Effects of therapeutic and aerobic exercise programs in temporomandibular disorder-associated headaches

Objective: To assess the effects of three 8-week exercise programs on the frequency, intensity, and impact of headaches in patients with headache attributed to temporomandibular disorder (TMD). Methodology: Thirty-six patients diagnosed with headache attributed to TMD participated in the study and were divided into three groups of 12 patients: a therapeutic exercise program (G1, mean age: 26.3±5.6 years), a therapeutic and aerobic exercise program (G2, mean age: 26.0±4.6 years), and an aerobic exercise program (G3, 25.8±2.94 years). Headache frequency and intensity were evaluated using a headache diary, and the adverse headache impact was evaluated using the Headache Impact Test (HIT-6). The intensity was reported using the numerical pain rating scale. These parameters were evaluated twice at baseline (A01/A02), at the end of the 8-week intervention period (A1), and 8-12 weeks after the end of the intervention (A2). Results: At A1, none of the G2 patients reported having headaches, in G1, only two patients reported headaches, and in G3, ten patients reported headache. The headache intensity scores (0.3 [95% CI: -0.401, 1.068]), (0.0 [95% CI: -0.734, 0.734]) and HIT-6 (50.7 [95% CI: 38.008, 63.459]), (49.5 [95% CI: 36.808, 62.259]), significantly decreased in G1 and G2 at A1. At A2 headache intensity scores (0.5 [95% CI: -0.256, 1.256]), (0.0 [95% CI: -0.756, 0.756]) and HIT-6 (55.1 [95% CI: 42.998, 67.268]), (51.7 [95% CI: 39.532, 63.802]) in G1 and G2 haven't change significantly. The effects obtained immediately after the completion of the intervention programs were maintained until the final follow-up in all groups. Conclusion: The programs conducted by G1 (therapeutic exercises) and G2 (therapeutic and aerobic exercise) had significant results at A1 and A2.info:eu-repo/semantics/publishedVersio

EMG activation of abdominal muscles in the crunch exercise performed with different external loads

Objective: The aim of this study was to describe by means of surface electromyography the activation of the rectus abdominis, obliquus externus and rectus femoris muscles during the "crunch" abdominal exercise performed with loads. Methods: Thirteen subjects performed crunch exercises with loads representing 80, 60, 40 and 20% of the 1-RM (100%) in a random order with the subjects drawing lots, and with a 5 min rest between sets. Surface bipolar EMG electrodes were used. The root mean square of the EMG was calculated for the first repetition of each load. Differences between conditions were tested using a one way ANOVA for repeated measures. Post-hoc Bonferroni tests was used to detect significant differences between specific loads (p < 0.05). Results: An average of the percentage values of all Studied abdominal muscles was used as a representative value of abdominal synergy (Ab Syn). In general it can be concluded that the abdominal muscles were significantly more recruited in the 100% load condition. Abdominal activation significantly differed between the various loads: however, in general adjacent loads (20 vs. 40% - 1-RM) did not differ. Conclusions: These results suggest that for young, healthy and physically active adults when the objective is progression in the training process of abdominal force, the option ought to be for changes of load superior to 20% of the 1-RM. (C) 2009 Elsevier Ltd. All rights reserved.102576