{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T21:09:12Z","timestamp":1782421752041,"version":"3.54.5"},"reference-count":44,"publisher":"MDPI AG","issue":"23","license":[{"start":{"date-parts":[[2024,11,21]],"date-time":"2024-11-21T00:00:00Z","timestamp":1732147200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100012190","name":"Ministry of Science and Higher Education program \u201cRegional Initiative of Excellence\u201d","doi-asserted-by":"publisher","award":["022\/RID\/2018\/19"],"award-info":[{"award-number":["022\/RID\/2018\/19"]}],"id":[{"id":"10.13039\/501100012190","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: Pelvic floor muscles (PFM) play a vital role in the proper functioning of the pelvic and abdominal organs. The PFM are structurally connected to other areas of the body, forming part of the deep front line. Due to its course, this line connects the PFM with the temporomandibular joint (TMJ). The aim of the study was to evaluate the impact of a single 15-minute soft tissue therapy session in the TMJ on the activity of the PFM. Methods: A total of 47 nulliparous women aged 20\u201329 years old diagnosed with myofascial pain in the TMJ area were included in the study. PFM were assessed using the Noraxon Ultium device and a vaginal probe, utilizing the surface electromyography (sEMG) method. The sEMG signal was processed with MyoResearch XP software version 1.0. Additionally, bladder floor displacement during PFM contractions was evaluated using an ultrasound imaging device set in B-mode (LOGIQ P7\/P9). Results: In the experimental group, following the applied soft tissue therapy, a significant decrease in resting PFM activity between maximal contractions was observed (p &lt; 0.05). The resting PFM activity assessed in the final phase of the measurement protocol was also significantly lower (p &lt; 0.05). During endurance contractions in the experimental group, after the therapy, an 18.05% increase in PFM tension amplitude was noted, although this change was not statistically significant. In the control group, a decrease in amplitude was observed during the second assessment in this phase of the test. Conclusions: A single session of soft tissue therapy in the TMJ area may enhance the ability of the pelvic floor muscles to relax and contribute to improved muscle function by increasing their activation levels during submaximal contractions<\/jats:p>","DOI":"10.3390\/jcm13237037","type":"journal-article","created":{"date-parts":[[2024,11,21]],"date-time":"2024-11-21T12:24:51Z","timestamp":1732191891000},"page":"7037","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A Single Session of Temporomandibular Joint Soft Tissue Therapy and Its Effect on Pelvic Floor Muscles Activity in Women\u2014A Randomized Controlled Trial"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1025-0508","authenticated-orcid":false,"given":"Iwona","family":"Sulowska-Daszyk","sequence":"first","affiliation":[{"name":"Institute of Clinical Rehabilitation, University of Physical Education in Krak\u00f3w, 31-571 Krak\u00f3w, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Gamrot","sequence":"additional","affiliation":[{"name":"Institute of Clinical Rehabilitation, University of Physical Education in Krak\u00f3w, 31-571 Krak\u00f3w, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulina","family":"Handzlik-Waszkiewicz","sequence":"additional","affiliation":[{"name":"Institute of Basic Sciences, University of Physical Education in Krak\u00f3w, 31-571 Krak\u00f3w, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,11,21]]},"reference":[{"key":"ref_1","first-page":"259","article-title":"Evaluation of Pelvic Floor Muscle Anatomy and Function in Women: Modern Techniques","volume":"16","author":"Rechberger","year":"2012","journal-title":"Menopausal Rev."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Baessler, K., Sch\u00fcssler, B., Burgio, K.L., Moore, K.H., Norton, P.A., and Stanton, S.L. (2008). Pelvic Floor Re-Education. Principles and Practice, Springer. [2nd ed.].","DOI":"10.1007\/978-1-84628-505-9"},{"key":"ref_3","unstructured":"Myers, T.W. (2020). Anatomy Trains: Myofascial Meridians for Manual and Movement Therapists, Elsevier, Churchill Livingstone."