Lietz-Kijak Danuta, Kopacz Łukasz, Ardan Roman, Grzegocka Marta, Kijak Edward
Independent Unit of Propaedeutic and Dental Physical Diagnostics, Faculty of Medicine and Dentistry, Pomeranian Medical University, Rybacka 1, 70-204 Szczecin, Poland.
Department of Econometrics, Faculty of Economic Sciences, Koszalin University of Technology, Kwiatkowskiego 6e, 75-343 Koszalin, Poland.
Pain Res Manag. 2018 May 10;2018:5464985. doi: 10.1155/2018/5464985. eCollection 2018.
Chronic face pain syndrome is a diagnostic and therapeutic problem for many specialists, and this proves the interdisciplinary and complex nature of this ailment. Physiotherapy is of particular importance in the treatment of pain syndrome in the course of temporomandibular joint functional disorders. In patients with long-term dysfunction of masticatory muscles, the palpation examination can localize trigger points, that is, thickening in the form of nodules in the size of rice grains or peas. Latent trigger points located in the muscles can interfere with muscular movement patterns, cause cramps, and reduce muscle strength. Because hidden trigger points can spontaneously activate, they should be found and released to prevent further escalation of the discomfort. Kinesiotaping (KT) is considered as an intervention that can be used to release latent myofascial trigger points. It is a method that involves applying specific tapes to the patient's skin in order to take advantage of the natural self-healing processes of the body. The aim of the study was to evaluate the effect of the kinesiotaping method and trigger points inactivation on the nonpharmacological elimination of pain in patients with temporomandibular disorders. The study was conducted in 60 patients (18 to 35 years old). The subjects were randomly divided into two subgroups of 30 people each. Group KT (15 women and 15 men) were subjected to active kinesiotaping application. Group TrP, composed of 16 women and 14 men, was subjected to physiotherapy with the release of trigger points by the ischemic compression method. The results show that the KT method and TrP inactivation brought significant therapeutic analgesic effects in the course of pain-related functional disorders of the muscles of mastication. The more beneficial outcomes of the therapy were observed after using the KT method, which increased the analgesic effect in dysfunctional patients.
慢性面部疼痛综合征对许多专科医生来说都是一个诊断和治疗难题，这证明了这种疾病具有跨学科和复杂性。物理治疗在颞下颌关节功能障碍所致疼痛综合征的治疗中尤为重要。在咀嚼肌长期功能障碍的患者中，触诊检查可定位触发点，即米粒或豌豆大小的结节状增厚。位于肌肉中的潜在触发点会干扰肌肉运动模式，导致痉挛并降低肌肉力量。由于隐藏的触发点会自发激活，因此应找到并解除这些触发点，以防止不适进一步加重。肌内效贴布（KT）被认为是一种可用于解除潜在肌筋膜触发点的干预措施。它是一种将特定胶带贴于患者皮肤上以利用身体自然自愈过程的方法。本研究的目的是评估肌内效贴布法和触发点失活对颞下颌关节紊乱患者非药物性疼痛消除的效果。该研究对60名患者（年龄在18至35岁之间）进行。受试者被随机分为两个亚组，每组30人。KT组（15名女性和15名男性）接受主动肌内效贴布应用。TrP组由16名女性和14名男性组成，接受通过缺血性按压法解除触发点的物理治疗。结果表明，KT法和TrP失活在咀嚼肌疼痛相关功能障碍过程中带来了显著的治疗性镇痛效果。使用KT法后观察到更有益的治疗效果，并增强了功能障碍患者的镇痛效果。
