Initial therapeutic approaches for orofacial myofascial pain: three pilot studies.

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2025-05-01 Epub Date: 2023-04-13 DOI:10.1080/08869634.2023.2198397

Irmgard Simma-Kletschka, Nikolaus Artacker, Michael Balla, Nikolaus Oellerer, Eva Piehslinger, Cinzia Fornai

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引用次数: 0

Abstract

Objective: Myofascial pain diminishes the stomatognathic function and hinders clinical diagnosis. Therefore, initial pain reduction is crucial before definitive treatment. Here, the clinical validity of non-pharmaceutical therapies, including the Aqualizer® splint, physiotherapy, and dry-needle acupuncture was comparatively assessed.

Methods: Myofascial pain patients (n = 28; 20-65 years old) were examined through a visual analog scale, and intra- and extra-oral muscle palpation. Mandibular maximum opening and neck mobility were also evaluated. Changes in parameters through time were analyzed via the Kruskal-Wallis test, while the Friedman test and dot-plots were used for comparative therapies assessment. General patient improvement was represented via an isometric Principal Component.

Results: The Aqualizer® and physiotherapy resulted in improvement of all parameters except for mouth opening. Acupuncture improved extra-oral muscle pain and neck mobility.

Conclusion: The Aqualizer®, physiotherapy, and oral acupuncture are effective initial pain therapies. Among all, physiotherapy provided the greatest benefits, followed by the Aqualizer®.

查看原文本刊更多论文

口面肌筋膜疼痛的初步治疗方法：三项试点研究。

目的：肌筋膜疼痛损害口颌功能，妨碍临床诊断。因此，在最终治疗之前，最初的疼痛减轻是至关重要的。本研究对比评估了Aqualizer®夹板、物理疗法和干针针刺等非药物疗法的临床有效性。方法：肌筋膜疼痛患者28例；20-65岁)通过视觉模拟量表和口内、口外肌肉触诊进行检查。下颌最大开口和颈部活动度也进行了评估。通过Kruskal-Wallis检验分析参数随时间的变化，而Friedman检验和点图用于比较治疗评估。一般患者的改善是通过等距主成分来表示的。结果：Aqualizer®和物理治疗使除开口外的所有参数得到改善。针灸改善了口外肌肉疼痛和颈部活动能力。结论：Aqualizer®、物理疗法和口服针刺是治疗疼痛的有效方法。其中，物理治疗提供了最大的好处，其次是Aqualizer®。

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

Cranio-The Journal of Craniomandibular & Sleep Practice DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.50

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians. CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest. CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.