Manual therapy and dry needling improve mobility, pain and reduce fear of COVID-19 in temporomandibular disorder patients: Randomized controlled trial

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-05-27 DOI:10.1016/j.jbmt.2024.05.015

Caio César Quintiliano Ferreira , Karen Rodrigues Lima , Marco Fabrício Dias-Peixoto , Débora Ribeiro Orlando , Paula Midori Castelo , Luciano José Pereira , Eric Francelino Andrade

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引用次数: 0

Abstract

Background and purpose

The COVID-19 pandemic exacerbated pain and joint mobility outcomes in patients with temporomandibular disorders (TMD), being that effective treatments are of clinical interest. We aimed to evaluate the effects of manual therapy (MT) and dry needling (DN), compared to cognitive-behavioral therapy/control (CO), on pain, articular mobility, and fear of COVID-19 in patients with TMD.

Materials and methods

Sixty participants with myofascial TMD were randomly assigned to three groups: MT, DN, and CO. Participants received four weeks of treatment (30 min per week). The participants completed the Fear of COVID- 19 Scale, the Visual Analog Scale, and mandibular mobility was assessed. Data were collected before the intervention (T1), after the last treatment session (T2), and 30 days after the end of treatment (T3). The data were analyzed using two-way Mixed-Design ANOVA, considering the group effect (DN x MT x CO), time (T1, T2, and T3), and the interaction time × group in the observed variance of outcomes.

Results

We observed an interaction effect of time × group for maximum mouth opening, protrusion, and pain. The maximum mouth opening increased in the DN and MT groups (p = 0.005), while protrusion increased in the DN group (p = 0.007; test power = 97%, large effect size). A decrease in pain scores over time was observed in the DN and MT groups (p < 0.001; test power>99%, large effect size). The fear of COVID-19 score decreased in the DN and MT groups after 30 days (p = 0.033).

Conclusion

DN and MT improve pain, joint mobility, and fear of COVID-19 in patients with TMD.

查看原文本刊更多论文

手法治疗和干针疗法可改善颞下颌关节紊乱症患者的活动能力、疼痛并减轻对 COVID-19 的恐惧：随机对照试验

背景和目的COVID-19大流行加剧了颞下颌关节紊乱症（TMD）患者的疼痛和关节活动度，因此有效的治疗方法备受临床关注。我们旨在评估手法治疗（MT）和干针疗法（DN）与认知行为疗法/对照组（CO）相比，对 TMD 患者疼痛、关节活动度和对 COVID-19 的恐惧的影响：MT组、DN组和CO组。参与者接受为期四周的治疗（每周 30 分钟）。参与者完成 COVID- 19 恐惧量表、视觉模拟量表，并对下颌活动度进行评估。数据收集于干预前（T1）、最后一次治疗后（T2）和治疗结束后 30 天（T3）。数据采用双向混合设计方差分析，在观察结果的方差中考虑了组效应（DN x MT x CO）、时间（T1、T2 和 T3）以及时间 × 组的交互作用。DN 组和 MT 组的最大张口度增加（p = 0.005），而 DN 组的突出度增加（p = 0.007；检验功率 = 97%，效应量大）。随着时间的推移，DN 组和 MT 组的疼痛评分有所下降（p <0.001；测试功率>99%，大效应量）。30 天后，DN 组和 MT 组对 COVID-19 的恐惧评分下降（p = 0.033）。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.