TY - JOUR
T1 - Initial therapeutic approaches for orofacial myofascial pain
T2 - three pilot studies
AU - Simma-Kletschka, Irmgard
AU - Artacker, Nikolaus
AU - Balla, Michael
AU - Oellerer, Nikolaus
AU - Piehslinger, Eva
AU - Fornai, Cinzia
N1 - Publisher Copyright:
© 2023 The Author(s). Published with license by Taylor & Francis Group, LLC.
PY - 2023/4/13
Y1 - 2023/4/13
N2 - 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®.
AB - 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®.
KW - Aqualizer®
KW - manual therapy
KW - oral acupuncture
KW - physiotherapy
KW - splint
KW - Temporomandibular disorders
UR - http://www.scopus.com/inward/record.url?scp=85153077832&partnerID=8YFLogxK
U2 - 10.1080/08869634.2023.2198397
DO - 10.1080/08869634.2023.2198397
M3 - Article
C2 - 37057343
SN - 0886-9634
SP - 1
EP - 13
JO - Cranio : the journal of craniomandibular practice
JF - Cranio : the journal of craniomandibular practice
ER -