Department of Prosthodontics, Medical University of Bialystok, 24A M. Sklodowskiej-Curie Street, 15-274 Bialystok, Poland.
Private Health Care, Physical Therapy and Rehabilitation, Bialystok, 79 Warsaw Street, 15-201 Bialystok, Poland.
Int J Environ Res Public Health. 2021 Jun 18;18(12):6568. doi: 10.3390/ijerph18126568.
The aim of the study was to evaluate occlusal parameters in patients with myofascial pain with referral before and after soft tissue mobilization. The study group consisted of 50 people (37 females and 13 males, average age 23.36 ± 2.14 years) diagnosed with myofascial pain with referral. All patients underwent triplicate soft tissue mobilization. Occlusal parameters were evaluated six times, before and after each treatment, using T-scan III. A decreasing tendency of the occlusion time was observed after the first, second, and third therapy. After the third treatment, the mean occlusion time in the entire study group was 0.119 s. The 1st soft tissue mobilization shortened both right and left disclusion times to 0.181 s and 0.185 s, respectively. After the third treatment, these parameters amounted to 0.159 s and 0.165 s, respectively. The Friedman test for the entire study group indicated that soft tissue mobilization altered the occlusion time and both disclusion times ( < 0.05). In conclusion, soft tissue mobilization affects biotensegrity of the masticatory system, thus modifying occlusal parameters. The occlusion time and both disclusion times cannot be considered as cofactors of the existing temporomandibular disorders-myofascial pain with referral.
本研究旨在评估肌筋膜疼痛患者在软组织松解前后的咬合参数。研究组包括 50 名患者（37 名女性和 13 名男性，平均年龄 23.36 ± 2.14 岁），诊断为有牵涉痛的肌筋膜疼痛。所有患者均接受三次软组织松解治疗。使用 T-scan III 评估咬合参数，在每次治疗前后重复测量 6 次。第一次、第二次和第三次治疗后，咬合时间呈下降趋势。在整个研究组中，第三次治疗后平均咬合时间为 0.119 秒。第一次软组织松解分别将右侧和左侧的脱离时间缩短至 0.181 秒和 0.185 秒。第三次治疗后，这些参数分别为 0.159 秒和 0.165 秒。整个研究组的 Friedman 检验表明，软组织松解改变了咬合时间和双侧脱离时间（<0.05）。结论：软组织松解影响咀嚼系统的生物张力完整性，从而改变咬合参数。咬合时间和双侧脱离时间不能被认为是现有颞下颌关节紊乱-有牵涉痛的肌筋膜疼痛的相关因素。
