Effects of Radial Extracorporeal Shock Wave Therapy in Reducing Pain in Patients with Temporomandibular Disorders: A Pilot Randomized Controlled Trial
Temporomandibular disorders (TMD) are primarily characterized by pain as well as issues concerning the proper functioning of individual elements of the stomatognathic system. The aim of the study was to assess the safety and efficacy of physical exercise, with or without radial Extracorporeal Shock...
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MDPI AG
2022-04-01
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| Online Access: | https://www.mdpi.com/2076-3417/12/8/3821 |
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| author | Nicola Marotta Martina Ferrillo Andrea Demeco Vera Drago Ferrante Maria Teresa Inzitari Raffaello Pellegrino Ilaria Pino Ilaria Russo Alessandro de Sire Antonio Ammendolia |
| author_facet | Nicola Marotta Martina Ferrillo Andrea Demeco Vera Drago Ferrante Maria Teresa Inzitari Raffaello Pellegrino Ilaria Pino Ilaria Russo Alessandro de Sire Antonio Ammendolia |
| author_sort | Nicola Marotta |
| collection | DOAJ |
| description | Temporomandibular disorders (TMD) are primarily characterized by pain as well as issues concerning the proper functioning of individual elements of the stomatognathic system. The aim of the study was to assess the safety and efficacy of physical exercise, with or without radial Extracorporeal Shock Wave Therapy (rESWT), in patients with TMD. Eligible patients were adults (≥18 years) with diagnosed myofascial pain with or without mouth opening limitation (Group Ia, Ib) based on the Diagnostic Criteria for TMD (DC/TMD). Enrolled patients (<i>n</i> = 15) were randomly assigned 1:1 to receive physical exercise combined with rESWT (<i>n</i> = 8) or sham rESWT (<i>n</i> = 7) for four weeks. The primary endpoint was the pain intensity measured by a visual analogue scale (VAS). The secondary endpoints were muscle activity and function assessed through the surface electromyography evaluation of the anterior temporalis and the masseter muscles. The rESWT group (mean age: 28.50 ± 8.85 years) showed a statistically significant pain reduction (VAS Right side: ΔT0-T1 MD = −3.00; <i>p</i> = 0.023, Left side: ΔT0-T1, MD = 3.57, <i>p</i> = 0.021), whereas patients in the sham WBV group (mean age: 30.71 ± 8.98 years), did not reach statistical significance (VAS: Right side: ΔT0-T1 MD = 1.00, <i>p</i> = 0.155; Left side: ΔT0-T1 MD = 1.25 SE = 0.25, <i>p</i> = 0.094). Concurrently, muscle activity and performance significantly improved in the active rESWT group, with an improvement in the percentage of the overlapping coefficient (POC) compared to the control group. No dropouts and no side effects were recorded. Taken together, the findings of this pilot RCT suggested that rESWT combined with physical therapy could be effective in relieving pain and improving function in muscle-related TMD patients. |
| first_indexed | 2024-03-09T11:13:28Z |
| format | Article |
| id | doaj.art-ee78b813918a43608749218def780584 |
| institution | Directory Open Access Journal |
| issn | 2076-3417 |
| language | English |
| last_indexed | 2024-03-09T11:13:28Z |
| publishDate | 2022-04-01 |
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| series | Applied Sciences |
| spelling | doaj.art-ee78b813918a43608749218def7805842023-12-01T00:39:28ZengMDPI AGApplied Sciences2076-34172022-04-01128382110.3390/app12083821Effects of Radial Extracorporeal Shock Wave Therapy in Reducing Pain in Patients with Temporomandibular Disorders: A Pilot Randomized Controlled TrialNicola Marotta0Martina Ferrillo1Andrea Demeco2Vera Drago Ferrante3Maria Teresa Inzitari4Raffaello Pellegrino5Ilaria Pino6Ilaria Russo7Alessandro de Sire8Antonio Ammendolia9Department of Medical and Surgical Sciences, University of Catanzaro “Magna Graecia”, Via Tommaso Campanella 115, 88100 Catanzaro, ItalyDepartment of Health Sciences, University of Catanzaro “Magna Graecia”, Viale Europa, 88100 Catanzaro, ItalySant’Anna Crotone Institute, Via Siris, 11, 88900 Crotone, ItalyDepartment of Medical and Surgical Sciences, University of Catanzaro “Magna Graecia”, Via Tommaso Campanella 115, 88100 Catanzaro, ItalyDepartment of Medical and Surgical Sciences, University of Catanzaro “Magna Graecia”, Via Tommaso Campanella 115, 88100 Catanzaro, ItalyAntalgic Mini-Invasive and Rehab-Outpatients Unit, Department of Medicine and