Comparative effectiveness of photobiomodulation and manual therapy alone or combined in TMD patients: a randomized clinical trial
Brochado FT, Jesus LH, Carrard VC, Freddo AL, Chaves KD, Martins MD
Brazilian oral research · 35 citas
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Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2018-07-10 · Braz Oral Res · vol. 32 · número 0 · pág. e50
- Editorial
- Brazilian Society of Dental Research
- Citado
- 68 citas · más que el 99% de estudios similares · 8.4× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 26 trabajos
- Acceso
- Acceso abierto (publicación gratuita) · CC-BY
- Áreas de investigación
- Temporomandibular Joint Disorders · Laser Applications in Dentistry and Medicine · Myofascial pain diagnosis and treatment
- Palabras clave
- temporomandibular disorders, low-level laser therapy, manual therapy, combination therapy, jaw pain, mandibular function, anxiety, depression, psychosocial aspects, temporomandibular joint
- MeSH
- masticatory muscles, jaw, humans, temporomandibular joint disorders, pain measurement, treatment outcome, combined modality therapy, musculoskeletal manipulations, follow-up studies, reproducibility of results, depression, anxiety, time factors, reference values, adult, aged, middle aged, female, male, young adult, pain management, chronic pain, visual analog scale, surveys and questionnaires, low-level light therapy
6 autores
- Fernanda Thomé Brochado🇧🇷Universidade Federal do Rio Grande do Sul
- Luciano Henrique de Jesus🇧🇷Universidade Federal do Rio Grande do Sul
- Vinícius Coelho Carrard🇧🇷Universidade Federal do Rio Grande do Sul
- Angelo Luiz Freddo🇧🇷Universidade Federal do Rio Grande do Sul
- Karen Dantur Batista Chaves🇧🇷Universidade Federal do Rio Grande do Sul
- Manoela Domingues Martins🇧🇷Universidade Federal do Rio Grande do Sul
Resumen
El texto original del estudio, en el idioma en que se publicó.
The effectiveness of photobiomodulation (PBM) and manual therapy (MT), alone or combined (CT), were evaluated in pain intensity, mandibular movements, psychosocial aspects, and anxiety symptoms of temporomandibular disorder (TMD) patients. Fifty-one TMD patients were randomly assigned to three groups: the PBM group (n = 18), which received PBM with 808 nm, 100 mW, 13.3 J/cm2, and 4 J per point; the MT group (n=16) for 21 minutes each session on masticatory muscles and temporomandibular joint TMJ; and the CT group (n = 17), applied during twelve sessions. Seven evaluations were performed in different moments using visual analogue scale (VAS), Research Diagnosis Criteria for Temporomandibular Disorders (RDC/TMD) Axis I and II, and Beck anxiety inventory (BAI). All groups demonstrated reductions in pain and improvement in jaw movements during treatment and at follow-up ( 0.05). However, depression symptoms showed a reduction in PBM and CT groups (p≤0.05). All treatments promoted reduction in physical symptoms with and without pain and enhancement of jaw disabilities (p ≤ 0.05). MT promotes improvement in 5 functions, PBM in 2, and CT in 1 (p < 0.001). BAI analysis revealed that all treatments lead to a reduction in anxiety symptoms (p≤0.05). All protocols tested were able to promote pain relief, improve mandibular function, and reduce the negative psychosocial aspects and levels of anxiety in TMD patients. However, the combination of PBM and MT did not promote an increase in the effectiveness of both therapies alone.
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