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The efficacy of acupuncture and decompression splints in the treatment of temporomandibular joint pain-dysfunction syndrome

机译:针灸减压夹板治疗颞下颌关节痛功能障碍综合征的疗效

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摘要

Objectives: The goal of the present study was to evaluate the results of applying acupuncture or occlusal decompression splints in the treatment of patients diagnosed with the temporomandibular joint pain-dysfunction syndrome. Design of the study: We conducted a randomized clinical trial including 20 patients to whom the mentioned treatments were applied. Results were evaluated through an analogue pain scale, measurements of mouth opening and jaw lateral deviation in millimetres, and assessment of sensitivity to pressure on different points: preauricular, masseter muscle, temporal muscle and trapezius. Parameters were evaluated before and 30 days after the treatment. For standardized pressure, we used a pressure algometer. Results: Patients treated with decompression splints showed reductions in subjective pain and pain upon pressure on temporal, masseter and trapezius muscles, as well as increased mouth opening after the treatment. Patients treated with acupuncture showed pain reduction in the short term and improvements in all of the evaluated para-meters (stronger pressure was required to produce pain; mouth opening was improved). Conclusion: Acupuncture was an effective complement and/or an acceptable alternative to decompression splints in the treatment of myofascial pain and temporomandibular joint pain-dysfunction syndrome. > Key words:Temporomandibular joint, temporomandibular dysfunction, acupuncture, decompression splint, arthralgia, myofascial pain, joint palpation.
机译:目的:本研究的目的是评估针刺或咬合减压夹板治疗被诊断为颞下颌关节痛功能障碍综合征的患者的结果。研究设计:我们进行了一项随机临床试验,包括20位接受上述治疗的患者。通过模拟疼痛量表,张开口和下颌侧向偏差(以毫米为单位)的测量以及对不同点(耳前,咬肌,颞肌和斜方肌)的压力敏感性进行评估,评估结果。在治疗之前和之后30天评估参数。对于标准化压力,我们使用了压力计。结果:减压夹板治疗的患者主观疼痛减轻,颞,咬肌和斜方肌受压后疼痛减轻,治疗后张口增大。针灸治疗的患者短期内疼痛减轻,所有评估的参数均得到改善(需要更大的压力才能产生疼痛;张口得到改善)。结论:针刺是减压夹板治疗肌筋膜疼痛和颞下颌关节疼痛功能障碍综合征的有效补充和/或可接受的替代方法。 >关键词:颞下颌关节,颞下颌功能障碍,针灸,减压夹板,关节痛,肌筋膜痛,关节触诊。

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