Trigger point dry needling increases masseter muscle oxygenation in patients with temporomandibular disorder

BACKGROUND: Temporomandibular disorder (TMD) is an umbrella term encompassing various clinical complaints involving the temporomandibular joints, masticatory muscles, and/or associated orofacial structures. Myogenous TMDs are the most frequent cause of chronic orofacial pain. Musculoskeletal pain is...

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Autores principales: de Macedo, Carolina Ferreira, Sonza, Anelise, Puel, Alexia Nadine, dos Santos, Adair Roberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Faculdade De Odontologia De Bauru - USP 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10501752/
https://www.ncbi.nlm.nih.gov/pubmed/37646716
http://dx.doi.org/10.1590/1678-7757-2023-0099
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author de Macedo, Carolina Ferreira
Sonza, Anelise
Puel, Alexia Nadine
dos Santos, Adair Roberto
author_facet de Macedo, Carolina Ferreira
Sonza, Anelise
Puel, Alexia Nadine
dos Santos, Adair Roberto
author_sort de Macedo, Carolina Ferreira
collection PubMed
description BACKGROUND: Temporomandibular disorder (TMD) is an umbrella term encompassing various clinical complaints involving the temporomandibular joints, masticatory muscles, and/or associated orofacial structures. Myogenous TMDs are the most frequent cause of chronic orofacial pain. Musculoskeletal pain is commonly associated with myofascial trigger points (MTPs), for which dry needling (DN) is a routine treatment. OBJECTIVE: To investigate muscle oxygenation and pain immediately after DN application on an MTP in the masseter muscle of patients with myogenous TMDs. METHODOLOGY: Masseter muscle oxygen tissue saturation indices (TSI%) were assessed by near-infrared spectroscopy (NIRS) pre- and post-interventions by a randomized, controlled, double-blind, crossover DN/Sham clinical trial (primary outcome). Pain was investigated by the visual analog scale (VAS). In total, 32 individuals aged from 18 to 37 years who were diagnosed with myogenous TMD and myofascial trigger points in their masseter muscles participated in this study. Relative deltas for the studied variables were calculated. Data normality was tested using the Shapiro-Wilk test. According to their distribution, data were analyzed by two-way ANOVA and the Student's t-, and Mann-Whitney tests. Statistical analyses were performed using Prism(®) 5.0 (GraphPad, USA). RESULTS: We found a significant difference (2,108% vs. 0,142%) between masseter muscle TSI% deltas after the DN and Sham interventions, respectively (n=24). We only evaluated women since men refused to follow NIRS procedures. Pain increased immediately after DN (n=32, 8 men), in comparison to Sham delta VAS. CONCLUSION: These findings show an increase in tissue oxygen saturation in the evaluated sample immediately after the DN intervention on the MTP of patients’ masseter muscle. Pain may have increased immediately after DN due to the needling procedure.
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spelling pubmed-105017522023-09-15 Trigger point dry needling increases masseter muscle oxygenation in patients with temporomandibular disorder de Macedo, Carolina Ferreira Sonza, Anelise Puel, Alexia Nadine dos Santos, Adair Roberto J Appl Oral Sci Original Article BACKGROUND: Temporomandibular disorder (TMD) is an umbrella term encompassing various clinical complaints involving the temporomandibular joints, masticatory muscles, and/or associated orofacial structures. Myogenous TMDs are the most frequent cause of chronic orofacial pain. Musculoskeletal pain is commonly associated with myofascial trigger points (MTPs), for which dry needling (DN) is a routine treatment. OBJECTIVE: To investigate muscle oxygenation and pain immediately after DN application on an MTP in the masseter muscle of patients with myogenous TMDs. METHODOLOGY: Masseter muscle oxygen tissue saturation indices (TSI%) were assessed by near-infrared spectroscopy (NIRS) pre- and post-interventions by a randomized, controlled, double-blind, crossover DN/Sham clinical trial (primary outcome). Pain was investigated by the visual analog scale (VAS). In total, 32 individuals aged from 18 to 37 years who were diagnosed with myogenous TMD and myofascial trigger points in their masseter muscles participated in this study. Relative deltas for the studied variables were calculated. Data normality was tested using the Shapiro-Wilk test. According to their distribution, data were analyzed by two-way ANOVA and the Student's t-, and Mann-Whitney tests. Statistical analyses were performed using Prism(®) 5.0 (GraphPad, USA). RESULTS: We found a significant difference (2,108% vs. 0,142%) between masseter muscle TSI% deltas after the DN and Sham interventions, respectively (n=24). We only evaluated women since men refused to follow NIRS procedures. Pain increased immediately after DN (n=32, 8 men), in comparison to Sham delta VAS. CONCLUSION: These findings show an increase in tissue oxygen saturation in the evaluated sample immediately after the DN intervention on the MTP of patients’ masseter muscle. Pain may have increased immediately after DN due to the needling procedure. Faculdade De Odontologia De Bauru - USP 2023-08-25 /pmc/articles/PMC10501752/ /pubmed/37646716 http://dx.doi.org/10.1590/1678-7757-2023-0099 Text en https://creativecommons.org/licenses/by/4.0/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 Original Article
de Macedo, Carolina Ferreira
Sonza, Anelise
Puel, Alexia Nadine
dos Santos, Adair Roberto
Trigger point dry needling increases masseter muscle oxygenation in patients with temporomandibular disorder
title Trigger point dry needling increases masseter muscle oxygenation in patients with temporomandibular disorder
title_full Trigger point dry needling increases masseter muscle oxygenation in patients with temporomandibular disorder
title_fullStr Trigger point dry needling increases masseter muscle oxygenation in patients with temporomandibular disorder
title_full_unstemmed Trigger point dry needling increases masseter muscle oxygenation in patients with temporomandibular disorder
title_short Trigger point dry needling increases masseter muscle oxygenation in patients with temporomandibular disorder
title_sort trigger point dry needling increases masseter muscle oxygenation in patients with temporomandibular disorder
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10501752/
https://www.ncbi.nlm.nih.gov/pubmed/37646716
http://dx.doi.org/10.1590/1678-7757-2023-0099
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