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Chiropractic Treatment of Temporomandibular Disorders Using the Activator Adjusting Instrument: A Prospective Case Series

March 17, 2015

AUGUST 11, 2003
 

Subject: Temporomandibular Joint Disorders. Reference: James w. DeVocht, DC, PhD,a Cynthia R. Long,  PhD,b Deborah L. Zeitler, DDS,c and Walter Schaeffer, DCd JMPT 2003;  26(7): 421-425

 

ABSTRACT: Objective: To determine if there was a basis for the  treatment of Temporomandibular disease (TMD) using the chiropractic  protocol developed by Activator Methods, International.

 

Setting: Private, solo practice of an Activator advanced proficiency rated chiropractor with 15 years experience.

 

Design: Prospective case series.

 

Participants: Nine adult volunteers with articular TMD recruited from the practice of the treating clinician.

 

Main Outcome Measures: Change from baseline to follow-up  of Visual Analog Scale (VAS) for temporomandibular joint (TMJ) pain and  maximum active mouth opening without pain.

 

Interventions: Full spine and TMJ adjusting in accordance  with the advanced protocol of Activator Methods, International.  Participants were typically seen 3 times per week for 2 weeks and  according to individual progress thereafter for 6 more weeks.

 

Results: Eight participants completed outcome  assessments. The median VAS decrease was 45 mm (range 21-71); all  experienced improvement. The median increase of mouth opening was 9 mm  (range 1-15); all showed improvement.

 

Conclusion: The results of this prospective case series  indicated that the TMD symptoms of these participants improved following  a course of treatment using the Activator Methods International  protocol. Consequently, further investigation of this type of  chiropractic treatment for patients with the articular type of TMD is  warranted. (1 Manipulative Physiol Ther 2003;26:421-5)

a Assistant Professor, Palmer Center for Chiropractic  Research, Davenport, Iowa, and Adjunct Assistant Professor, Iowa Spine  Research Center, University of Iowa, Iowa City, Iowa. b Associate Professor, Palmer Center for Chiropractic  Research, has been conducted by ECRI, formerly the Emergency Care  Davenport, Iowa. Research Institute, an independent nonprofit health  services . cProfessor, Hospital Dentistry Institute, University of Iowa Hospitals and Clinics, Iowa City, Iowa. dPrivate practice of chiropractic, Coralville, Iowa.

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