},{"key":"ref_4","first-page":"3","article-title":"Fascial Continuity of the Pelvic Floor with the Abdominal and lumbar Region","volume":"35","author":"Ramin","year":"2015","journal-title":"Pelviperineology"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Tim, S., and Mazur-Bialy, A.I. (2021). The Most Common Functional Disorders and Factors Affecting Female Pelvic Floor. Life, 11.","DOI":"10.3390\/life11121397"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"A1","DOI":"10.2519\/jospt.2017.0302","article-title":"Neck Pain: Revision 2017","volume":"47","author":"Blanpied","year":"2017","journal-title":"J. Orthop. Sports Phys. Ther."},{"key":"ref_7","unstructured":"Jull, G., Sterling, M., Falla, D., Treleaven, J., and O\u2019Leary, S. (2008). Whiplash, Headache, and Neck Pain, Elsevier."},{"key":"ref_8","first-page":"151","article-title":"Ocena Zaburze\u0144 Stawu Skroniowo-\u017buchwowego w Aspekcie Aktywno\u015bci Bioelektrycznej","volume":"8","year":"2014","journal-title":"Aktual. Probl. Biomech."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"159","DOI":"10.13045\/jar.2017.02201","article-title":"Systematic Review of the Correlation Between Temporomandibular Disorder and Body Posture","volume":"34","author":"Lee","year":"2017","journal-title":"J. Acupunct. Res."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Zieli\u0144ski, G., Ginszt, M., Zawadka, M., Rutkowska, K., Podstawka, Z., Szkutnik, J., Majcher, P., and Gawda, P. (2021). The Relationship between Stress and Masticatory Muscle Activity in Female Students. J. Clin. Med., 10.","DOI":"10.3390\/jcm10163459"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/j.sxmr.2021.03.002","article-title":"Pelvic Floor Physical Therapy for Pelvic Floor Hypertonicity: A Systematic Review of Treatment Efficacy","volume":"10","author":"Pelger","year":"2022","journal-title":"Sex. Med. Rev."},{"key":"ref_12","first-page":"1","article-title":"Prevalence of Temporomandibular Disorder and Its Relation with Plantar Pressures in University Students of Health-Related Courses","volume":"17","author":"Oliveira","year":"2020","journal-title":"Man. Ther. Posturology Rehabil. J."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1111\/joor.12104","article-title":"Is There Relationship between Temporomandibular Disorders and Head and Cervical Posture? A Systematic Review","volume":"40","author":"Rocha","year":"2013","journal-title":"J. Oral Rehabil."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"M\u00ednguez-Esteban, I., De-la-Cueva-Reguera, M., Romero-Morales, C., Mart\u00ednez-Pascual, B., Navia, J.A., Bravo-Aguilar, M., and Abu\u00edn-Porras, V. (2024). Physical Manifestations of Stress in Women. Correlations between Temporomandibular and Pelvic Floor Disorders. PLoS ONE, 19.","DOI":"10.1371\/journal.pone.0296652"},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"W\u00f3jcik, M., Go\u017adziewicz, T., Hud\u00e1kov\u00e1, Z., and Siatkowski, I. (2023). Endometriosis and the Temporomandibular Joint\u2014Preliminary Observations. J. Clin. Med., 12.","DOI":"10.3390\/jcm12082862"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e35","DOI":"10.1097\/JU.0000000000001965.12","article-title":"Pelvic Floor Myalgia and Temporomandibular Joint Dysfunction: A Common and Clinically Important Relationship","volume":"206","author":"Griffiths","year":"2021","journal-title":"J. Urol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.jmpt.2011.09.004","article-title":"Intraoral Myofascial Therapy for Chronic Myogenous Temporomandibular Disorder: A Randomized Controlled Trial","volume":"35","author":"Kalamir","year":"2012","journal-title":"J. Manip. Physiol. Ther."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1016\/S0161-4754(03)00096-4","article-title":"Chiropractic Treatment of Temporomandibular Disorders Using the Activator Adjusting Instrument: A Prospective Case Series","volume":"26","author":"DeVocht","year":"2003","journal-title":"J. Manip. Physiol. Ther."