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Ensayo controlado aleatorizado2021Acceso abierto

Effect of photobiomodulation therapy on painful temporomandibular disorders

Aisaiti A, Zhou Y, Wen Y, Zhou W, Wang C, Zhao J, Yu L, Zhang J, Wang K, Svensson P

Scientific reports · 23 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
Nanjing Medical University

Según 1 financiador declarado y la declaración de financiación del texto completo.

Publicación

Publicado
2021-04-27 · Sci Rep · vol. 11 · número 1 · pág. 9049
Editorial
Nature Portfolio
Citado
32 citas · más que el 92% de estudios similares · 3.5× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
68 trabajos
Acceso
Acceso abierto (revista) · CC-BY
Áreas de investigación
Temporomandibular Joint Disorders · Laser Applications in Dentistry and Medicine · Infrared Thermography in Medicine
Palabras clave
low-level laser therapy, painful temporomandibular disorders, temporomandibular joint pain, GaAlAs laser, pressure pain threshold, jaw range of motion, pain intensity
MeSH
humans, temporomandibular joint disorders, facial pain, pain measurement, double-blind method, adolescent, adult, middle aged, male, lasers, semiconductor, young adult, myalgia, low-level light therapy

10 autores

  • Adila Aisaiti🇨🇳Nanjing Medical University
  • Yanli Zhou🇨🇳Nanjing Medical University
  • Yue Wen🇨🇳Nanjing Medical University
  • Weina Zhou🇨🇳Nanjing Medical University
  • Chen Wang🇨🇳Nanjing Medical University
  • Jing Zhao🇨🇳Nanjing Medical University
  • Linfeng Yu🇨🇳 · autor de correspondenciaNanjing Medical University
  • Jinglu Zhang🇨🇳 · autor de correspondenciaNanjing Medical University
  • Kelun Wang🇩🇰🇨🇳Aarhus University; Nanjing Medical University; Aalborg University
  • Peter J. Svensson🇸🇪🇩🇰Malmö University; Aarhus University

Resumen

El texto original del estudio, en el idioma en que se publicó.

To evaluate the effect of photobiomodulation therapy (PBMT) on painful temporomandibular disorders (TMD) patients in a randomized, double-blinded, placebo-controlled manner. Participants were divided into a masseter myalgia group (n = 88) and a temporomandibular joint (TMJ) arthralgia group (n = 87) according to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). Both groups randomly received PBMT or placebo treatment once a day for 7 consecutive days, one session. The PBMT was applied with a gallium-aluminum-arsenide (GaAlAs) laser (wavelength = 810 nm) at pre-determined points in the masseter muscle (6 J/cm2, 3 regions, 60 s) or TMJ region (6 J/cm2, 5 points, 30 s) according to their most painful site. Pain intensity was rated on a 0-10 numerical rating scale (NRS) and pressure pain thresholds (PPT) and mechanical sensitivity mapping were recorded before and after the treatment on day 1 and day 7. Jaw function was assessed by pain free jaw opening, maximum unassisted jaw opening, maximum assisted jaw opening, maximum protrusion and right and left excursion. Data were analyzed with a mixed model analysis of variance (ANOVA). Pain intensity in arthralgia patients decreased over time (P < 0.001) for both types of interventions, however, PBMT caused greater reduction in pain scores than placebo (P = 0.014). For myalgia patients, pain intensity decreased over time (P < 0.001) but without difference between interventions (P = 0.074). PPTs increased in both myalgia (P < 0.001) and TMJ arthralgia patients over time (P < 0.001) but without difference between interventions (P ≥ 0.614). Overall, PBMT was associated with marginally better improvements in range of motion compared to placebo in both myalgia and arthralgia patients. Pain intensity, sensory function and jaw movements improve after both PBMT and placebo treatments in myalgia and arthralgia patients indicating a substantial non-specific effect of PBMT.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).

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