Role of Electro Acupuncture Therapy on Temporomandibular Joint Pain With Orofacial Myalgia Following Post Healed Unilateral Cervicofacial Burn

2021 ◽  
Vol 46 (2) ◽  
pp. 123-134
Author(s):  
Gopal Nambi ◽  
Walid Kamal Abdelbasset ◽  
Shereen H. Elsayed ◽  
Anju Verma ◽  
Shimaa Abd El-Hamid Abase ◽  
...  
Keyword(s):  
Acupuncture Therapy ◽  
Temporomandibular Joint ◽  
Joint Pain ◽  
Pain Threshold ◽  
Mouth Opening ◽  
Temporomandibular Joint Pain ◽  
Pain Frequency ◽  
Disability Level

Background: Temporomandibular Joint (TJ) pain and orofacial myalgia (OM) are the most significant problems in physiotherapy context to treat in Cervicofacial burn (CB). However, there is a lack of clinical studies in investigating the effects of electro acupuncture therapy on TJ pain with OM following post healed CB patients.<br/> Objective: To investigate the effects of clinical and functional efficacy of electro acupuncture therapy on temporomandibular joint pain with orofacial myalgia following post healed cervicofacial burn patients.<br/> Methods: Through two block random sampling method, the eligible participants were randomized and allocated into active EAT (Active-EAT; n = 15) and placebo EAT (Placebo-EAT; n = 15) groups. The Active-EAT group received electro acupuncture therapy and the Placebo-EAT group received placebo effect with regular physiotherapy care for 4 times in a week for 4 weeks. Primary (pain intensity, pain threshold, pain frequency) and secondary (mouth opening, disability level and quality of life) measures were measured at baseline, after the 4th week, 8th week and 6 month follow up.<br/> Results: Baseline demographic and clinical attributes show homogenous presentation among the study groups (p > 0.05). After 4 weeks of treatment, and at the end of 6 months follow up, the pain intensity, 3.0 (CI 95% 2.83 to 3.16), pain threshold 18.6 (CI 95% -35.0 to -2.1), pain frequency 2.9 (CI 95% 2.54 to 3.25), mouth opening, -13.4 (CI 95% -15.1 to -11.6), disability level 12.4 (CI 95% 12.16 to 12.63), and quality of life -25.8 (CI 95% -31.0 to -20.5) showed more improvement (p < 0.001) in Active-EAT group than Placebo-EAT group.<br/> Conclusion: The reports of this study proved that, 4 weeks active electro acupuncture therapy with regular physiotherapy care has an ideal treatment protocol for temporomandibular joint pain with orofacial myalgia following post healed cervicofacial burn. This study also provided a new knowledge for physiotherapists in the field of TJ rehabilitation.

scholarly journals Rehabilitation of the face and temporomandibular joint in systemic sclerosis

2021 ◽  
Vol 13 ◽  
pp. 1759720X2110201
Author(s):  
Susanna Maddali Bongi ◽  
Mauro Passalacqua ◽  
Giovanna Landi ◽  
Svetlana Mikhaylova ◽  
Lorenzo Tofani ◽  
...  
Keyword(s):  
Systemic Sclerosis ◽  
Temporomandibular Joint ◽  
Short Form ◽  
Mouth Opening ◽  
Therapeutic Effects ◽  
Significant Difference ◽  
Rehabilitation Protocols ◽  
The Face

Background: Systemic sclerosis (SSc) alterations of the face and of the mouth cause aesthetic modifications and disability, impairing self-esteem and quality of life (QoL). The aim of this study was to verify the effects of two rehabilitation protocols on facial mimic and mouth opening. Methods: A total of 47 SSc patients (40 females and 7 males, mean age ± SD 59.08 ± 10.31 years), were consecutively selected: 22 were randomly assigned to protocol 1 [home exercises for temporomandibular joint (TMJ), mimic, masticatory and cervical spine muscles] and 25 to protocol 2 (home exercises and combined physiotherapeutic procedures performed by a physiotherapist). Each treatment had a duration of 12 weeks with a follow up of 8 weeks. TMJ dysfunction, orofacial involvement, disability, QoL, and safety were assessed at enrollment (T0), at the end of the treatment (T1), and at follow up (T2). Results: Both Protocol 1 and Protocol 2 induced significant improvements of some clinical and clinimetric parameters, but better results were obtained with Protocol 2. In the comparison between the effects of Protocol 1 and Protocol 2 at T1 and T2, a significant difference was observed only for Mouth Handicap in SSc [MHISS; Total ( p = 0.00178] and for MHISS Mouth opening ( p = 0.0098) at T1. No significant difference of indices of short-form 36 was observed. Conclusion: The present data suggest that TMJ involvement in SSc may be managed by rehabilitation treatments. The action of a physiotherapist prescribing and personalizing exercises may induce better therapeutic effects.

scholarly journals Arthrocentesis: A Minimally Invasive Approach for Temporomandibular Joint Pain

2014 ◽  
Vol 5 (2) ◽  
pp. 61-65
Author(s):  
Yogesh Kini ◽  
Snehal H Thakkar ◽  
Mukul Padhye ◽  
Rujuta Desai ◽  
Vaibhav Shah ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Temporomandibular Joint ◽  
Joint Pain ◽  
Mouth Opening ◽  
Joint Space ◽  
Minimally Invasive Approach ◽  
Sample Mean ◽  
Invasive Approach ◽  
Temporomandibular Joint Pain ◽  
Closed Lock

