Cargando…

Effect of a single dry needling session in temporomandibular disorders

INTRODUCTION: Temporomandibular disorders embrace a heterogeneous group of pathologies with manifestations in the orofacial region, head and neck. They are defined as a group of musculoskeletal and neuromuscular conditions that involve the temporomandibular joint, the masticatory muscles and the ass...

Descripción completa

Detalles Bibliográficos
Autores principales: Moleirinho-Alves, Paula, Cebola, Pedro, , André Mariz, Almeida
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8489300/
http://dx.doi.org/10.1080/07853890.2021.1896460
_version_ 1784578324368982016
author Moleirinho-Alves, Paula
Cebola, Pedro
, André Mariz
Almeida
author_facet Moleirinho-Alves, Paula
Cebola, Pedro
, André Mariz
Almeida
author_sort Moleirinho-Alves, Paula
collection PubMed
description INTRODUCTION: Temporomandibular disorders embrace a heterogeneous group of pathologies with manifestations in the orofacial region, head and neck. They are defined as a group of musculoskeletal and neuromuscular conditions that involve the temporomandibular joint, the masticatory muscles and the associated structures through interactions and reciprocal influences. They may present one or more signs or symptoms: orofacial pain, pain in the masticatory muscles or a combination of both [1]. According to available literature, pain tolerance threshold at pressure and pain intensity decrease after dry needling intervention [2]. The aim of the present study is to evaluate the effect of a single dry needling session in patients with temporomandibular muscle disorder with pain. MATERIAL AND METHODS: a longitudinal quasi-experimental study with 26 patients with a diagnosis of temporomandibular muscle dysfunction (group I), on the masseter and temporal muscles, according to the Research Diagnostic Criteria for temporomandibular disorder. Patients were randomly picked up from the waiting list of the physiotherapy appointment at Clinica Egas Moniz (CEA) and randomised into two groups: 13 in the experimental group (G1) and 13 in the control group (G2). The groups were evaluated simultaneously but were not submitted to any intervention. The pain tolerance threshold was evaluated at pressure (2 kg), pain intensity measured with numeric pain rating scale (NPRS), before (T0) and after (T1) the intervention, and one week after (T2) the intervention. The intervention consisted of applying the dry needling technique to the painful points of the masseter. Statistical analysis performed in SPSS with a significance level of 5%. All the assumptions of the Helsinki Declaration have been fulfilled and a informed consent for clinical case of Clinica Dentária Egas Moniz approved by the ethic commission of Instituto Universitário Egas Moniz. RESULTS: G1 group was formed by 12 female and 1 male subjects with an average and standard deviation of 22.78 ± 3.75. G2 group was formed by 13 female with an average and standard deviation of 23.42 ± 2.45. Pain tolerance threshold at pressure values increased from T0 to T2 in G1 group (p < .001) with averages and standard deviations respectively for: T0 8.34 ± 1.75; T1 79,886 ± 2.10; T2 1.78 ± 0.79. The pain intensity values decreased in T2 when compared to T0 in the G1 group (p < .001) with averages and standard deviations respectively for: T0 7.56 ± 1.36; T1 7.86 ± 1.52; T2 0.89 ± 0.72. DISCUSSION AND CONCLUSION: Dry needling promotes an increase in pain tolerance threshold values and a decrease in pain intensity values in patients with temporomandibular muscle disorder after a single session, reinforcing their importance in the treatment of themselves.
format Online
Article
Text
id pubmed-8489300
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Taylor & Francis
record_format MEDLINE/PubMed
spelling pubmed-84893002022-03-03 Effect of a single dry needling session in temporomandibular disorders Moleirinho-Alves, Paula Cebola, Pedro , André Mariz Almeida Ann Med Abstract 44 INTRODUCTION: Temporomandibular disorders embrace a heterogeneous group of pathologies with manifestations in the orofacial region, head and neck. They are defined as a group of musculoskeletal and neuromuscular conditions that involve the temporomandibular joint, the masticatory muscles and the associated structures through interactions and reciprocal influences. They may present one or more signs or symptoms: orofacial pain, pain in the masticatory muscles or a combination of both [1]. According to available literature, pain tolerance threshold at pressure and pain intensity decrease after dry needling intervention [2]. The aim of the present study is to evaluate the effect of a single dry needling session in patients with temporomandibular muscle disorder with pain. MATERIAL AND METHODS: a longitudinal quasi-experimental study with 26 patients with a diagnosis of temporomandibular muscle dysfunction (group I), on the masseter and temporal muscles, according to the Research Diagnostic Criteria for temporomandibular disorder. Patients were randomly picked up from the waiting list of the physiotherapy appointment at Clinica Egas Moniz (CEA) and randomised into two groups: 13 in the experimental group (G1) and 13 in the control group (G2). The groups were evaluated simultaneously but were not submitted to any intervention. The pain tolerance threshold was evaluated at pressure (2 kg), pain intensity measured with numeric pain rating scale (NPRS), before (T0) and after (T1) the intervention, and one week after (T2) the intervention. The intervention consisted of applying the dry needling technique to the painful points of the masseter. Statistical analysis performed in SPSS with a significance level of 5%. All the assumptions of the Helsinki Declaration have been fulfilled and a informed consent for clinical case of Clinica Dentária Egas Moniz approved by the ethic commission of Instituto Universitário Egas Moniz. RESULTS: G1 group was formed by 12 female and 1 male subjects with an average and standard deviation of 22.78 ± 3.75. G2 group was formed by 13 female with an average and standard deviation of 23.42 ± 2.45. Pain tolerance threshold at pressure values increased from T0 to T2 in G1 group (p < .001) with averages and standard deviations respectively for: T0 8.34 ± 1.75; T1 79,886 ± 2.10; T2 1.78 ± 0.79. The pain intensity values decreased in T2 when compared to T0 in the G1 group (p < .001) with averages and standard deviations respectively for: T0 7.56 ± 1.36; T1 7.86 ± 1.52; T2 0.89 ± 0.72. DISCUSSION AND CONCLUSION: Dry needling promotes an increase in pain tolerance threshold values and a decrease in pain intensity values in patients with temporomandibular muscle disorder after a single session, reinforcing their importance in the treatment of themselves. Taylor & Francis 2021-09-28 /pmc/articles/PMC8489300/ http://dx.doi.org/10.1080/07853890.2021.1896460 Text en © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstract 44
Moleirinho-Alves, Paula
Cebola, Pedro
, André Mariz
Almeida
Effect of a single dry needling session in temporomandibular disorders
title Effect of a single dry needling session in temporomandibular disorders
title_full Effect of a single dry needling session in temporomandibular disorders
title_fullStr Effect of a single dry needling session in temporomandibular disorders
title_full_unstemmed Effect of a single dry needling session in temporomandibular disorders
title_short Effect of a single dry needling session in temporomandibular disorders
title_sort effect of a single dry needling session in temporomandibular disorders
topic Abstract 44
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8489300/
http://dx.doi.org/10.1080/07853890.2021.1896460
work_keys_str_mv AT moleirinhoalvespaula effectofasingledryneedlingsessionintemporomandibulardisorders
AT cebolapedro effectofasingledryneedlingsessionintemporomandibulardisorders
AT andremariz effectofasingledryneedlingsessionintemporomandibulardisorders
AT almeida effectofasingledryneedlingsessionintemporomandibulardisorders