Treatment of Masticatory Muscle Pain with Acupuncture: Is It Necessary to Associate with Occlusal Splints?

IF 0.9 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Journal of Acupuncture and Meridian Studies Pub Date : 2021-06-30 DOI:10.51507/j.jams.2021.14.3.89

Crischina Branco Marques Sant'Anna, Fernanda Pereira de Caxias, Paulo Renato Junqueira Zuim, Marcella Santos Januzzi, Emily Viviane Freitas da Silva, Karina Helga Leal Turcio

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引用次数: 1

Abstract

Background: Temporomandibular disorders (TMDs) are treated by different modalities including splints, physiotherapy, and acupuncture. Although all of these offer evidencebased benefits to the patients, avoiding overtreatment is of paramount importance.

Objectives: To assess the effectiveness of muscle pain treatment with acupuncture combined with or without occlusal splints.

Methods: Recruited patients were allocated to G1 (acupuncture) and G2 (acupuncture and occlusal splint) groups and treated in four consecutive weekly sessions (P1, P2, P3, and P4). The reported pain (RP) and the pressure pain threshold (PPT) of the masseter and temporalis muscles were assessed before and after each session.

Results: RP decreased after each session in G1, except at P4. In G2, the RP decreased only after the first session, and the PPT did not vary.

Conclusion: The assessed treatments did not influence the PPT levels of the masseter and anterior temporalis muscles in patients with temporomandibular disorders. Our findings suggest that occlusal splints may not be mandatory along with the acupuncture treatment.

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针刺治疗咀嚼肌痛:是否需要配合咬合夹板?

背景:颞下颌疾病(TMDs)的治疗方式不同，包括夹板、物理治疗和针灸。尽管所有这些都为患者提供了基于证据的益处，但避免过度治疗是至关重要的。目的:评价针刺配合或不配合咬合夹板治疗肌肉疼痛的疗效。方法:将招募的患者分为G1组(针刺组)和G2组(针刺+咬合夹板组)，每周连续治疗4次(P1、P2、P3、P4)。在每次训练前后评估咬肌和颞肌的报告疼痛(RP)和压力痛阈(PPT)。结果:除P4外，G1期每次疗程后RP均下降。在G2中，RP仅在第一次治疗后下降，PPT没有变化。结论:所评估的治疗方法对颞下颌障碍患者的咬肌和颞前肌PPT水平无影响。我们的研究结果表明，咬合夹板可能不强制与针灸治疗。

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来源期刊

Journal of Acupuncture and Meridian Studies INTEGRATIVE & COMPLEMENTARY MEDICINE-

CiteScore

1.50

自引率

10.00%

发文量

审稿时长

12 weeks

期刊介绍： The Journal of Acupuncture and Meridian Studies is a quarterly, peer-reviewed journal featuring high-quality studies related to basic and clinical acupuncture and meridian research. It also includes new paradigm of integrative research, covering East–West and traditional–modern medicine. Manuscripts should fall into one of the categories: topical review, original research paper, brief ... click here for full Aims & Scope The Journal of Acupuncture and Meridian Studies is a quarterly, peer-reviewed journal featuring high-quality studies related to basic and clinical acupuncture and meridian research. It also includes new paradigm of integrative research, covering East–West and traditional–modern medicine.