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用深部干针治疗颞下颌肌筋膜疼痛。

Treatment of temporomandibular myofascial pain with deep dry needling.

机构信息

Servicio de Cirugía Oral y Maxilofacial, Hospital Universitario Virgen del Rocío, Av. Manuel Siurot, 41013-Sevilla, Spain.

出版信息

Med Oral Patol Oral Cir Bucal. 2012 Sep 1;17(5):e781-5. doi: 10.4317/medoral.17822.

Abstract

OBJECTIVES

The present study was designed to evaluate the usefulness of deep dry needling in the treatment of temporomandibular myofascial pain.

STUDY DESIGN

We selected 36 patients with myofascial pain located in the external pterygoid muscle (30 women/6 men, mean age=27 years with SD±6.5). We studied differences in pain with a visual analog scale and range of mandibular movements before and after intervention.

RESULTS

We found a statistically significant relationship (p<0.01) between therapeutic intervention and the improvement of pain and jaw movements, which continued up to 6 months after treatment. Pain reduction was greater the higher was the intensity of pain at baseline.

CONCLUSIONS

Although further studies are needed, our findings suggest that deep dry needling in the trigger point in the external pterygoid muscle can be effective in the management of patients with myofascial pain located in that muscle.

摘要

目的

本研究旨在评估深层干针在治疗颞下颌肌筋膜疼痛中的作用。

研究设计

我们选择了 36 名位于翼外肌的肌筋膜疼痛患者(30 名女性/6 名男性,平均年龄为 27 岁,标准差±6.5)。我们使用视觉模拟评分和下颌运动范围在干预前后评估疼痛差异。

结果

我们发现治疗干预与疼痛和下颌运动的改善之间存在统计学显著关系(p<0.01),这种关系持续到治疗后 6 个月。疼痛减轻的幅度与基线时疼痛的强度成正比。

结论

尽管需要进一步的研究,但我们的研究结果表明,在翼外肌触发点进行深层干针治疗可能对位于该肌肉的肌筋膜疼痛患者的治疗有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/401d/3482522/3aed3c376b29/medoral-17-e781-g001.jpg

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