微电流电神经刺激（MENS）对颞下颌关节紊乱症患者肌肉疼痛的疗效评估。
Evaluation of microcurrent electrical nerve stimulation (MENS) effectiveness on muscle pain in temporomandibular disorders patients.
作者信息
Zuim Paulo Renato Junqueira, Garcia Alicio Rosalino, Turcio Karina Helga Leal, Hamata Marcelo Matida
机构信息
Department of Dental Materials and Prosthodontics of Araçatuba Dental School, UNESP - São Paulo State University - Araçatuba - São Paulo - Brazil.
出版信息
J Appl Oral Sci. 2006 Jan;14(1):61-6. doi: 10.1590/s1678-77572006000100012.
Abstract
The effect of Microcurrent Electrical Nerve Stimulation (MENS) was evaluated and compared with occlusal splint therapy in temporomandibular disorders (TMD) patients with muscle pain. Twenty TMD patients were divided into four groups. One received occlusal splint therapy and MENS (I); other received splints and placebo MENS (II); the third, only MENS (III) and the last group, placebo MENS (IV). Sensitivity derived from muscle palpation was evaluated using a visual analogue scale. Results were submitted to analysis of variance (p<0.05). There was reduction of pain level in all groups: group I (occlusal splint and MENS) had a 47.7% reduction rate; group II (occlusal splint and placebo MENS), 66.7%; group III (MENS), 49.7% and group IV (placebo MENS), 16.5%. In spite of that, there was no statistical difference (analysis of variance / p<0.05) between MENS and occlusal splint therapy regarding muscle pain reduction in TMD patients after four weeks.
摘要
对微电流神经刺激（MENS）的效果进行了评估，并与咬合板疗法在患有肌肉疼痛的颞下颌关节紊乱病（TMD）患者中进行了比较。20名TMD患者被分为四组。一组接受咬合板疗法和MENS（I组）；另一组接受咬合板和安慰剂MENS（II组）；第三组仅接受MENS（III组），最后一组接受安慰剂MENS（IV组）。使用视觉模拟量表评估源自肌肉触诊的敏感性。结果进行方差分析（p<0.05）。所有组的疼痛水平均有所降低：I组（咬合板和MENS）的降低率为47.7%；II组（咬合板和安慰剂MENS）为66.7%；III组（MENS）为49.7%，IV组（安慰剂MENS）为16.5%。尽管如此，四周后，在TMD患者的肌肉疼痛减轻方面，MENS与咬合板疗法之间没有统计学差异（方差分析/p<0.05）。
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本文引用的文献
1
Electro-membrane microcurrent therapy reduces signs and symptoms of muscle damage.电膜微电流疗法可减轻肌肉损伤的体征和症状。
Med Sci Sports Exerc. 2002 Apr;34(4):602-7. doi: 10.1097/00005768-200204000-00007.
2
Effect of a passive jaw motion device on pain and range of motion in TMD patients not responding to flat plane intraoral appliances.被动式下颌运动装置对未对平面口内矫治器产生反应的颞下颌关节紊乱病患者疼痛和运动范围的影响
Cranio. 2002 Jan;20(1):55-66. doi: 10.1080/08869634.2002.11746191.
3
A common-sense approach to splint therapy.夹板治疗的常识性方法。
J Prosthet Dent. 2001 Nov;86(5):539-45. doi: 10.1067/mpr.2001.118878.
4
Trigger point identification and treatment with microcurrent.触发点的识别与微电流治疗。
Cranio. 1999 Oct;17(4):293-6. doi: 10.1080/08869634.1999.11746107.
5
The role of bioelectronic instrumentation in the documentation and management of temporomandibular disorders.生物电子仪器在颞下颌关节紊乱病的记录与管理中的作用。
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997 Jan;83(1):91-100. doi: 10.1016/s1079-2104(97)90098-6.
6
Clinical comparative study of microcurrent electrical stimulation to mid-laser and placebo treatment in degenerative joint disease of the temporomandibular joint.微电流电刺激与中激光及安慰剂治疗颞下颌关节退行性疾病的临床对比研究
Cranio. 1995 Apr;13(2):116-20. doi: 10.1080/08869634.1995.11678054.
7
Pulsed microamperage stimulation: a controlled study of healing of surgically induced wounds in Yucatan pigs.脉冲微安刺激：尤卡坦猪手术创口愈合的对照研究
Phys Ther. 1994 Mar;74(3):201-13; discussion 213-8. doi: 10.1093/ptj/74.3.201.
8
The effects of electric currents on ATP generation, protein synthesis, and membrane transport of rat skin.电流对大鼠皮肤ATP生成、蛋白质合成及膜转运的影响。
Clin Orthop Relat Res. 1982 Nov-Dec(171):264-72.
9
Transcutaneous electrical stimulation as an adjunct in the management of myofascial pain-dysfunction syndrome.
J Prosthet Dent. 1981 Mar;45(3):307-14. doi: 10.1016/0022-3913(81)90396-6.
10
A study of the use of occlusion splints in the treatment of acute and chronic patients with craniomandibular disorders.
J Prosthet Dent. 1982 Dec;48(6):708-12. doi: 10.1016/s0022-3913(82)80034-6.
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