The aim of this study is to compare the effects in pain of two different treatments in pacients with temporomandibular disorders (TMD). One group will receive isolated therapeutic exercise (TE) and the other will receive TE combined with pain neurophysiology education (PNE). The hypothesis of this study is that the PNE+TE group will obtain superior therapeutic results than an isolated TE program.
Over 18 years of age
Limitation of mouth opening and/or jaw pain lasting more than 6 months
Being able to understand the objective and carry out the study procedures
Sign the informed consent.
Suffer from any underlying disease
Pain due to tumors or infections, metastases, osteoporosis, inflammatory arthritis or fractures
Be receiving any other treatment for TMD or consuming some type of substance that alters muscle tone.
Patients with myopathies, diseases of the Peripheral Nervous System, mental disorders diagnosed by a doctor
Parallel
Therapeutic Exercise
BehavioralA therapeutic exercise program will be carried out
Pain Neurophysiology Education
BehavioralA PNE program will be carried out
Pain intensity
The intensity of pain will be evaluated using the Visual Analogue Scale that is represented by a 10cm line where the left end indicates "no pain" and the right end indicates "maximum pain".
Mouth opening without pain
The distance between the upper and lower mandibular central incisors will be measured using a TheraBite range of motion scale.
Orofacial disability and pain
The CF-PDI is a self-administered questionnaire that measures pain and disability outcomes related to craniofacial pain. It consists of 21 items, with a score ranging from 0 to 63 points. A higher score reflects higher levels of disability.
Catastrophism
The PCS consists of a self-administered questionnaire with 13 items for the evaluation of catastrophic thoughts. It is divided into three domains: helplessness, magnification and rumination. Higher values denote greater pain catastrophizing
Kinesiophobia
The Spanish version of the TSK-11 will be used to evaluate the fear of re-injury due to movement. This questionnaire has a structure of 11 items and 2 factors that includes avoidance and harm of activities. Higher scores reflect greater fear of movement
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