Comparison of the Effectiveness of Three Different Treatment Methods in Myofascial Pain Patients
Overview
- Phase
- Not Applicable
- Intervention
- oral appliance
- Conditions
- Temporomandibular Disorder
- Sponsor
- Pomeranian Medical University Szczecin
- Enrollment
- 90
- Primary Endpoint
- Visual Analogue Scale
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
The aim of this study was to compare the effectiveness of myofascial pain treatment methods.
Detailed Description
Three different metoda were taken into account: dry needling, occlusal sprint therapy and NSAID therapy.
Investigators
Dalewski Bartosz
DMD, PhD
Pomeranian Medical University Szczecin
Eligibility Criteria
Inclusion Criteria
- •pain localized in the TMJ or in the preauricular area.
- •no other analgesic treatment in the area of head and neck during last 12 months
Exclusion Criteria
- •inflammation in the oral cavity that emerge as a myofascial pain
- •earlier splint therapy
- •pharmacotherapy e.g oral contraception, hormone replacement therapy, -antidepressants
- •systemic diseases e.g. rheumatic, metabolic
- •lack of stability in the masticatory organ motor system
- •masticatory organ injury
Arms & Interventions
dry needling + oral appliance
Three visits are needed in this therapy method. Visits schedule:( 1st visit - Day 1st , 2nd visit- 7 days after the 1st, 3rd visit- 7 days after the 2nd) Equipment: acupuncture needle 0,6\*13 e.g. Dragon Medical Device, solution for skin disinfection, sterile gauze. Exposition time : 30 minutes once a week
Intervention: oral appliance
dry needling + oral appliance
Three visits are needed in this therapy method. Visits schedule:( 1st visit - Day 1st , 2nd visit- 7 days after the 1st, 3rd visit- 7 days after the 2nd) Equipment: acupuncture needle 0,6\*13 e.g. Dragon Medical Device, solution for skin disinfection, sterile gauze. Exposition time : 30 minutes once a week
Intervention: dry needling
antiinflammatory drugs + splint therapy
Patient's instruction for NSAID use: Nimesulide 2\*100 mg/ 24 h- twice a day one pill of the 100 mg Nimesulide during 14 days
Intervention: NSAID
antiinflammatory drugs + splint therapy
Patient's instruction for NSAID use: Nimesulide 2\*100 mg/ 24 h- twice a day one pill of the 100 mg Nimesulide during 14 days
Intervention: oral appliance
splint therapy
Splint therapy is an useful treatment method for several group of patients e.g TMD patients, patients with retrodiscitis, patients with muscle pain disorders like local muscle soreness or chronic myalgia. The patients have been instructed to use the appliance during nighttime. After 7 days the patient had to came back for a control visit.
Intervention: oral appliance
Outcomes
Primary Outcomes
Visual Analogue Scale
Time Frame: 6 months
It is a continuous scale comprised of a horizontal line, usually 10 cm in length. "no pain" (score of 0) and "pain as bad as it could be (score of 10)