Comparison Between Sensory and Motor Transcutaneous Electrical Nervous Stimulation on Electromyographic and Kinesiographic Activity of Patients With Temporomandibular Disorder: a Controlled Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 主要终点
- sEMG values
研究概览
简要总结
Background The purpose of the present controlled clinical trial was to assess the effect of a single 60 min application of transcutaneous electrical nervous stimulation (TENS) at sensory stimulation threshold (STS), compared to the application of motor stimulation threshold (MTS) as well as to untreatment, on the surface electromyographic (sEMG) and kinesiographic activity of patients with temporomandibular disorder (TMD). Methods Sixty female subjects, selected according to the inclusion/exclusion criteria, suffering from unilateral TMD in remission were assigned to MTS, STS or untreatment. Pre- and post-treatment differences in the sEMG activity of temporalis anterior (TA), masseter (MM), digastric (DA) and sternocleidomastoid muscles (SCM), as well in the interocclusal distance (ID), within group were tested using the Wilcoxon test, while differences among groups were assessed by Kruskal-Wallis test; the level of significance was set at p ≤ 0.01.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 30 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •age less than 30 years;
- •female gender
- •right-handed (7-10 points in Edinburgh inventory);
- •presence of complete permanent dentition, with the exception of the third molars;
- •normal occlusion;
- •diagnosis of unilateral arthrogenous TMD on the Research Diagnostic Criteria for TMD (RDC/TMD), Axis I, groups II and III
排除标准
- •having pacemaker or other electrical devices
- •previous experience of TENS or biofeedback
- •systemic diseases
- •history of local or general trauma
- •neurological or psychiatric disorders
- •muscular diseases
- •cervical pain
- •bruxism diagnosed by the presence of parafunctional facets and/or anamnesis of parafunctional tooth clenching and/or grinding
- •pregnancy
- •assumption of anti-inflammatory, analgesic, antidepressant or myorelaxant drugs
- •fixed or removable prostheses
- •fixed restorations that affected the occlusal surfaces
- •previous or concurrent orthodontic or orthognathic treatment
研究组 & 干预措施
STS
Sensorial threshold of stimulation
干预措施: Transcutaneous electrical nerve stimulation (Device)
Placebo
干预措施: Placebo transcutaneous electrical nerve stimulation (Device)
MTS
Motor threshold of stimulation
干预措施: Transcutaneous electrical nerve stimulation (Device)
结局指标
主要结局
sEMG values
时间窗: 60 min
次要结局
未报告次要终点
研究者
Fabrizio Sgolastra
Dr
University of L'Aquila