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1186\/s13005-023-00385-y","article-title":"Evaluation of the Efficacy of Manual Soft Tissue Therapy and Therapeutic Exercises in Patients with Pain and Limited Mobility TMJ: A Randomized Control Trial (RCT)","volume":"19","author":"Dalewski","year":"2023","journal-title":"Head Face Med."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1002\/nau.25354","article-title":"The Effects of One-time Soft Tissue Therapy on Pelvic Floor Muscle Electromyographic Signals in Women with Urinary Incontinence: A Randomized Intervention Trial","volume":"43","author":"Kawka","year":"2024","journal-title":"Neurourol. Urodyn."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"2226","DOI":"10.1016\/S0022-5347(05)65539-5","article-title":"Pelvic Floor Myofascial Trigger Points: Manual Therapy for Interstitial Cystitis and the Urgency-Frequency Syndrome","volume":"166","author":"Weiss","year":"2001","journal-title":"J. Urol."},{"key":"ref_22","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 Group","volume":"28","author":"Schiffman","year":"2014","journal-title":"J. Oral Facial Pain Headache"},{"key":"ref_23","unstructured":"(2023, June 01). Available online: https:\/\/www.graphpad.com\/quickcalcs\/randomize1\/."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1016\/S0004-9514(05)70023-4","article-title":"Investigation of Transabdominal Real-Time Ultrasound to Visualise the Muscles of the Pelvic Floor","volume":"51","author":"Sherburn","year":"2005","journal-title":"Aust. J. Physiother."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Halski, T., Ptaszkowski, K., S\u0142upska, L., and Dymarek, R. (2013). The Evaluation of Bioelectrical Activity of Pelvic Floor Muscles Depending on Probe Location: A Pilot Study. Biomed. Res. Int., 2013.","DOI":"10.1155\/2013\/238312"},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Oleksy, \u0141., Mika, A., Sulowska-Daszyk, I., Ros\u0142oniec, E., Kielnar, R., and Stolarczyk, A. (2021). The Reliability of Pelvic Floor Muscle Bioelectrical Activity (SEMG) Assessment Using a Multi-Activity Measurement Protocol in Young Women. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18020765"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1037\/0033-2909.112.1.155","article-title":"A Power Primer","volume":"112","author":"Cohen","year":"1992","journal-title":"Psychol. Bull."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1007\/s11062-021-09902-8","article-title":"Effects of a One-Time Biofeedback EMG Session on Neuromuscular Activity of the Pelvic Floor Muscles in Pregnant Women","volume":"52","author":"Piernicka","year":"2020","journal-title":"Neurophysiology"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1016\/j.jmpt.2013.12.007","article-title":"Effects of Massage Therapy and Occlusal Splint Therapy on Mandibular Range of Motion in Individuals With Temporomandibular Disorder: A Randomized Clinical Trial","volume":"37","author":"Politti","year":"2014","journal-title":"J. Manip. Physiol. Ther."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1016\/j.jmpt.2009.04.003","article-title":"Influence of the Temporomandibular Joint on Range of Motion of the Hip Joint in Patients With Complex Regional Pain Syndrome","volume":"32","author":"Fischer","year":"2009","journal-title":"J. Manip. Physiol. Ther."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1011","DOI":"10.1080\/03007995.2018.1552042","article-title":"Current Understanding of the Mixed Pain Concept: A Brief Narrative Review","volume":"35","author":"Freynhagen","year":"2019","journal-title":"Curr. Med. Res. Opin."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"37","DOI":"10.3727\/036012902816026130","article-title":"Intravaginal Surface EMG Probe Design Test for Urinary Incontinence Patients","volume":"27","author":"Aukee","year":"2002","journal-title":"Acupunct. Electro-Ther. Res."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1623","DOI":"10.1007\/s00192-018-3599-1","article-title":"Can Maximal Voluntary Pelvic Floor Muscle Contraction Reduce Vaginal Resting Pressure and Resting EMG Activity?","volume":"29","author":"Naess","year":"2018","journal-title":"Int. Urogynecol. J."