A randomized clinical trial comparing the efficacy of low-level laser therapy (LLLT) and laser acupuncture therapy (LAT) in patients with temporomandibular disorders
Madani A, Ahrari F, Fallahrastegar A, Daghestani N
Lasers in medical science · 71 citas
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 independiente
- Universidad u hospital
- Mashhad University of Medical Sciences
- Subvenciones
- Mashhad University of Medical Sciences (951115)
Según 1 financiador declarado.
Publicación
- Publicado
- 2019-08-08 · Lasers Med Sci · vol. 35 · número 1 · págs. 181–192
- Editorial
- Springer Science+Business Media
- Citado
- 115 citas · más que el 99% de estudios similares · 10.4× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 37 trabajos
- Acceso
- De pago
- Áreas de investigación
- Temporomandibular Joint Disorders · Laser Applications in Dentistry and Medicine · Acupuncture Treatment Research Studies
- Palabras clave
- low-level laser therapy, temporomandibular disorders, GaAlAs laser, masticatory muscle pain, temporomandibular joint pain, mandibular range of motion, protrusive movement, mouth opening, pain intensity
- MeSH
- mandible, humans, temporomandibular joint disorders, pain, range of motion, articular, treatment outcome, acupuncture therapy, double-blind method, adult, female, male, lasers, semiconductor, low-level light therapy
4 autores
- Azamsadat Madani🇮🇷Mashhad University of Medical Sciences
- Farzaneh Ahrari🇮🇷 · autor de correspondenciaMashhad University of Medical Sciences
- Amir Fallahrastegar🇮🇷Mashhad University of Medical Sciences
- Naeemeh Daghestani🇮🇷 · autor de correspondenciaMashhad University of Medical Sciences
Resumen
El texto original del estudio, en el idioma en que se publicó.
This study compared the efficacy of low-level laser therapy (LLLT) versus laser acupuncture therapy (LAT) in patients with temporomandibular disorders (TMDs). In this randomized, double-blind clinical trial, 45 TMD patients were randomly divided into three groups. In group 1 (LLLT), a GaAlAs laser was applied on painful masticatory muscles and TMJs (810 nm, 200 mW, 30 s per point, Gaussian beam, spot size 0.28 cm2, 21 J/cm2) two times a week for 5 weeks. In group 2 (LAT), the laser was emitted bilaterally on acupuncture points (ST6, ST7, LI4) with the same settings as the LLLT group. Group 3 (placebo) underwent treatment with sham laser. The patients were evaluated before treatment (T1), after 5 (T2) and 10 (T3) laser applications, and 1 month later (T4). The mandibular range of motion as well as pain intensity in masticatory system was recorded at each interval. There was no significant difference in mouth opening between the groups (p > 0.05), but the amount of lateral excursive and protrusive movements was significantly greater in LLLT and LAT groups than the placebo group at some intervals (p < 0.05). The overall pain intensity and pain degree at masticatory muscles (except temporal muscle) and TMJs were significantly lower in both experimental groups than the placebo group at most intervals after therapy (p < 0.05). Both LLLT and LAT were effective in reducing pain and increasing excursive and protrusive mandibular motion in TMD patients. LAT could be suggested as a suitable alternative to LLLT, as it provided effective results while taking less chair time.
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