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Fig. 2 | Trials

Fig. 2

From: Additional effect of pain neuroscience education to craniocervical manual therapy and exercises for pain intensity and disability in temporomandibular disorders: a study protocol for a randomized controlled trial

Fig. 2

The manual therapy techniques. A Intraoral temporalis myofascial release: The therapist will be positioned by the side in which the technique will be administered, one hand will be on the coronoid process of the mandible with pressure according to the patient's tolerance, while the other hand will be along the temporal muscle. The patient will perform opening movements of the mouth gradually until the maximum opening. B Intraoral medial and lateral pterygoid (origin) technique: The therapist will be positioned contralateral by the side in which the technique will be administered, and with the index finger, the therapist will press the origins of the pterygoid muscles, the pressure will be carefully maintained for 5 s. C Intraoral sphenopalatine ganglion technique: The therapist's index finger will be slowly inserted along the buccal surface of the slightly occluded teeth, the patient will tighten the teeth and, after relaxing, the therapist will apply pressure behind the lingual surface of the masseter and medial pterygoid, this process is repeated until the fingertip approaches the anterior surface of the infratemporal fossa/sphenopalatine fossa, in a comfortable way for the patient

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