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Cited by 68Temporomandibular Joint DisordersLaser Applications in Dentistry and MedicineMyofascial pain diagnosis and treatment

Comparative effectiveness of photobiomodulation and manual therapy alone or combined in TMD patients: a randomized clinical trial

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BROCHADO, Fernanda Thomé, JESUS, Luciano Henrique de, CARRARD, Vinicius Coelho, FREDDO, Angelo Luiz, CHAVES, Karen Dantur, MARTINS, Manoela Domingues·2018·Brazilian Oral Research
DOI 10.1590/1807-3107bor-2018.vol32.0050
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Abstract

The effectiveness of photobiomodulation (PBM) and manual therapy (MT), alone or combined (CT), were evaluated in pain intensity, mandibular movements, psychosocial aspects, and anxiety symptoms of temporomandibular disorder (TMD) patients. Fifty-one TMD patients were randomly assigned to three groups: the PBM group (n = 18), which received PBM with 808 nm, 100 mW, 13.3 J/cm2, and 4 J per point; the MT group (n=16) for 21 minutes each session on masticatory muscles and temporomandibular joint TMJ; and the CT group (n = 17), applied during twelve sessions. Seven evaluations were performed in different moments using visual analogue scale (VAS), Research Diagnosis Criteria for Temporomandibular Disorders (RDC/TMD) Axis I and II, and Beck anxiety inventory (BAI). All groups demonstrated reductions in pain and improvement in jaw movements during treatment and at follow-up (< 0.001). The assessment of psychosocial aspects of TMD, comparing baseline and follow-up in all treatment groups, revealed that treatment did not promote modification in the intensity of chronic pain (p > 0.05). However, depression symptoms showed a reduction in PBM and CT groups (p≤0.05). All treatments promoted reduction in physical symptoms with and without pain and enhancement of jaw disabilities (p ≤ 0.05). MT promotes improvement in 5 functions, PBM in 2, and CT in 1 (p < 0.001). BAI analysis revealed that all treatments lead to a reduction in anxiety symptoms (p≤0.05). All protocols tested were able to promote pain relief, improve mandibular function, and reduce the negative psychosocial aspects and levels of anxiety in TMD patients. However, the combination of PBM and MT did not promote an increase in the effectiveness of both therapies alone.

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Authors
BROCHADO, F. T., JESUS, L. H. D., CARRARD, V. C., FREDDO, A. L., CHAVES, K. D., & MARTINS, M. D.
Affiliations
  • Universidade Federal do Rio Grande do Sul (BR)
  • Universidade Federal do Rio Grande do Sul, Brazil
ORCID
Venue
Brazilian Oral Research
Publisher
FapUNIFESP (SciELO)
Published
2018-07-10
Volume
32
Issue
0
Pages
e50-e50
ISSN
  • 1517-7491 (ISSN-L)
  • 1807-3107
  • 1806-8324
DOI
10.1590/1807-3107bor-2018.vol32.0050
OpenAlex
W2884631011
Cited by
68
References
1
Citations by year
2026: 6 · 2025: 6 · 2024: 9 · 2023: 10 · 2022: 13 · 2021: 16 · 2020: 2 · 2019: 5 · 2018: 1
FWCI
9.70
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Brazilian Oral Research (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
  • Americanae (AECID Library) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, cc-by-nc-sa)
Topics
  • Health Sciences › Health Professions › Complementary and Manual Therapy › Temporomandibular Joint Disorders
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Laser Applications in Dentistry and Medicine
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Myofascial pain diagnosis and treatment
Keywords
temporomandibular disorders, low-level laser therapy, manual therapy, combination therapy, jaw pain, mandibular function, anxiety, depression, psychosocial aspects, temporomandibular joint
MeSH terms
Adult, Aged, Anxiety, Combined Modality Therapy, Depression, Female, Follow-Up Studies, Humans, Jaw, Male, Masticatory Muscles, Middle Aged, Pain Measurement, Surveys and Questionnaires, Reference Values, Temporomandibular Joint Disorders, Time Factors, Reproducibility of Results, Treatment Outcome, Musculoskeletal Manipulations, Low-Level Light Therapy, Young Adult, Chronic Pain, Pain Management, Visual Analog Scale

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