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"B\u0142udnicka, M., Piernicka, M., Kortas, J., Bojar, D., Duda-Biernacka, B., and Szumilewicz, A. (2022). The Influence of One-Time Biofeedback Electromyography Session on the Firing Order in the Pelvic Floor Muscle Contraction in Pregnant Woman\u2013A Randomized Controlled Trial. Front. Hum. Neurosci., 16.","DOI":"10.3389\/fnhum.2022.944792"},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Chmielewska, D., Stania, M., Kucab\u2013Klich, K., B\u0142aszczak, E., Kwa\u015bna, K., Smykla, A., Hudziak, D., and Dolibog, P. (2019). Electromyographic Characteristics of Pelvic Floor Muscles in Women with Stress Urinary Incontinence Following SEMG-Assisted Biofeedback Training and Pilates Exercises. PLoS ONE, 14.","DOI":"10.1371\/journal.pone.0225647"},{"key":"ref_36","first-page":"105","article-title":"Bioelectrical Activity of the Pelvic Floor Muscles after 6-Week Biofeedback Training in Nulliparous Continent Women","volume":"18","author":"Chmielewska","year":"2016","journal-title":"Acta Bioeng. Biomech."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1123\/att.7.4.14","article-title":"Uses of Manual-Therapy Techniques in Pain Management","volume":"7","author":"Swann","year":"2002","journal-title":"Athl. Ther. Today"},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Szumilewicz, A., Dornowski, M., Piernicka, M., Worska, A., Kuchta, A., Kortas, J., B\u0142udnicka, M., Radzimi\u0144ski, \u0141., and Jastrz\u0119bski, Z. (2019). High-Low Impact Exercise Program Including Pelvic Floor Muscle Exercises Improves Pelvic Floor Muscle Function in Healthy Pregnant Women\u2014A Randomized Control Trial. Front. Physiol., 9.","DOI":"10.3389\/fphys.2018.01867"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1016\/S0268-0033(02)00033-5","article-title":"The Relationship between EMG Median Frequency and Low Frequency Band Amplitude Changes at Different Levels of Muscle Capacity","volume":"17","author":"Allison","year":"2002","journal-title":"Clin. Biomech."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1016\/j.clinbiomech.2009.01.010","article-title":"Surface EMG Based Muscle Fatigue Evaluation in Biomechanics","volume":"24","author":"Cifrek","year":"2009","journal-title":"Clin. Biomech."},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Zaj\u0105c, B., Sulowska-Daszyk, I., Mika, A., Stolarczyk, A., Ros\u0142oniec, E., Kr\u00f3likowska, A., Rzepko, M., and Oleksy, \u0141. (2021). Reliability of Pelvic Floor Muscle Assessment with Transabdominal Ultrasound in Young Nulliparous Women. J. Clin. Med., 10.","DOI":"10.3390\/jcm10153449"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1007\/s00192-005-1308-3","article-title":"Assessment of Pelvic Floor Movement Using Transabdominal and Transperineal Ultrasound","volume":"16","author":"Thompson","year":"2005","journal-title":"Int. Urogynecol. J."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1589\/jpts.28.360","article-title":"Assessment of the Effect of Pelvic Floor Exercises on Pelvic Floor Muscle Strength Using Ultrasonography in Patients with Urinary Incontinence: A Prospective Randomized Controlled Trial","volume":"28","author":"Tosun","year":"2016","journal-title":"J. Phys. Ther. Sci."},{"key":"ref_44","doi-asserted-by":"crossref","unstructured":"Hagovska, M., Svihra, J., and Urdzik, P. (2022). Predictive Value of Pelvic Floor Muscle Morphometry Using 3D\/4D Ultrasound in Relation to the Success of Pelvic Floor Muscle Training in Women with Stress Urinary Incontinence. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph192214757"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/23\/7037\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:37:04Z","timestamp":1760114224000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/23\/7037"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,21]]},"references-count":44,"journal-issue":{"issue":"23","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["jcm13237037"],"URL":"https:\/\/doi.org\/10.3390\/jcm13237037","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,21]]}}}