065373602"},"reference-count":36,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2023,1,11]],"date-time":"2023-01-11T00:00:00Z","timestamp":1673395200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: Physiotherapy is one of the most referenced and effective conservative strategies for treating patients with temporomandibular disorders (TMD). This study aimed to characterize and analyze the self-knowledge of TMD of Portuguese physiotherapists. Methods: an online questionnaire was carried out, and the data collected were descriptively analyzed. Results: A total of 338 physiotherapists participated, of which only 142 treated patients with TMD. Seventy-six percent of the physiotherapists reported that they had not received training in the TMD area during the physiotherapy degree course. Only 11% of the physiotherapists reported that treating patients with TMD adequately identified all symptoms of TMD. Conclusions: the present study showed that it is necessary to integrate TMD-related content into the basic training of physiotherapists and promote an increase in evidence-based training.<\/jats:p>","DOI":"10.3390\/ijerph20021294","type":"journal-article","created":{"date-parts":[[2023,1,11]],"date-time":"2023-01-11T01:33:12Z","timestamp":1673400792000},"page":"1294","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Analysis of Portuguese Physiotherapists\u2019 Self-Knowledge on Temporomandibular Disorders"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5046-4661","authenticated-orcid":false,"given":"Paula","family":"Moleirinho-Alves","sequence":"first","affiliation":[{"name":"Escola Superior de Sa\u00fade Egas Moniz, Egas Moniz School of Health and Science, 2829-511 Almada, Portugal"},{"name":"Egas Moniz Physiotherapy Clinic and Research Centre, Interdisciplinary Research Centre (CiiEM), Egas Moniz School of Health and Science, 2829-511 Almada, Portugal"},{"name":"Cuf Tejo Hospital, 1300-352 Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6271-8884","authenticated-orcid":false,"given":"Pedro","family":"Cebola","sequence":"additional","affiliation":[{"name":"Cuf Tejo Hospital, 1300-352 Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xavier","family":"Melo","sequence":"additional","affiliation":[{"name":"Escola Superior de Sa\u00fade Egas Moniz, Egas Moniz School of Health and Science, 2829-511 Almada, Portugal"},{"name":"Egas Moniz Physiotherapy Clinic and Research Centre, Interdisciplinary Research Centre (CiiEM), Egas Moniz School of Health and Science, 2829-511 Almada, Portugal"},{"name":"Centro Interdisciplinar de Estudo da Performance Humana (CIPER), Faculdade de Motricidade Humana Universidade de Lisboa, 1496-751 Oeiras, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u00e9rgio","family":"Sim\u00f5es","sequence":"additional","affiliation":[{"name":"Escola Superior de Sa\u00fade Egas Moniz, Egas Moniz School of Health and Science, 2829-511 Almada, Portugal"},{"name":"Egas Moniz Physiotherapy Clinic and Research Centre, Interdisciplinary Research Centre (CiiEM), Egas Moniz School of Health and Science, 2829-511 Almada, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2304-3129","authenticated-orcid":false,"given":"Catarina","family":"Godinho","sequence":"additional","affiliation":[{"name":"Escola Superior de Sa\u00fade Egas Moniz, Egas Moniz School of Health and Science, 2829-511 Almada, Portugal"},{"name":"Egas Moniz Physiotherapy Clinic and Research Centre, Interdisciplinary Research Centre (CiiEM), Egas Moniz School of Health and Science, 2829-511 Almada, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,1,11]]},"reference":[{"key":"ref_1","unstructured":"de Leeuw, R., and Klasser, G. (2018). Orofacial Pain: Guidelines for Assessment, Diagnosis and Management, Quintessence Publishing. [6th ed.]."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"571","DOI":"10.2147\/JPR.S127950","article-title":"Management of pain in patients with temporomandibular disorder (TMD): Challenges and solutions","volume":"11","year":"2018","journal-title":"J. Pain Res."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1111\/joor.12899","article-title":"Prevalence of temporomandibular disorders in patients seeking orthodontic treatment: A systematic review","volume":"47","author":"Lai","year":"2020","journal-title":"J. Oral Rehabil."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"h1154","DOI":"10.1136\/bmj.h1154","article-title":"Temporomandibular disorders","volume":"350","author":"Durham","year":"2015","journal-title":"BMJ"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1084","DOI":"10.1177\/0022034516653743","article-title":"Painful Temporomandibular Disorder: Decade of Discovery from OPPERA Studies","volume":"95","author":"Slade","year":"2016","journal-title":"J. Dent. Res."