Dry needling and upper cervical spinal manipulation in patients with temporomandibular disorder: A multi-center randomized clinical trial.

IF 2.7 3区物理与天体物理 Q2 PHYSICS, APPLIED Journal of Applied Physics Pub Date : 2024-11-01 Epub Date: 2022-04-12 DOI:10.1080/08869634.2022.2062137

James Dunning, Raymond Butts, Paul Bliton, Konstantinos Vathrakokoilis, Grant Smith, Chelsea Lineberger, Noah Eshleman, César Fernández-de-Las-Peñas, Ian A Young

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Abstract

Objective: To compare the effects of dry needling and upper cervical spinal manipulation with interocclusal splint therapy, diclofenac, and temporomandibular joint (TMJ) mobilization in patients with temporomandibular disorder (TMD).

Methods: One hundred-twenty patients with TMD were randomized to receive six treatment sessions of dry needling plus upper cervical spinal manipulation (n = 62) or interocclusal splint therapy, diclofenac, and joint mobilization to the TMJ (n = 58).

Results: Patients receiving dry needling and upper cervical spinal manipulation experienced significantly greater reductions in jaw pain intensity over the last 7 days (VAS: F = 23.696; p < 0.001) and active pain-free mouth opening (F = 29.902; p < 0.001) than those receiving interocclusal splint therapy, diclofenac, and TMJ mobilization at the 3-month follow-up.

Conclusion: Dry needling and upper cervical spinal manipulation was more effective than interocclusal splint therapy, diclofenac, and TMJ mobilization in patients with TMD.

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干针疗法和上颈椎手法治疗颞下颌关节紊乱症患者：多中心随机临床试验。

目的比较干针疗法和上颈椎手法治疗与夹板疗法、双氯芬酸和颞下颌关节（TMJ）活动疗法对颞下颌关节紊乱症（TMD）患者的治疗效果：120名颞下颌关节紊乱症（TMD）患者被随机分配到接受干针疗法加上颈椎手法治疗（62人）或夹板疗法、双氯芬酸和颞下颌关节活动术（58人）的六个治疗疗程：结果：接受干针疗法和上颈椎手法治疗的患者在过去 7 天内的下颌疼痛强度明显减轻（VAS：F = 23.696；p p 结论：干针疗法和上颈椎手法治疗可显著减轻患者的下颌疼痛强度：对 TMD 患者而言，干针疗法和上颈椎手法比夹板疗法、双氯芬酸和颞下颌关节活动疗法更有效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Applied Physics 物理-物理：应用

CiteScore

5.40

自引率

9.40%

发文量

1534

审稿时长

2.3 months

期刊介绍： The Journal of Applied Physics (JAP) is an influential international journal publishing significant new experimental and theoretical results of applied physics research. Topics covered in JAP are diverse and reflect the most current applied physics research, including: Dielectrics, ferroelectrics, and multiferroics- Electrical discharges, plasmas, and plasma-surface interactions- Emerging, interdisciplinary, and other fields of applied physics- Magnetism, spintronics, and superconductivity- Organic-Inorganic systems, including organic electronics- Photonics, plasmonics, photovoltaics, lasers, optical materials, and phenomena- Physics of devices and sensors- Physics of materials, including electrical, thermal, mechanical and other properties- Physics of matter under extreme conditions- Physics of nanoscale and low-dimensional systems, including atomic and quantum phenomena- Physics of semiconductors- Soft matter, fluids, and biophysics- Thin films, interfaces, and surfaces