In contemporary times, a significant portion of the population experiences symptoms of temporomandibular joint (TMJ) dysfunction. The objective of this study was to evaluate the effects of a single-session TMJ soft tissue therapy on the TMJ and cervical spine mobility as well as on body balance and the foot load distribution. This study was a parallel-group, randomized, controlled trial with a 1:1 allocation ratio. Fifty women aged 20–30 years diagnosed with myofascial pain in the TMJ area were included in the study and divided into two groups. The experimental group received TMJ soft tissue therapy. The following research tools were used: a Hogetex electronic caliper, a CROM Deluxe, and a FreeMed Base pedobarographic platform. In the experimental group, an increase in mobility within all assessed jaw and cervical spine movements was observed. This change was statistically significant (p < 0.05) for lateral movement to the left, abduction, and protrusion of the jaw (an increase of 10.32%, 7.07%, and 20.92%, respectively) and for extension, lateral bending to the right and left, and rotation to the right and left, of the cervical spine (an increase of 7.05%, 7.89%, 10.44%, 4.65%, and 6.55%, respectively). In the control group, no significant differences were observed. No significant changes were observed in the load distribution and body balance assessment. A single session of TMJ soft tissue therapy increases jaw and cervical spine mobility but does not impact body balance or foot load distribution in static conditions in women diagnosed with myofascial pain in the TMJ area.
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 20–29 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 < 0.05). The resting PFM activity assessed in the final phase of the measurement protocol was also significantly lower (p < 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
Pelvic floor muscles (PFMs) in women play a key role, and their proper functioning depends on the coordinated interaction with other anatomical structures, particularly the diaphragm and deep abdominal muscles, which together constitute the so-called core stabilizing unit. The aim of this study was to evaluate the effects of diaphragmatic breathing therapy on pelvic floor muscle function and stress levels in healthy women. The randomized, controlled, parallel-group trial (allocation 1:1) included 42 women aged 21–30 years who met the inclusion and exclusion criteria. The experimental group received diaphragmatic breathing therapy. The following assessment tools were used: Surface Electromyography (sEMG), the Sexual Satisfaction Questionnaire in Close Relationships (KSS) by M. Plopa, and the Perception of Stress Questionnaire (KPS) by M. Plopa and R. Makarowski. In the experimental group, a significant reduction in resting PFM activity was observed in the final stage of the measurement protocol, along with a tendency toward decreased activity during relaxation phases. A trend toward increased amplitude during phasic and tonic contractions was also noted, more pronounced after therapy than in the control group, although not statistically significant. No significant associations between stress dimensions and sexual satisfaction were found in the control group, whereas in the experimental group, higher worry, reduced sense of meaning, low agency and pessimism correlated with lower sexual satisfaction and difficulties achieving orgasm. These findings suggest that diaphragmatic breathing therapy may reduce resting pelvic floor muscle activity and perceived emotional stress.
This exploratory randomized study examined whether manual diaphragm therapy is associated with masseter muscle activity, mandibular motor function, and perceived stress in healthy women. Forty-two asymptomatic women aged 20–30 years were randomized to an intervention group (n = 20), receiving six sessions over two weeks, or a no-intervention control group (n = 22). Before and after the intervention period, bilateral masseter surface electromyography (sEMG) was recorded at rest and during standardized mandibular motor tasks; mandibular range of motion was measured with an electronic caliper, and perceived stress was assessed using the Perceived Stress Questionnaire. Non-parametric tests with Bonferroni correction were applied. No significant within-group changes were observed in resting masseter sEMG. The only task-related within-group result that remained significant after correction was a reduction in normalized right masseter mean RMS amplitude during protrusion in the intervention group (p = 0.001; adjusted p = 0.032; r = 0.685). Mandibular range of motion increased in both groups, but change scores did not differ between groups. Stress-related outcomes and correlations with sEMG or mandibular motion were not significant after adjustment. These findings do not demonstrate consistent group-specific effects. The isolated within-group finding should be regarded as preliminary and hypothesis-generating and cannot be attributed specifically to manual diaphragm therapy.