经皮电神经刺激疗法：颞下颌关节紊乱病患者疼痛控制的辅助治疗方式——一项临床研究
Transcutaneous electrical nerve stimulation therapy: An adjuvant pain controlling modality in TMD patients - A clinical study.
作者信息
Shanavas Muhammad, Chatra Laxmikanth, Shenai Prashanth, Rao Prasanna Kumar, Jagathish Veena, Kumar Sreeja Prasanna, Naduvakkattu Bilahari
机构信息
Department of Oral Medicine and Radiology, Mahe Institute of Dental Sciences, Mahe, Pondicherry, India.
Department of Oral Medicine and Radiology, Yenepoya Dental College, Yenepoya University, Mangalore, Karnataka, India.
出版信息
Dent Res J (Isfahan). 2014 Nov;11(6):676-9.
BACKGROUND
The use of transcutaneous electrical nerve stimulation (TENS) in dentistry was first described in 1967, by Shane and Kessler, but it has yet to gain widespread acceptance in dentistry. A study was undertaken to evaluate the effectiveness of TENS therapy as an adjuvant modality and to compare it with the conventional medication in controlling pain in temporomandibular disorder (TMD) patients.
MATERIALS AND METHODS
The study was carried out in the Department of Oral Medicine and Radiology, Yenepoya Dental College and Hospital, Mangalore. A total of 40 patients with the clinical symptom of pain associated with TMDs were randomly divided into two groups. Group A (control) patients were treated with medication (analgesics and muscle relaxants) alone, while group B patients were treated with TENS therapy in combination with medication. The intensity of the pain was assessed using the Visual Analog Scale (VAS). The results were analyzed with the student's 't' test. A P-value < 0.05 was considered as significant.
RESULTS
A significant improvement was observed in both the TENS and the control group in terms of pain control. On comparative analysis, adjuvant TENS therapy was found to be more effective than medication alone, in controlling pain. (P value = 0.019).
CONCLUSION
The observed data suggest that TENS therapy can be used as an adjuvant modality in the management of pain associated with TMDs. This study justifies the use of TENS therapy in the management of TMD.
背景
1967年，沙恩和凯斯勒首次描述了经皮电刺激神经疗法（TENS）在牙科中的应用，但该疗法在牙科领域尚未得到广泛认可。本研究旨在评估TENS疗法作为辅助治疗手段的有效性，并将其与传统药物治疗在控制颞下颌关节紊乱病（TMD）患者疼痛方面进行比较。
材料与方法
本研究在芒格洛尔耶内波亚牙科学院和医院口腔医学与放射科进行。共有40例伴有TMD相关疼痛临床症状的患者被随机分为两组。A组（对照组）患者仅接受药物治疗（镇痛药和肌肉松弛剂），而B组患者接受TENS疗法联合药物治疗。采用视觉模拟量表（VAS）评估疼痛强度。结果采用学生t检验进行分析。P值<0.05被认为具有统计学意义。
结果
在疼痛控制方面，TENS组和对照组均观察到显著改善。经比较分析，发现辅助TENS疗法在控制疼痛方面比单纯药物治疗更有效。（P值=0.019）。
结论
观察到的数据表明，TENS疗法可作为辅助治疗手段用于管理与TMD相关的疼痛。本研究证明了TENS疗法在TMD管理中的应用价值。
Zotero 插件