Auricular acupuncture in TMD - A sham-controlled, randomized, clinical trial.

Autor: Aroca JP; Western State University of Paraná - Physical Therapy School - Cascavel, Paraná, Brazil. Electronic address: jparoca@uol.com.br., Cardoso PMF; Department of Restorative Dentistry, Western State University of Paraná - Dental School, Cascavel, Paraná, Brazil. Electronic address: polif1704@gmail.com., Favarão J; Department of Prosthodontics, Western State University of Paraná - Dental School, Cascavel, Paraná, Brazil. Electronic address: jamillefavarao@hotmail.com., Zanini MM; Department of Orthodontics, Western State University of Paraná - Dental School, Cascavel, Paraná, Brazil. Electronic address: mauriciomattezanini@gmail.com., Camilotti V; Department of Restorative Dentistry, Western State University of Paraná - Dental School, Cascavel, Paraná, Brazil. Electronic address: vericamilotti@hotmail.com., Busato MCA; Department of Orthodontics, Western State University of Paraná - Dental School, Cascavel, Paraná, Brazil. Electronic address: mcabusato@uol.com.br., Mendonça MJ; Department of Prosthodontics, Western State University of Paraná - Dental School, Cascavel, Paraná, Brazil. Electronic address: marcio.mendonca@unioeste.br., Alanis LRA; Graduate Program in Dentistry, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil. Electronic address: l.azevedo@pucpr.br.
Jazyk: angličtina
Zdroj: Complementary therapies in clinical practice [Complement Ther Clin Pract] 2022 Aug; Vol. 48, pp. 101569. Date of Electronic Publication: 2022 Apr 12.
DOI: 10.1016/j.ctcp.2022.101569
Abstrakt: This study evaluated the effect of auricular acupuncture (AA) on physical (PA) and emotional (EA) aspects of patients with temporomandibular disorders (TMDs) and compared the effect of AA with those of Sham and occlusal splints (OS). In accordance with the CONSORT guidelines, patients with TMDs were evaluated by axes I and II of the RDC-TMD. The patients were allocated among three groups: OS, Sham and AA; and followed for 8 weeks. Both intragroup and intergroup evaluation for quantitative variables were analyzed with ANOVA, one-way, followed by the Tukey test. Qualitative variables were analyzed with the Kruskal-Wallis, and Dunn tests (intergroup evaluation) and for intragroup analyses, the Friedman and Wilcoxon tests were applied. At the end of the experiment, the chi-squared test was applied to compare the three groups with respect to the number of variables that had shown improved scores. The adopted level of significance for all tests was α = 5%. Intragroup analysis showed that, in the Sham group, no improvement in performance was seen in either EA and significant was improvements in 5 variables for 9 for PA, while in the AA group, significant improvements were observed in 2 variables for EA and in 9 for PA. In the OS group at the end of this study, significant improvements were observed in 8 and 8 variables for EA and PA, respectively. The analysis of therapies used revealed that the number of variables exhibiting significantly improved outcomes after treatment was similar between the AA and OS groups, whereas the sham group showed statistically significant differences when compared with the other two groups. In conclusion, this study demonstrated that AA applied at a specific TMJ ear point was able to bring about improvements in patients with TMDs, with outcomes similar to those in patients treated with an OS. CLINICAL TRIAL REGISTRATION: RBR-69ynnw (Brazilian Registry of Clinical Trials).
(Copyright © 2022 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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