Abstract

Objective: To compare massage and stretching exercises; relaxation and imagination therapy; and a combination of these two interventions in bruxism. Methods: Seventy-two participants were randomly assigned to Group 1 (massage with stretching exercises, n=24), Group 2 (relaxation with imagination therapy, n=24) or Group 3 (two interventions combinate, n=24). The treatment lasted 6-week. Assessments were made before, after 6-week and two months. Muscle pain, pain threshold, maximum mandibular opening, anxiety, stress, depression, oral health, and sleep were established as outcome variables. Results: After six weeks and two-month, significant improvements were observed in muscle pain, state anxiety, stress, depression, and sleep for three groups (p<0.05). In the comparison among the three groups, there were significant differences for the most outcomes with the higher improvement of Group 3 after 6-week and two months (p<0.05). Therefore, there is the superior effect of the combination of two physical therapy interventions in bruxism.

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