Cargando…
Effect of dry needling and instrumental myofascial release on masticatory, facial, and cervical muscles of patients with temporomandibular disorders of muscular origin
BACKGROUND: To evaluate the effectiveness of dry needling (DN) and instrumental myofascial release (IMR) therapies in the cervico-cranio-mandibular system through pain, bite force, and distribution of occlusal contacts in patients with muscular temporomandibular disorders. MATERIAL AND METHODS: Thir...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medicina Oral S.L.
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10198697/ https://www.ncbi.nlm.nih.gov/pubmed/37214753 http://dx.doi.org/10.4317/jced.60312 |
_version_ | 1785044789620637696 |
---|---|
author | Junior, Paulo-Roberto-Quiudini Siéssere, Selma de Mello, Edneia-Corrêa Rodrigues, Sergio Regalo, Isabela Gonçalves, Ligia-Maria-Napolitano Arnoni, Veridiana-Wanshi Palinkas, Marcelo Regalo, Simone |
author_facet | Junior, Paulo-Roberto-Quiudini Siéssere, Selma de Mello, Edneia-Corrêa Rodrigues, Sergio Regalo, Isabela Gonçalves, Ligia-Maria-Napolitano Arnoni, Veridiana-Wanshi Palinkas, Marcelo Regalo, Simone |
author_sort | Junior, Paulo-Roberto-Quiudini |
collection | PubMed |
description | BACKGROUND: To evaluate the effectiveness of dry needling (DN) and instrumental myofascial release (IMR) therapies in the cervico-cranio-mandibular system through pain, bite force, and distribution of occlusal contacts in patients with muscular temporomandibular disorders. MATERIAL AND METHODS: Thirty patients were divided into treatment groups: DN (n=15) and IMR (n=15). Therapeutic efficacy regarding pain perception and tolerance of masticatory, facial, and cervical muscles, bite force, and distribution of occlusal contacts were analyzed in this observational longitudinal clinical study pre/post-intervention and pre/post one month of therapeutic intervention. The data were tabulated and statistically analyzed (repeated measures and Bonferroni post-hoc test, p<0.05). RESULTS: There was a statistically significant difference in pain between the groups in the comparison of pre- and post-intervention with effect on time versus intervention in the head and neck. Pain perception and tolerance showed a statistical effect of time on the temporal, suboccipital, sternocleidomastoid, mental (right and left), right masseter, and left trapezius muscles. There was a statistically significant effect of the intervention on the mentalis, supraorbital, and infraorbital (right and left) muscles. There was a statistically significant effect of the interaction on the upper masseter (right and left), anterior temporal (left), suboccipital, sternocleidomastoid, and mentalis (left) muscles. There was an increase in post-intervention molar bite force in the groups, with a statistical effect on time versus intervention in the right and left regions. Contact of occlusal forces at the maxilla/mandible interface showed a difference between the mean times on teeth 26–36 after versus 1 month after the intervention. CONCLUSIONS: The two therapeutic techniques are viable for the treatment of muscular temporomandibular disorders; however, IMR proved to be more effective immediately after the intervention and after one month. Key words:Temporomandibular disorders, pain, masticatory muscles, facial muscles, cervical muscles, dry needling, instrumental myofascial release. |
format | Online Article Text |
id | pubmed-10198697 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Medicina Oral S.L. |
record_format | MEDLINE/PubMed |
spelling | pubmed-101986972023-05-20 Effect of dry needling and instrumental myofascial release on masticatory, facial, and cervical muscles of patients with temporomandibular disorders of muscular origin Junior, Paulo-Roberto-Quiudini Siéssere, Selma de Mello, Edneia-Corrêa Rodrigues, Sergio Regalo, Isabela Gonçalves, Ligia-Maria-Napolitano Arnoni, Veridiana-Wanshi Palinkas, Marcelo Regalo, Simone J Clin Exp Dent Research BACKGROUND: To evaluate the effectiveness of dry needling (DN) and instrumental myofascial release (IMR) therapies in the cervico-cranio-mandibular system through pain, bite force, and distribution of occlusal contacts in patients with muscular temporomandibular disorders. MATERIAL AND METHODS: Thirty patients were divided into treatment groups: DN (n=15) and IMR (n=15). Therapeutic efficacy regarding pain perception and tolerance of masticatory, facial, and cervical muscles, bite force, and distribution of occlusal contacts were analyzed in this observational longitudinal clinical study pre/post-intervention and pre/post one month of therapeutic intervention. The data were tabulated and statistically analyzed (repeated measures and Bonferroni post-hoc test, p<0.05). RESULTS: