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Biofeedback and a cognitive behavioral approach to treatment of myofascial pain dysfunction syndrome
Stenn PG, Mothersill KJ, Brooke RI
Behavior Therapy 1979 Jan;10(1):29-36
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

13 16 to 34 yr old Ss with long-standing myofascial pain dysfunction syndrome (MPDS) were selected from 194 myofascial pain patients attending a pain clinic. MPDS subjective and objective measures were recorded prior to and following a treatment program. This program included relaxation training, sensory awareness training, and coping skills training. In addition, half the Ss were given masseter muscle EMG biofeedback during relaxation training, while, for the others, masseter muscle tension was recorded but not fed back. All Ss manifested reductions both in masseter muscle tension and in subjective measures of pain. Although the Ss receiving biofeedback experienced less subjective pain, there were no noticeable differences on EMG measures.

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