Science of Aging, University “G. d’Annunzio”, Via dei Vestini, 31, 66100 Chieti, ItalyDepartment of Medical and Surgical Sciences, University of Catanzaro “Magna Graecia”, Via Tommaso Campanella 115, 88100 Catanzaro, ItalyDepartment of Medical and Surgical Sciences, University of Catanzaro “Magna Graecia”, Via Tommaso Campanella 115, 88100 Catanzaro, ItalyDepartment of Medical and Surgical Sciences, University of Catanzaro “Magna Graecia”, Via Tommaso Campanella 115, 88100 Catanzaro, ItalyDepartment of Medical and Surgical Sciences, University of Catanzaro “Magna Graecia”, Via Tommaso Campanella 115, 88100 Catanzaro, ItalyTemporomandibular disorders (TMD) are primarily characterized by pain as well as issues concerning the proper functioning of individual elements of the stomatognathic system. The aim of the study was to assess the safety and efficacy of physical exercise, with or without radial Extracorporeal Shock Wave Therapy (rESWT), in patients with TMD. Eligible patients were adults (≥18 years) with diagnosed myofascial pain with or without mouth opening limitation (Group Ia, Ib) based on the Diagnostic Criteria for TMD (DC/TMD). Enrolled patients (<i>n</i> = 15) were randomly assigned 1:1 to receive physical exercise combined with rESWT (<i>n</i> = 8) or sham rESWT (<i>n</i> = 7) for four weeks. The primary endpoint was the pain intensity measured by a visual analogue scale (VAS). The secondary endpoints were muscle activity and function assessed through the surface electromyography evaluation of the anterior temporalis and the masseter muscles. The rESWT group (mean age: 28.50 ± 8.85 years) showed a statistically significant pain reduction (VAS Right side: ΔT0-T1 MD = −3.00; <i>p</i> = 0.023, Left side: ΔT0-T1, MD = 3.57, <i>p</i> = 0.021), whereas patients in the sham WBV group (mean age: 30.71 ± 8.98 years), did not reach statistical significance (VAS: Right side: ΔT0-T1 MD = 1.00, <i>p</i> = 0.155; Left side: ΔT0-T1 MD = 1.25 SE = 0.25, <i>p</i> = 0.094). Concurrently, muscle activity and performance significantly improved in the active rESWT group, with an improvement in the percentage of the overlapping coefficient (POC) compared to the control group. No dropouts and no side effects were recorded. Taken together, the findings of this pilot RCT suggested that rESWT combined with physical therapy could be effective in relieving pain and improving function in muscle-related TMD patients.https://www.mdpi.com/2076-3417/12/8/3821extracorporeal shock wave therapytemporomandibular disorderstemporomandibular joint disordersphysical therapyphysical agent modalitiespain management |
| spellingShingle | Nicola Marotta Martina Ferrillo Andrea Demeco Vera Drago Ferrante Maria Teresa Inzitari Raffaello Pellegrino Ilaria Pino Ilaria Russo Alessandro de Sire Antonio Ammendolia Effects of Radial Extracorporeal Shock Wave Therapy in Reducing Pain in Patients with Temporomandibular Disorders: A Pilot Randomized Controlled Trial Applied Sciences extracorporeal shock wave therapy temporomandibular disorders temporomandibular joint disorders physical therapy physical agent modalities pain management |
| title | Effects of Radial Extracorporeal Shock Wave Therapy in Reducing Pain in Patients with Temporomandibular Disorders: A Pilot Randomized Controlled Trial |
| title_full | Effects of Radial Extracorporeal Shock Wave Therapy in Reducing Pain in Patients with Temporomandibular Disorders: A Pilot Randomized Controlled Trial |
| title_fullStr | Effects of Radial Extracorporeal Shock Wave Therapy in Reducing Pain in Patients with Temporomandibular Disorders: A Pilot Randomized Controlled Trial |
| title_full_unstemmed | Effects of Radial Extracorporeal Shock Wave Therapy in Reducing Pain in Patients with Temporomandibular Disorders: A Pilot Randomized Controlled Trial |
| title_short | Effects of Radial Extracorporeal Shock Wave Therapy in Reducing Pain in Patients with Temporomandibular Disorders: A Pilot Randomized Controlled Trial |
| title_sort | effects of radial extracorporeal shock wave therapy in reducing pain in patients with temporomandibular disorders a pilot randomized controlled trial |
| topic | extracorporeal shock wave therapy temporomandibular disorders temporomandibular joint disorders physical therapy physical agent modalities pain management |
| url | https://www.mdpi.com/2076-3417/12/8/3821 |
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