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Initial therapeutic approaches for orofacial myofascial pain: three pilot studies

Simma-Kletschka, Irmgard; Artacker, Nikolaus; Balla, Michael; Oellerer, Nikolaus; Piehslinger, Eva; Fornai, Cinzia (2023). Initial therapeutic approaches for orofacial myofascial pain: three pilot studies. Cranio : Journal of Craniomandibular Practice:Epub ahead of print.

Abstract

Objective: Myofascial pain diminishes the stomatognathic function and hinders clinical diagnosis. Therefore, initial pain reduction is crucial before definitive treatment. Here, the clinical validity of non-pharmaceutical therapies, including the Aqualizer® splint, physiotherapy, and dry-needle acupuncture was comparatively assessed.

Methods: Myofascial pain patients (n = 28; 20-65 years old) were examined through a visual analog scale, and intra- and extra-oral muscle palpation. Mandibular maximum opening and neck mobility were also evaluated. Changes in parameters through time were analyzed via the Kruskal-Wallis test, while the Friedman test and dot-plots were used for comparative therapies assessment. General patient improvement was represented via an isometric Principal Component.

Results: The Aqualizer® and physiotherapy resulted in improvement of all parameters except for mouth opening. Acupuncture improved extra-oral muscle pain and neck mobility.

Conclusion: The Aqualizer®, physiotherapy, and oral acupuncture are effective initial pain therapies. Among all, physiotherapy provided the greatest benefits, followed by the Aqualizer®.

Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Institute of Evolutionary Medicine
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Health Sciences > Otorhinolaryngology
Health Sciences > General Dentistry
Uncontrolled Keywords:General Dentistry; Otorhinolaryngology; Aqualizer®; Temporomandibular disorders; manual therapy; oral acupuncture; physiotherapy; splint
Language:English
Date:13 April 2023
Deposited On:12 Dec 2023 09:07
Last Modified:26 Feb 2025 02:44
Publisher:Chroma Inc.
ISSN:0886-9634
OA Status:Hybrid
Free access at:Publisher DOI. An embargo period may apply.
Publisher DOI:https://doi.org/10.1080/08869634.2023.2198397
PubMed ID:37057343
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  • Licence: Creative Commons: Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)

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