There was a statistically significant difference in pain between the groups in the comparison of pre- and post-intervention with effect on time versus intervention in the head and neck. Pain perception and tolerance showed a statistical effect of time on the temporal, suboccipital, sternocleidomastoid, mental (right and left), right masseter, and left trapezius muscles. There was a statistically significant effect of the intervention on the mentalis, supraorbital, and infraorbital (right and left) muscles. There was a statistically significant effect of the interaction on the upper masseter (right and left), anterior temporal (left), suboccipital, sternocleidomastoid, and mentalis (left) muscles. There was an increase in post-intervention molar bite force in the groups, with a statistical effect on time versus intervention in the right and left regions. Contact of occlusal forces at the maxilla/mandible interface showed a difference between the mean times on teeth 26–36 after versus 1 month after the intervention. CONCLUSIONS: The two therapeutic techniques are viable for the treatment of muscular temporomandibular disorders; however, IMR proved to be more effective immediately after the intervention and after one month. Key words:Temporomandibular disorders, pain, masticatory muscles, facial muscles, cervical muscles, dry needling, instrumental myofascial release. Medicina Oral S.L. 2023-05-01 /pmc/articles/PMC10198697/ /pubmed/37214753 http://dx.doi.org/10.4317/jced.60312 Text en Copyright: © 2023 Medicina Oral S.L. https://creativecommons.org/licenses/by/2.5/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Junior, Paulo-Roberto-Quiudini Siéssere, Selma de Mello, Edneia-Corrêa Rodrigues, Sergio Regalo, Isabela Gonçalves, Ligia-Maria-Napolitano Arnoni, Veridiana-Wanshi Palinkas, Marcelo Regalo, Simone Effect of dry needling and instrumental myofascial release on masticatory, facial, and cervical muscles of patients with temporomandibular disorders of muscular origin |
title | Effect of dry needling and instrumental myofascial release on masticatory, facial, and cervical muscles of patients with temporomandibular disorders of muscular origin |
title_full | Effect of dry needling and instrumental myofascial release on masticatory, facial, and cervical muscles of patients with temporomandibular disorders of muscular origin |
title_fullStr | Effect of dry needling and instrumental myofascial release on masticatory, facial, and cervical muscles of patients with temporomandibular disorders of muscular origin |
title_full_unstemmed | Effect of dry needling and instrumental myofascial release on masticatory, facial, and cervical muscles of patients with temporomandibular disorders of muscular origin |
title_short | Effect of dry needling and instrumental myofascial release on masticatory, facial, and cervical muscles of patients with temporomandibular disorders of muscular origin |
title_sort | effect of dry needling and instrumental myofascial release on masticatory, facial, and cervical muscles of patients with temporomandibular disorders of muscular origin |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10198697/ https://www.ncbi.nlm.nih.gov/pubmed/37214753 http://dx.doi.org/10.4317/jced.60312 |
work_keys_str_mv | AT juniorpaulorobertoquiudini effectofdryneedlingandinstrumentalmyofascialreleaseonmasticatoryfacialandcervicalmusclesofpatientswithtemporomandibulardisordersofmuscularorigin AT siessereselma effectofdryneedlingandinstrumentalmyofascialreleaseonmasticatoryfacialandcervicalmusclesofpatientswithtemporomandibulardisordersofmuscularorigin AT demelloedneiacorrea effectofdryneedlingandinstrumentalmyofascialreleaseonmasticatoryfacialandcervicalmusclesofpatientswithtemporomandibulardisordersofmuscularorigin AT rodriguessergio effectofdryneedlingandinstrumentalmyofascialreleaseonmasticatoryfacialandcervicalmusclesofpatientswithtemporomandibulardisordersofmuscularorigin AT regaloisabela effectofdryneedlingandinstrumentalmyofascialreleaseonmasticatoryfacialandcervicalmusclesofpatientswithtemporomandibulardisordersofmuscularorigin AT goncalvesligiamarianapolitano effectofdryneedlingandinstrumentalmyofascialreleaseonmasticatoryfacialandcervicalmusclesofpatientswithtemporomandibulardisordersofmuscularorigin AT arnoniveridianawanshi effectofdryneedlingandinstrumentalmyofascialreleaseonmasticatoryfacialandcervicalmusclesofpatientswithtemporomandibulardisordersofmuscularorigin AT palinkasmarcelo effectofdryneedlingandinstrumentalmyofascialreleaseonmasticatoryfacialandcervicalmusclesofpatientswithtemporomandibulardisordersofmuscularorigin AT regalosimone effectofdryneedlingandinstrumentalmyofascialreleaseonmasticatoryfacialandcervicalmusclesofpatientswithtemporomandibulardisordersofmuscularorigin |