Progressive muscle relaxation according to Jacobson in treatment of the patients with temporomandibular joint disorders

Folia Med Cracov. 2019;59(3):113-122. doi: 10.24425/fmc.2019.131140.


Significant impact factor and psycho-emotional stress in the etiology of dysfunction indicate the need of the routine approach in the treatment of patients with temporomandibular joint disorders to be changed. The aim of the study was to obtain data, documented test results as to the effciency of progressive muscle relaxation in the treatment of pain caused by temporomandibular joint disorders, as a supplement to previous methods using occlusal splint and other physical therapies. The study included 100 patients of both sexes, aged from 20 to 35 years who were diagnosed with pain due to temporomandibular joint disorders accompanied with high muscle tension of musticatory muscles which were treatment by relaxation therapy. All patients underwent physical examination, specialized functional examination of the masticatory system in accordance with the Polish version of the study RDC/TMD (The Research Diagnostic Criteria of Temporomandibular Disorders, Axis I - physical assessment, Axis II - assessment of psychosocial status and pain - related disability) and assessment of psycho emotional factor and stress, based on the survey developed for their own purpose. The results of the research were obtained using specialized statistical package "R" i386 3.2.3. The results of examinations a er relaxation therapy showed a significant reduction in the intensity of myofascial pain in all patients. Progressive muscle relaxation can be successfully used as an supportive therapy treatment of patient with dysfunction.

Keywords: psychoemotional factor; relaxation therapy; stress; temporomandibular joint disorder (TMD).

MeSH terms

  • Adult
  • Female
  • Humans
  • Male
  • Muscle Relaxation / physiology*
  • Pain Management / methods*
  • Poland / epidemiology
  • Relaxation Therapy / methods*
  • Surveys and Questionnaires
  • Temporomandibular Joint Disorders / epidemiology
  • Temporomandibular Joint Disorders / physiopathology*
  • Temporomandibular Joint Disorders / therapy*
  • Young Adult