Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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An in vivo electromyographic evaluation of pain relief using different therapies in masticatory myalgia patients

  • Balakrishnan, Parvathi K. (Department of Prosthodontics, Nitte (Deemed to be University), AB Shetty Memorial Institute of Dental Sciences (ABSMIDS)) ;
  • Kumar, Sowmya M. (Department of Prosthodontics, Nitte (Deemed to be University), AB Shetty Memorial Institute of Dental Sciences (ABSMIDS)) ;
  • Chippala, Purushotham (Nitte Institute of Physiotherapy (NIPT), Nitte (Deemed to be University)) ;
  • Hegde, Chethan (Department of Prosthodontics, Nitte (Deemed to be University), AB Shetty Memorial Institute of Dental Sciences (ABSMIDS))
  • Received : 2020.01.31
  • Accepted : 2020.04.01
  • Published : 2020.10.31
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Abstract

Objectives: This study is aimed to evaluate and compare the effect of moist heat fomentation therapy with ultrasound therapy in patients with the masticatory myalgia. Materials and Methods: The study was conducted on 42 patients with masticatory myalgia, dividing them into two groups; Group A (21 patients), received moist heat therapy and Group B (21 patients), received ultrasound therapy for seven effective days. Prior and after the treatment the numeric rating scale (NRS) and the electromyography (EMG) scores were recorded and compared. The observations were analyzed clinically and statistical support was taken to assess the NRS and EMG data. Results: Irrespective of the groups, patients testified a significant reduction in pain after the treatment. From the EMG readings; even though the standard deviation for each group was varied considerably, EMG recorded an improved muscle activity. Statistical analysis was used to assess and identify the best treatment methodology between the two modalities. Conclusion: From the statistical analysis, it is concluded that, though both the therapies had significantly reduced the symptomatic response, it is moist heat fomentation that improved muscle activity both statistically and clinically in comparison to ultrasound.

