Effect of high voltage electrical stimulation in temporomandibular disorders: a randomized controlled trial.

IF 1.6 4区医学 Q2 REHABILITATION

Physiotherapy Theory and Practice Pub Date : 2025-01-01 Epub Date: 2024-02-26 DOI:10.1080/09593985.2024.2321215

Halime Arikan, Seyit Citaker, Cahit Ucok, Ozlem Ucok

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引用次数: 0

Abstract

Objective: To examine the effects of high voltage electrical stimulation (HVES) on pain intensity, maximum mouth opening (MMO), cervical mobility, head position, pressure pain thresholds (PPTs), bite force, joint sounds, and jaw muscle strength in individuals with temporomandibular disorders (TMDs).

Methods: Thirty-four individuals with TMDs were randomly divided into the exercise group (EG) (n = 17) and the HVES group (HG) (n = 17). For 4 weeks, EG received exercise therapy alone, while HG received HVES (12 sessions in total, 3 days a week to anterior temporalis and masseter) in conjunction with exercise.

Results: After the treatment, in both groups, pain intensity significantly decreased (p < .001); MMO (7.27 mm in HG and 3.61 mm in EG), cervical mobility, head position, PPTs, bite force, and jaw muscle strength significantly increased (p = .043 to < .001). Joint sounds significantly decreased in the HG (p = .008). Left bite force (p = .040) and left medial pterygoid PPT (p = .013) increased more in EG. The change in left bite force in EG over time was significant (p = .040; η_p² = .126). The effect sizes of treatments were medium to large (from .527 to 1.602) for the evaluated parameters.

Conclusion: Although exercise alone was effective in many parameters evaluated, additional application of HVES provided further improvement for pain, MMO, cervical mobility, PPTs, jaw muscle strength and joint sounds. HVES can be routinely used in clinics for individuals with TMDs.

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高压电刺激对颞下颌关节紊乱症的影响：随机对照试验。

目的研究高压电刺激（HVES）对颞下颌关节紊乱症（TMDs）患者的疼痛强度、最大张口度（MMO）、颈椎活动度、头部位置、压痛阈值（PPTs）、咬合力、关节声和下颌肌力的影响：34 名 TMD 患者被随机分为运动组（EG）（17 人）和 HVES 组（HG）（17 人）。在为期 4 周的时间里，EG 组单独接受运动疗法，而 HG 组在接受运动疗法的同时接受 HVES 治疗（共 12 次，每周 3 天，治疗颞肌前肌和咀嚼肌）：治疗后，两组患者的疼痛强度均明显下降（p = .043 至 p = .008）。EG组的左侧咬合力（p = .040）和左侧翼内侧PPT（p = .013）增加较多。随着时间的推移，EG 的左咬合力变化显著（p = .040; ηp2 = .126）。在评估的参数中，治疗的效应大小为中等至大（从 0.527 到 1.602）：结论：尽管单独锻炼对许多评估参数有效，但额外应用 HVES 可进一步改善疼痛、MMO、颈椎活动度、PPTs、下颌肌力和关节声。HVES 可在临床上常规用于 TMD 患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physiotherapy Theory and Practice REHABILITATION-

CiteScore

3.40

自引率

10.00%

发文量

300

期刊介绍： The aim of Physiotherapy Theory and Practice is to provide an international, peer-reviewed forum for the publication, dissemination, and discussion of recent developments and current research in physiotherapy/physical therapy. The journal accepts original quantitative and qualitative research reports, theoretical papers, systematic literature reviews, clinical case reports, and technical clinical notes. Physiotherapy Theory and Practice; promotes post-basic education through reports, reviews, and updates on all aspects of physiotherapy and specialties relating to clinical physiotherapy.