Albertin A, Kerppers I I, Amorim C F, Costa R V, Ferrari Corrêa J C, Oliveira C S
Universidade Estadual do Centro-Oeste, Brazil.
Electromyogr Clin Neurophysiol. 2010 Mar;50(2):107-12.
Orofacial pain and pain in the muscles of mastication are frequent symptoms of temporomandibular disorder. The masseter is the closet masticatory muscle to the surface and has the function of raising and retracting the mandible. This muscle has considerable strength and is one of the main muscles involved in the shredding of food It is therefore of utmost importance in the masticatory cycle and generally the most affected by pain and spasms.
The aim of the present study was to analyze the effect of manual therapy with transversal and circular movements on pain and spasm in the masseter muscle, using electromyography and a visual analogue pain scale (VAPS). Eight women who experienced pain upon palpation of the masseter greater than 6 on the VAPS were selected for participation in the study, which employed electromyography and a VAPS for assessment, followed by manual oral physiotherapy and reevaluation.
The statistical analysis revealed a reduction in pain, but there was no significant difference in electromyographic activity (p < 0.05).
It was concluded that massage therapy was effective on pain symptoms, but was not capable of altering the electrical activity of the masseter muscle.
口面部疼痛和咀嚼肌疼痛是颞下颌关节紊乱的常见症状。咬肌是最靠近体表的咀嚼肌,具有上提和后缩下颌骨的功能。该肌肉力量强大,是参与食物咀嚼的主要肌肉之一,因此在咀嚼周期中至关重要,通常也是受疼痛和痉挛影响最大的肌肉。
本研究旨在使用肌电图和视觉模拟疼痛量表(VAPS),分析横向和环形手法治疗对咬肌疼痛和痉挛的影响。选取了8名在咬肌触诊时疼痛程度在VAPS上大于6的女性参与研究,研究采用肌电图和VAPS进行评估,随后进行口腔手法物理治疗并重新评估。
统计分析显示疼痛有所减轻,但肌电活动无显著差异(p < 0.05)。
得出的结论是,按摩疗法对疼痛症状有效,但无法改变咬肌的电活动。