Yazici Gokhan, Kafa Nihan, Kolsuz Mehmet Eray, Volkan-Yazici Melek, Evli Cengiz, Orhan Kaan
Faculty of Health Sciences, Department of Physical Therapy and Rehabilitation, Gazi University, Ankara, Turkey.
Faculty of Dentistry, Department of Dentomaxillofacial Radiology, Ankara University, Ankara, Turkey.
Cranio. 2023 Jan;41(1):41-47. doi: 10.1080/08869634.2020.1812817. Epub 2020 Aug 25.
To compare the immediate effects of a single session of manual therapy (MT) or Kinesio taping following MT (KTMT) in patients with bruxism using shear wave ultrasonography.
Twenty patients were included in the MT group (mean age 27.3 ± 4.8), and 19 patients were included in the KTMT group (age mean 26.2 ± 5.4), randomly. Muscle thickness and stiffness were assessed via shear wave ultrasonography, and pain pressure threshold was assessed with an algometer before and after one session of MT or KTMT.
Significant decreases were found in muscle thickness and stiffness of the bilateral masseter (p < 0.05). Significant decrease in pain was seen in the masseter and temporalis muscle PPT measurements in the KTMT group (p < 0.05) only.
Kinesio taping in addition to MT is recommended in the immediate physiotherapy treatment of bruxism for acute pain.
使用剪切波超声检查比较磨牙症患者单次手法治疗（MT）或手法治疗后应用肌内效贴布（KTMT）的即时效果。
随机将20例患者纳入MT组（平均年龄27.3±4.8岁），19例患者纳入KTMT组（平均年龄26.2±5.4岁）。通过剪切波超声检查评估肌肉厚度和硬度，并在单次MT或KTMT治疗前后使用痛觉计评估疼痛压力阈值。
双侧咬肌的肌肉厚度和硬度显著降低（p<0.05）。仅在KTMT组的咬肌和颞肌疼痛压力阈值测量中观察到疼痛显著降低（p<0.05）。
对于磨牙症急性疼痛的即时物理治疗，建议在MT基础上联合应用肌内效贴布。
