Effects of 4-Week Diacutaneous Fibrolysis on Myalgia, Mouth Opening, and Level of Functional Severity in Women With Temporomandibular Disorders: A Randomized Controlled Trial
| Autor: | Alexandre Carvalho Barbosa, I. C. Ferreira, Michelle Almeida Barbosa, William Bezerra Leite, C. F. Anjos, M. L. Oliveira |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Pain Threshold myalgia Visual analogue scale Temporal Muscle Mandible Severity of Illness Index law.invention Young Adult Randomized controlled trial Facial Pain law Humans Medicine Myofascial Pain Syndromes Physical Therapy Modalities Pain Measurement Massage Mouth Temporomandibular Joint Masseter Muscle business.industry Myofascial pain Significant difference Moderate level Myalgia Temporomandibular Joint Disorders Temporomandibular joint Mouth opening Treatment Outcome medicine.anatomical_structure Anesthesia Masticatory Muscles Female Chiropractics medicine.symptom business |
| Zdroj: | Journal of Manipulative and Physiological Therapeutics. 43:806-815 |
| ISSN: | 0161-4754 |
| DOI: | 10.1016/j.jmpt.2020.01.002 |
| Popis: | Objective The purpose of this study was to assess the effects of 4-week protocol of diacutaneous fibrolysis (DF) compared with simulated DF (sham-DF) on myalgia and mouth opening. Methods In a sham randomized controlled trial, 34 women with temporomandibular disorders and myofascial pain were randomly divided as intervention group (IG) and sham-DF group (SG). The IG received 4 weeks of real DF, and the SG received sham. Pain was assessed through the visual analog scale and pressure pain thresholds (PPTs) on the temporomandibular joint (TMJ), and over the temporal and masseter muscles. The Mandibular Function Impairment Questionnaire was used to classify the participants regarding to the severity of the functional limitation related to TMD. Results Pain scores decreased for both groups, but the IG showed lower values at week 4, with between-group differences. Bilateral temporal PPT showed higher values at week 4, with between-group differences. The SG had lower PPTs but the IG had higher PPTs, both compared to baseline results. The time-by-group interaction and the frequency of participants above 40 mm of mouth opening showed a significant difference for the IG over time with higher results at the 4-week assessment compared to its own baseline. Both groups showed lower MFIQ scores from baseline to 4-week assessment. There was a lower frequency of a moderate level of severity for the IG. No differences were observed for TMJ or for the masseter muscles PPT. Conclusion Improvements were observed for visual analog scale scores and PPTs on temporal muscles. There was a group-by-time interaction in the IG, suggesting a possible potential use of DF for mouth opening. |
| Databáze: | OpenAIRE |
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