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References

  1. Okeson JP. Management of temporomandibular disorders and occlusion. 7th ed. St. Louis: Elsevier; 2013.
  2. Chethan H, Ganaraj S, Krishna Prasad D. To evaluate the effect of moist heat fomentation therapy in relieving symptoms of pain related temporomandibular muscle pain disorder. Int J Curr Res 2015;7:17393-6.
  3. McNeill C. Management of temporomandibular disorders: concepts and controversies. J Prosthet Dent 1997;77:510-22. https://doi.org/10.1016/s0022-3913(97)70145-8
  4. Mohl ND, Lund JP, Widmer CG, McCall WD Jr. Devices for the diagnosis and treatment of temporomandibular disorders. Part II: electromyography and sonography. J Prosthet Dent 1990;63:332-6. https://doi.org/10.1016/0022-3913(90)90207-s
  5. Klasser GD, Okeson JP. The clinical usefulness of surface electromyography in the diagnosis and treatment of temporomandibular disorders. J Am Dent Assoc 2006;137:763-71. https://doi.org/10.14219/jada.archive.2006.0288
  6. Carrara SV, Conti PCR, Barbosa JS. Statement of the 1st consensus on temporomandibular disorders and orofacial pain. Dent Press J Orthod 2010;15:114-20. https://doi.org/10.1590/S2176-94512010000300014
  7. Gray RJM, Quayle AA, Hall CA, Schofield MA. Temporomandibular pain dysfunction: can electrotherapy help? Physiotherapy 1995;81:47-51. https://doi.org/10.1016/S0031-9406(05)67036-8
  8. Abouelhuda AM, Khalifa AK, Kim YK, Hegazy SA. Non-invasive different modalities of treatment for temporomandibular disorders: review of literature. J Korean Assoc Oral Maxillofac Surg 2018;44:43-51. https://doi.org/10.5125/jkaoms.2018.44.2.43
  9. Miller DL, Smith NB, Bailey MR, Czarnota GJ, Hynynen K, Makin IR; Bioeffects Committee of the American Institute of Ultrasound in Medicine. Overview of therapeutic ultrasound applications and safety considerations. J Ultrasound Med 2012;31:623-34. https://doi.org/10.7863/jum.2012.31.4.623
  10. Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, et al.; International RDC/TMD Consortium Network, International association for Dental Research; Orofacial Pain Special Interest Group, International Association for the Study of Pain. Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group†. J Oral Facial Pain Headache 2014;28:6-27. https://doi.org/10.11607/jop.1151
  11. Breivik H, Borchgrevink PC, Allen SM, Rosseland LA, Romundstad L, Hals EK, et al. Assessment of pain. Br J Anaesth 2008;101:17-24. https://doi.org/10.1093/bja/aen103
  12. Poindexter RH, Wright EF, Murchison DF. Comparison of moist and dry heat penetration through orofacial tissues. Cranio 2002;20:28-33. https://doi.org/10.1080/08869634.2002.11746187
  13. Erickson RI. Ultrasound--a useful adjunct in temporomandibular joint therapy. Oral Surg Oral Med Oral Pathol 1964;18:176-9. https://doi.org/10.1016/0030-4220(64)90422-0
  14. Moller E, Sheikholeslam A, Lous I. Response of elevator activity during mastication to treatment of functional disorders. Scand J Dent Res 1984;92:64-83. https://doi.org/10.1111/j.1600-0722.1984.tb00861.x
  15. Sheikholeslam A, Moller E, Lous I. Postural and maximal activity in elevators of mandible before and after treatment of functional disorders. Scand J Dent Res 1982;90:37-46. https://doi.org/10.1111/j.1600-0722.1982.tb01522.x
  16. Yemm R. A neurophysiological approach to the pathology and aetiology of temporomandibular dysfunction. J Oral Rehabil 1985;12:343-53. https://doi.org/10.1111/j.1365-2842.1985.tb01289.x
  17. Ries LG, Alves MC, Berzin F. Asymmetric activation of temporalis, masseter, and sternocleidomastoid muscles in temporomandibular disorder patients. Cranio 2008;26:59-64. https://doi.org/10.1179/crn.2008.008
  18. Suvinen TI, Kemppainen P. Review of clinical EMG studies related to muscle and occlusal factors in healthy and TMD subjects. J Oral Rehabil 2007;34:631-44. https://doi.org/10.1111/j.1365-2842.2007.01769.x
  19. Cooper BC, Cooper DL, Lucente FE. Electromyography of masticatory muscles in craniomandibular disorders. Laryngoscope 1991;101:150-7. https://doi.org/10.1288/00005537-199102000-00009
  20. Santana-Mora U, Cudeiro J, Mora-Bermudez MJ, Rilo-Pousa B, Ferreira-Pinho JC, Otero-Cepeda JL, et al. Changes in EMG activity during clenching in chronic pain patients with unilateral temporomandibular disorders. J Electromyogr Kinesiol 2009;19:e543-9. https://doi.org/10.1016/j.jelekin.2008.10.002
  21. Gervais RO, Fitzsimmons GW, Thomas NR. Masseter and temporalis electromyographic activity in asymptomatic, subclinical, and temporomandibular joint dysfunction patients. Cranio 1989;7:52-7. https://doi.org/10.1080/08869634.1989.11678268
  22. Esposito CJ, Veal SJ, Farman AG. Alleviation of myofascial pain with ultrasonic therapy. J Prosthet Dent 1984;51:106-8. https://doi.org/10.1016/s0022-3913(84)80115-8
  23. van der Windt DA, van der Heijden GJ, van den Berg SG, ter Riet G, de Winter AF, Bouter LM. Ultrasound therapy for musculoskeletal disorders: a systematic review. Pain 1999;81:257-71. https://doi.org/10.1016/s0304-3959(99)00016-0
  24. Funk D, Swank AM, Adams KJ, Treolo D. Efficacy of moist heat pack application over static stretching on hamstring flexibility. J Strength Cond Res 2001;15:123-6. https://doi.org/10.1519/1533-4287(2001)015<0123:EOMHPA>2.0.CO;2
  25. Petrofsky J, Bains G, Prowse M, Gunda S, Berk L, Raju C, et al. Dry heat, moist heat and body fat: are heating modalities really effective in people who are overweight? J Med Eng Technol 2009;33:361-9. https://doi.org/10.1080/03091900802355508
  26. Petrofsky J, Bains G, Prowse M, Gunda S, Berk L, Raju C, et al. Does skin moisture influence the blood flow response to local heat? A re-evaluation of the Pennes model. J Med Eng Technol 2009;33:532-7. https://doi.org/10.1080/03091900902952683
  27. Gam AN, Johannsen F. Ultrasound therapy in musculoskeletal disorders: a meta-analysis. Pain 1995;63:85-91. https://doi.org/10.1016/0304-3959(95)00018-n
  28. Fouda AAEH. Ultrasonic therapy as an adjunct treatment of temporomandibular joint dysfunction. J Oral Maxillofac Surg 2014;117:232-37.
  29. Young SR, Dyson M. Effect of therapeutic ultrasound on the healing of full-thickness excised skin lesions. Ultrasonics 1990;28:175-80. https://doi.org/10.1016/0041-624x(90)90082-y
  30. El-Batouty MF, el-Gindy M, el-Shawaf I, Bassioni N, el-Ghaweet A, el-Emam A. Comparative evaluation of the effects of ultrasonic and ultraviolet irradiation on tissue regeneration. Scand J Rheumatol 1986;15:381-6. https://doi.org/10.3109/03009748609098208