Ariji Yoshiko, Nakayama Miwa, Nishiyama Wataru, Ogi Nobumi, Sakuma Shigemitsu, Katsumata Akitoshi, Kurita Kenichi, Ariji Eiichiro
Department of Oral and Maxillofacial Radiology, Aichi-Gakuin University School of Dentistry , Nagoya, Japan.
Cranio. 2015 Oct;33(4):256-62. doi: 10.1080/08869634.2015.1097303. Epub 2015 Dec 29.
To investigate the safety, suitable treatment regimen, and efficacy of masseter and temporal muscle massage treatment using an oral rehabilitation robot.
Forty-one temporomandibular disorder (TMD) patients with myofascial pain (8 men, 33 women, median age: 46 years) were enrolled. The safety, suitable massage regimen, and efficacy of this treatment were investigated. Changes in masseter muscle thickness were evaluated on sonograms.
No adverse events occurred with any of the treatment sessions. Suitable massage was at pressure of 10 N for 16 minutes. Five sessions were performed every 2 weeks. Total duration of treatment was 9·5 weeks in median. Massage treatment was effective in 70·3% of patients. Masseter muscle thickness decreased with treatment in the therapy-effective group.
This study confirmed the safety of massage treatment, and established a suitable regimen. Massage was effective in 70·3% of patients and appeared to have a potential as one of the effective treatments for myofascial pain.
探讨使用口腔康复机器人进行咬肌和颞肌按摩治疗的安全性、合适的治疗方案及疗效。
纳入41例患有肌筋膜疼痛的颞下颌关节紊乱病（TMD）患者（8例男性，33例女性，中位年龄：46岁）。研究该治疗的安全性、合适的按摩方案及疗效。通过超声检查评估咬肌厚度的变化。
任何治疗疗程均未发生不良事件。合适的按摩压力为10 N，持续16分钟。每2周进行5次治疗。治疗总时长中位数为9.5周。70.3%的患者按摩治疗有效。在治疗有效的组中，咬肌厚度随治疗而减小。
本研究证实了按摩治疗的安全性，并确立了合适的方案。70.3%的患者按摩治疗有效，按摩似乎有潜力成为肌筋膜疼痛的有效治疗方法之一。
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