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Association of facial massage, dry needling, and laser therapy in Temporomandibular Disorder: case report
Open accessAbstract
ABSTRACT This case report aims to evaluate the treatment of Temporomandibular Disorder (TMD) of muscular origin by associating facial massage (FM), dry needling (DN), and low-level laser therapy (LLLT). The pre- and post-treatment evaluations consisted of clinical examinations based on the Research Diagnostic Criteria (RDC) for TMD, pain intensity quantification by means of the Visual Analog Scale (VAS), mandibular movement measurement, and electromyographic (EMG) analysis of the masseter and temporal muscles. Post-therapy assessment indicated a decrease in pain sites of 58%, in pain intensity mean (1.3), and an increase in the maximum aperture of 10 mm, in addition to normalization of EMG signals. We conclude that, after application of the treatment protocol, there was a decrease in painful sites, gain in amplitude of mandibular movements, and normalization of EMG activity.
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Conservative interventions such as physiotherapy and manual therapy directly affect the muscular system to reduce excessive tension and minimize pain in the temporomandibular joints and chewing muscles.
“These interventions directly affect the muscular system, in order to reduce its excessive tension, and thus minimize pain in the area of the temporomandibular joints, and in muscles involved in the chewing process [1,3,19,20,21,22,23,24,25,26].”
From The Application of Manual Techniques in Masticatory Muscles Relaxation as Adjunctive Therapy in the Treatment of Temporomandibular Joint Disorders (2021) · cites this paper as [22]
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Research works printed but not linked: 13
- Costa DR, 2017, Effect of LED therapy on temporomandibular disorder: a case study, Sci Med, 27, 258
- Rodrigues JH, 2015, Evaluation of pain, jaw movements, and psychosocial factors in elderly individuals with temporomandibular disorder under laser phototherapy, Lasers Med Sci, 30, 953, 10.1007/s10103-013-1514-z · DOI
- El Hage Y, 2013, Effect of mandibular mobilization on electromyographic signals in muscles of mastication and static balance in individuals with temporomandibular disorder: study protocol for a randomized controlled trial, Trials, 14, 316, 10.1186/1745-6215-14-316 · DOI
- Gomes CA, 2014, Effects of massage therapy and occlusal splint therapy on electromyographic activity and the intensity of signs and symptoms in individuals with temporomandibular disorder and sleep bruxism: a randomized clinical trial, Chiropr Man Therap, 22, 11
- Cross KM, 2017, Dry needling increases muscle thickness in a subject with persistent muscle dysfunction: a case report, Int J Sports Phys Ther, 12, 468
- Holey LA, 2011, An exploratory themographic investigation of the effects of connective tissue massage on autonomic function, J Manipulative Physiol Ther, 34, 457, 10.1016/j.jmpt.2011.05.012 · DOI
- Ariji Y, 2015, Potential clinical application of masseter and temporal muscle massage treatment using an oral rehabilitation robot in temporomandibular disorder patients with myofascial pain, Cranio, 33, 256, 10.1179/2151090314Y.0000000030 · DOI
- Gonzalez-Pérez LM, 2015, Deep dry needling of trigger points located in the lateral pterygoid muscle: efficacy and safety of treatment for management of myofascial pain and temporomandibular dysfunction, Med Oral Patol Oral Cir Bucal, 20, e326, 10.4317/medoral.20384 · DOI
- Santos RBC, 2014, Impact of dry needling and ischemic pressure in the myofascial syndrome: controlled clinical trial, Fisioter Mov, 27, 515, 10.1590/0103-5150.027.004.AO03 · DOI
- Kim W, 2013, Mechanisms of electroacupuncture-induced analgesia on neuropathic pain in animal model, Evid Based Complement Alternat Med, 2013, 1
- Felicio CM, 2010, Effects of orofacial myofunctional therapy on temporomandibular disorders, J Craniomandibular Pract, 28, 249
- Machado BC, 2016, Effects of oral motor exercises and laser therapy on chronic temporomandibular disorders: a randomized study with follow-up, Lasers Med Sci, 31, 945, 10.1007/s10103-016-1935-6 · DOI
- Muñoz ISS, 2012, Analysis of the temporal muscle electromyographic signals using wavelets, Revista Univap, 18, 5
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Urbański, P., Trybulec, B., & Pihut, M. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182412970 · Cited by 73
Metadata
- Authors
- Pessoa, D. R., Costa, D. R., Prianti, B. D. M., Costa, D. R., Delpasso, C. A., Arisawa, E. Â. L. S., & Nicolau, R. A.
- Affiliations
- Universidade Estadual do Piauí (BR)
- Centro de Pesquisas Avançadas em Fototerapia, Brasil
- Universidade do Vale do Paraíba (BR)
- ORCID
- Venue
- CoDAS
- Publisher
- FapUNIFESP (SciELO)
- Published
- 2018-11-29
- Volume
- 30
- Issue
- 6
- Pages
- e20170265-e20170265
- ISSN
- 2317-1782 (ISSN-L)
- OpenAlex
- W2902858817
- Cited by
- 36
- References
- 0
- Citations by year
- 2025: 3 · 2024: 5 · 2023: 4 · 2022: 10 · 2021: 9 · 2020: 5
- FWCI
- 5.61
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- CoDAS (publishedVersion, cc-by)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- Americanae (AECID Library) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Dentistry › Oral Surgery › Temporomandibular Joint Disorders
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Myofascial pain diagnosis and treatment
- Health Sciences › Medicine › Physiology (medical) › Salivary Gland Disorders and Functions
- Keywords
- temporomandibular disorders, facial massage, dry needling, low-level laser therapy, myofascial pain, masseter muscle, temporalis muscle, electromyography, mandibular movement, pain intensity, multimodal therapy
- MeSH terms
- Adult, Complementary Therapies, Combined Modality Therapy, Electromyography, Facial Muscles, Facial Pain, Female, Humans, Massage, Needles, Pain Measurement, Temporomandibular Joint Disorders, Reproducibility of Results, Treatment Outcome, Low-Level Light Therapy
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