ABSTRACT The aim of this article is to provide emergency care to the diseased temporomandibular joint (TMJ) when conservative methods have failed to do so and to increase mouth opening, especially in cases of closed lock. Our study was carried out on 18 healthy adult individuals who reported to our institute complaining of pain in one or both TMJs and restricted mouth opening. Mouth opening of each patient was recorded in mm prior to the procedure and pain recorded on a visual analog scale (VAS). Arthrocentesis was performed using 100 cc of Lactated Ringers solution on these individuals after conservative management of these individuals failed, followed by injection of Dexamethasone in the superior joint space. Pain was once again recorded on a VAS and mouth opening in mm 1 day after the procedure, then after 1 week, 1, 3 and 6 months. In this sample, mean mouth opening (MMO) prior to the procedure was 24.3 mm (SD ± 3.114), ranging from 18 to 30 mm. MMO postarthrocentesis was 37.85 mm (SD ± 7.457), ranging from 28 to 55 mm. From this study, the following conclusions may be drawn: Arthrocentesis is an effective mode of treatment for closed lock of the TMJ when conservative methods have failed. Mouth opening is seen to increase in patients with restricted mouth opening due to closed lock of the TMJ. It provides instant relief from pain and has long lasting effects. How to cite this article Thakkar SH, Padhye M, Kini Y, Desai R, Shah V, Pawar S, Shevale V, Mehta F. Arthrocentesis: A Minimally Invasive Approach for Temporomandibular Joint Pain. Int J Head Neck Surg 2014;5(2):61-65.

scholarly journals PHYSIOTHERAPY IN THE COMPLEX TREATMENT OF THE TEMPOROMANDIBULAR JOINT PAIN DYSFUNCTION SYNDROME IN PERSONS PROFESSIONALLY ENGAGED IN VOCAL

2017 ◽  
Vol 16 (6) ◽  
pp. 304-306
Author(s):  
Alexander Grigorievich Volkov ◽  
N. Zh Dikopova ◽  
A. V Kislitsyna ◽  
A. L Shishmareva
Keyword(s):  
Temporomandibular Joint ◽  
Joint Pain ◽  
Masticatory Muscles ◽  
Complex Treatment ◽  
Infrared Irradiation ◽  
Temporomandibular Joint Pain ◽  
Functional Capabilities ◽  
Therapeutic Measures ◽  
Short Time

Application in complex treatment of the temporomandibular joint pain dysfunction syndrome in vocalists infrared irradiation and ultrasonic treatment eliminates the pain and increased tone of the masticatory muscles in a short time, which increases the amplitude of movements of the mandible and the functional capabilities of the temporomandibular joint with increased professional workload. The proposed course of physiotherapy procedures allows for successful rehabilitation in a complex of therapeutic measures and to improve the effectiveness of treatment of the temporomandibular joint pain dysfunction syndrome, which is especially important for the quality of life of people involved in the vocals.

Orofacial pain and quality of life in early adolescents in India

2016 ◽  
Vol 30 (2) ◽  
Author(s):  
Sandeep Kumar ◽  
Bhumika K. Badiyani ◽  
Amit Kumar ◽  
Garima Dixit ◽  
Prachi Sharma ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Logistic Regression ◽  
Temporomandibular Joint ◽  
Joint Pain ◽  
Orofacial Pain ◽  
Early Adolescents ◽  
Well Being ◽  
P Value ◽  
Temporomandibular Joint Pain

Abstract Background: Orofacial pain may have an impact on quality of life. It may affect the overall well-being of an individual. Objective: To assess the prevalence of orofacial pain and its impact on quality of life in early adolescents in Indore city, India. Methods: This was a cross-sectional study which included a total of 800 children selected from various public and private schools located in Indore city, India. A questionnaire was developed which collected information on sociodemographic characteristics and previous dental visits. The severity of pain was assessed using Von Korff pain scale and quality of life using the General Health Questionnaire 12 (GHQ-12). The chi-square test and logistic regression analysis were performed. Results: The overall prevalence of orofacial pain was found to be 17.9%. Toothache (10.1%) was found to be the most prevalent orofacial pain followed by temporomandibular joint pain (4.3%). The highest severity of pain (Grades 3 and 4) was reported for toothache followed by temporomandibular joint pain. The results of the logistic regression model showed that the prevalence of orofacial pain (odds ratio=7.18, p-value<0.0001a) was strongly associated with poor quality of life. Conclusion: The orofacial pain has a negative influence on the quality of life of adolescents. Effective policies should be created to improve the quality of life of adolescents focusing on oral health education and prevention of oral diseases.

Neurobiology of Temporomandibular Joint Pain: Therapeutic Implications

2012 ◽  
Vol 18 (1) ◽  
pp. 63-72
Author(s):  
Ernest A. Jennings ◽  
Michael C. Williams ◽  
Vasiliki Staikopoulos ◽  
Jason J. Ivanusic
Keyword(s):  
Temporomandibular Joint ◽  
Joint Pain ◽  
Therapeutic Implications ◽  
Temporomandibular Joint Pain
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