},{"key":"ref_6","unstructured":"NIDCR (2022, May 16). Facial Pain, Available online: https:\/\/www.nidcr.nih.gov\/."},{"key":"ref_7","first-page":"7","article-title":"Reliability, validity, incidence and impact of temporormandibular pain disorders in adolescents","volume":"183","author":"Nilsson","year":"2007","journal-title":"Swed. Dent. J. Suppl."},{"key":"ref_8","first-page":"317","article-title":"Temporomandibular joint and muscle disorder-type pain in U.S. adults: The National Health Interview Survey","volume":"22","author":"Isong","year":"2008","journal-title":"J. Orofac. Pain"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1111\/j.1365-2842.2005.01449.x","article-title":"The prevalence of signs and symptoms of temporomandibular disorders in very old subjects","volume":"32","author":"Schmitter","year":"2005","journal-title":"J. Oral Rehabil."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"231","DOI":"10.11607\/ofph.1413","article-title":"Oral Health-Related Quality of Life in Patients with Temporomandibular Disorders","volume":"29","author":"Almoznino","year":"2015","journal-title":"J. Oral Facial Pain Headache"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1111\/idh.12266","article-title":"Oral health-related quality of life in patients with temporomandibular disorders: A case-control study considering psychological aspects","volume":"16","author":"Bayat","year":"2018","journal-title":"Int. J. Dent. Hyg."},{"key":"ref_12","first-page":"310","article-title":"Comparisons of measures that evaluate oral and general health quality of life in patients with temporomandibular disorder and chronic pain","volume":"39","author":"Balik","year":"2021","journal-title":"Cranio J. Craniomandib. Pract."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"977","DOI":"10.1111\/joor.12447","article-title":"Assessment of risk factors for oro-facial pain and recent developments in classification: Implications for management","volume":"43","author":"Svensson","year":"2016","journal-title":"J. Oral Rehabil."},{"key":"ref_14","first-page":"e169","article-title":"Prevalence of the different Axis I clinical subtypes in a sample of patients with orofacial pain and temporomandibular disorders in the Andalusian Healthcare Service","volume":"21","year":"2016","journal-title":"Med. Oral Patol. Oral Y Cir. Bucal"},{"key":"ref_15","first-page":"312","article-title":"Physical therapists\u2019 self-perceived adequacy of entry-level education and their current confidence levels with respect to temporomandibular disorders: A pilot study","volume":"38","author":"Gadotti","year":"2020","journal-title":"Cranio J. Craniomandib. Pract."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"210","DOI":"10.11607\/ofph.1661","article-title":"The Effectiveness of Physiotherapy in the Management of Temporomandibular Disorders: A Systematic Review and Meta-analysis","volume":"30","author":"Paco","year":"2016","journal-title":"J. Oral Facial Pain Headache"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"9","DOI":"10.2522\/ptj.20140548","article-title":"Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis","volume":"96","author":"Pitance","year":"2016","journal-title":"Phys. Ther."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1039","DOI":"10.1177\/0269215516672275","article-title":"The effectiveness of exercise therapy for temporomandibular dysfunction: A systematic review and meta-analysis","volume":"31","author":"Dickerson","year":"2017","journal-title":"Clin. Rehabil."},{"key":"ref_19","first-page":"1","article-title":"Comparative analysis of education, awareness, and knowledge of dentists and physical therapists in the treatment of temporomandibular disorders","volume":"40","author":"Dalanon","year":"2020","journal-title":"Cranio J. Craniomandib. Pract."},{"key":"ref_20","unstructured":"IASP (2022, December 02). International Association for the Study of Pain: Temporomandibular Disorders. Available online: https:\/\/www.iasp-pain.org\/wp-content\/uploads\/2022\/10\/15.-Temporomandibular-Disorders-Pain-Fact-Sheet-Revised-2017.pdf."},{"key":"ref_21","unstructured":"Geeglm (2022, December 02). Fit Generalized Estimating Equations (GEE). Available online: https:\/\/www.rdocumentation.org\/packages\/geepack\/versions\/1.3.9\/topics\/geeglm."},{"key":"ref_22","unstructured":"Core, T.R. (2022, December 02). R: A Language and Environment for Statistical Computing. Available online: https:\/\/www.r-project.org\/."