Sekito Florence, Pintucci Marco, Pirri Carmelo, Ribeiro de Moraes Rego Mariana, Cardoso Mayra, Soares Paixão Kenia, Ribeiro da Silva Valquiria, Stecco Antonio
Department of Prosthodontic, State University of Rio de Janeiro, Rio de Janeiro 20550-013, Brazil.
Department of Neurosciences, Institute of Human Anatomy, University of Padova, 35121 Padova, Italy.
Bioengineering (Basel). 2022 Jun 27;9(7):279. doi: 10.3390/bioengineering9070279.
Background: To investigate the effectiveness of a specific manual therapy, Fascial Manipulation® (FM), in comparison with conventional treatments in temporomandibular disorders (TMD) patients using a two-arm randomized controlled trial. Methods: The study consisted of 28 patients that were divided in two groups (Group 1: Fascial Manipulation® vs. Group 2: conventional TMD treatment). The Verbal Rating Scale (VRS), RDC/TMD, electromyography (EMG) and Pression/Pain Evaluation on Masseter and Temporalis Muscle were assessed with different times. Results: In both groups, the improvement in pain was evident on the VRS scale (p < 0.0001) and pain-free opening (p < 0.001). In Group 1, the recovery of the function was faster; maximum unassisted opening T0 vs. T1 (p = 0.001). Conclusions: FM® can be used as an effective method for facial pain, being a rapid, safe and cost-effective approach to reduce pain, gain function and mouth opening that can be used prior to occlusion stabilization appliances.
采用双臂随机对照试验，对比特定手法治疗——筋膜手法（FM）与传统治疗方法对颞下颌关节紊乱病（TMD）患者的疗效。方法：该研究纳入28例患者，分为两组（第1组：筋膜手法治疗组与第2组：传统TMD治疗组）。在不同时间点对言语评定量表（VRS）、RDC/TMD、肌电图（EMG）以及咬肌和颞肌的压痛/疼痛评估进行测定。结果：两组患者在VRS量表上疼痛均有明显改善（p < 0.0001），无痛开口情况也有所改善（p < 0.001）。在第1组中，功能恢复更快；最大自主开口度T0与T1相比（p = 0.001）。结论：筋膜手法可作为治疗面部疼痛的有效方法，是一种快速、安全且经济有效的减轻疼痛、恢复功能及改善开口度的方法，可在咬合稳定矫治器之前使用。
