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Facial pain: RCT between conventional treatment and fascial manipulation for temporomandibular disorders |
Sekito F, Pintucci M, Pirri C, Ribeiro de Moraes Rego M, Cardoso M, Soares Paixao K, Ribeiro da Silva V, Stecco A |
Bioengineering 2022 Jun 27;9(7):279 |
clinical trial |
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
BACKGROUND: To investigate the effectiveness of a specific manual therapy, Fascial Manipulation (FM), in comparison with conventional treatments in temporomandibular disorders (TMD) patients using a two-arm randomized controlled trial. METHODS: The study consisted of 28 patients that were divided in two groups (Group 1: Fascial Manipulation versus Group 2: conventional TMD treatment). The Verbal Rating Scale (VRS), RDC/TMD, electromyography (EMG) and Pression/Pain Evaluation on Masseter and Temporalis Muscle were assessed with different times. RESULTS: In both groups, the improvement in pain was evident on the VRS scale (p < 0.0001) and pain-free opening (p < 0.001). In Group 1, the recovery of the function was faster; maximum unassisted opening T0 versus T1 (p = 0.001). CONCLUSIONS: FM can be used as an effective method for facial pain, being a rapid, safe and cost-effective approach to reduce pain, gain function and mouth opening that can be used prior to occlusion stabilization appliances.
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