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Colonna, A., Guarda-Nardini, L., Ferrari, M., and Manfredini, D. (2021). COVID-19 pandemic and the psyche, bruxism, temporomandibular disorders triangle. Cranio J. Craniomandib. Pract., 1\u20136.","DOI":"10.1080\/08869634.2021.1989768"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1007\/s10459-010-9263-2","article-title":"Exploring the divergence between self-assessment and self-monitoring","volume":"16","author":"Eva","year":"2011","journal-title":"Adv. Health Sci. Educ. Theory Pract."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"e20210059","DOI":"10.1590\/1678-7757-2021-0059","article-title":"Effects of therapeutic and aerobic exercise programs in temporomandibular disorder-associated headaches","volume":"29","author":"Almeida","year":"2021","journal-title":"J. Appl. Oral Sci. Rev. FOB"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"47","DOI":"10.5935\/0946-5448.20150008","article-title":"Prevalence of tinnitus in patients with different temporomandibular disorders symptoms","volume":"19","author":"Manfredini","year":"2015","journal-title":"Int. Tinnitus J."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1016\/j.prosdent.2013.10.001","article-title":"Is there a link between tinnitus and temporomandibular disorders?","volume":"111","author":"Buergers","year":"2014","journal-title":"J. Prosthet. Dent."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"908","DOI":"10.1111\/joor.12531","article-title":"Temporomandibular disorders and dental occlusion. A systematic review of association studies: End of an era?","volume":"44","author":"Manfredini","year":"2017","journal-title":"J. Oral Rehabil."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1111\/ors.12473","article-title":"Temporomandibular disorders: A review of current concepts in aetiology, diagnosis and management","volume":"13","author":"Kapos","year":"2020","journal-title":"Oral Surg."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"647924","DOI":"10.3389\/froh.2021.647924","article-title":"Polymorphisms in the HTR2A and HTR3A Genes Contribute to Pain in TMD Myalgia","volume":"2","author":"Christidis","year":"2021","journal-title":"Front. Oral Health"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1016\/j.oooo.2019.04.016","article-title":"Temporomandibular joint morphology does not influence the presence of arthralgia in patients with disk displacement with reduction: A magnetic resonance imaging-based study","volume":"129","author":"Poluha","year":"2020","journal-title":"Oral Surg. Oral Med. Oral Pathol. Oral Radiol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1245","DOI":"10.1177\/0022034520936235","article-title":"Occlusal Features and TMJ Clicking: A 30-Year Evaluation from a Cohort Study","volume":"99","author":"Olliver","year":"2020","journal-title":"J. Dent. Res."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"6","DOI":"10.11607\/jop.1151","article-title":"Diagnostic Criteria for Temporomandibular Disorders (DC\/TMD) for Clinical and Research Applications: Recommendations of the International RDC\/TMD Consortium Network* and Orofacial Pain Special Interest Groupdagger","volume":"28","author":"Schiffman","year":"2014","journal-title":"J. Oral Facial Pain Headache"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"T75","DOI":"10.1016\/j.jpain.2013.06.009","article-title":"Psychological factors associated with development of TMD: The OPPERA prospective cohort study","volume":"14","author":"Fillingim","year":"2013","journal-title":"J. Pain"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"e20180210","DOI":"10.1590\/1678-7757-2018-0210","article-title":"Distribution of depression, somatization and pain-related impairment in patients with chronic temporomandibular disorders","volume":"27","author":"Canales","year":"2019","journal-title":"J. Appl. Oral Sci. Rev. FOB"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1111\/joor.12321","article-title":"Manual therapy for the management of pain and limited range of motion in subjects with signs and symptoms of temporomandibular disorder: A systematic review of randomised controlled trials","volume":"42","author":"Calixtre","year":"2015","journal-title":"J. Oral Rehabil."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/2\/1294\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:06:33Z","timestamp":1760119593000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/2\/1294"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,11]]},"references-count":36,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2023,1]]}},"alternative-id":["ijerph20021294"],"URL":"https:\/\/doi.org\/10.3390\/ijerph20021294","relation":{},"ISSN":["1660-4601"],"issn-type":[{"type":"electronic","value":"1660-4601"}],"subject":[],"published":{"date-parts":[[2023,1,11]]}}}