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低强度激光疗法治疗颞下颌关节紊乱病:一项双盲研究。

Low intensity laser therapy in the treatment of temporomandibular disorders: a double-blind study.

作者信息

Venancio R de Abreu, Camparis C M, Lizarelli R de Fátima Zanirato

机构信息

Department of Dental Materials, Dental School at Araraquara, State University of São Paulo (UNESP), Araraquara, São Paulo, Brazil.

出版信息

J Oral Rehabil. 2005 Nov;32(11):800-7. doi: 10.1111/j.1365-2842.2005.01516.x.

Abstract

This study aimed to evaluate the effectiveness of low intensity laser therapy (LILT) in 30 patients presenting temporomandibular joint (TMJ) pain and mandibular dysfunction in a random and double-blind research design. The sample, divided into experimental group (1) and placebo group (2), was submitted to the treatment with infrared laser (780 nm, 30 mW, 10 s, 6.3 J/cm(2)) at three TMJ points. The treatment was evaluated throughout six sessions and 15, 30 and 60 days after the end of the therapy, through visual analogue scale (VAS), range of mandibular movements and TMJ pressure pain threshold. The results showed a reduction in VAS (p < 0.001) and through the ANOVA with repeated measures it was observed that the groups did not present statistically significant differences (P = 0.2060), as the averages of the evaluation times (P = 0.3955) and the interaction groups evaluation times (P = 0.3024), considering the MVO. The same occurred for RLE (P = 0.2988, P = 0.1762 and P = 0.7970), LLE (P = 0.3265, P = 0.4143 and P = 0.0696), PPTD (P = 0.1558, P = 0.4695 and P = 0.0737) and PPTE (P = 0.2376, P = 0.3203 and P = 0.0624). For PE, there were not statistically significant differences for groups (P = 0.7017) and the interaction groups evaluation times (P = 0.6678), even so in both groups the PE varied with time (P = 0.0069).

摘要

本研究旨在采用随机双盲研究设计,评估低强度激光疗法(LILT)对30例颞下颌关节(TMJ)疼痛和下颌功能障碍患者的疗效。样本分为实验组(1)和安慰剂组(2),在三个TMJ点接受红外激光(780 nm,30 mW,10 s,6.3 J/cm²)治疗。在整个六个疗程以及治疗结束后的15天、30天和60天,通过视觉模拟量表(VAS)、下颌运动范围和TMJ压力疼痛阈值对治疗效果进行评估。结果显示VAS降低(p < 0.001),通过重复测量方差分析观察到,考虑到最大开口度(MVO),两组在评估时间平均值(P = 0.3955)和组间与评估时间的交互作用(P = 0.3024)方面没有统计学显著差异(P = 0.2060)。右侧侧向运动(RLE)、左侧侧向运动(LLE)、压力疼痛阈差值(PPTD)和压力疼痛阈扩展值(PPTE)的情况相同(P = 0.2988、P = 0.1762和P = 0.7970;P = 0.3265、P = 0.4143和P = 0.0696;P = 0.1558、P = 0.4695和P = 0.0737;P = 0.2376、P = 0.3203和P = 0.0624)。对于疼痛扩展值(PE),两组之间(P = 0.7017)以及组间与评估时间的交互作用(P = 0.6678)没有统计学显著差异,即便如此,两组的PE均随时间变化(P = 0.0069)。

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