DOI QR코드

DOI QR Code

Evaluation of Efficacy of Ultrasonography in the Assessment of Transcutaneous Electrical Nerve Stimulation in Subjects with Myositis and Myofascial Pain

  • Patil, Seema (Department of Oral Medicine and Radiology, D A P M R V Dental College) ;
  • Iyengar, Asha R (Department of Oral Medicine and Radiology, D A P M R V Dental College) ;
  • Kotni, Ramya Madhuri (Department of Oral Medicine and Radiology, D A P M R V Dental College) ;
  • BV, Subash (Department of Oral Medicine and Radiology, D A P M R V Dental College) ;
  • Joshi, Revan Kumar (Department of Oral Medicine and Radiology, D A P M R V Dental College)
  • Received : 2015.05.30
  • Accepted : 2015.09.30
  • Published : 2016.01.01

Abstract

Background: The study aimed to determine if ultrasonography of masseter can be used to evaluate the outcome of transcutaneous electrical nerve stimulation (TENS) in subjects with temporomandibular disorders (TMDs) such as myositis and myofascial pain. Methods: Fifteen TMD subjects with myofascial pain/myositis who satisfied the RDC/McNeil criteria were included in the study. All the subjects were administered TENS therapy for a period of 6 days (30 minutes per session). The mouth opening (in millimeters) and severity of pain (visual analogue scale score) and ultrasonographic thickness of the masseter (in millimeters) in the region of trigger/tender areas was assessed in all the subjects both prior and post TENS therapy. A comparison of the pre-treatment and post-treatment values of the VAS score, mouth opening and masseter thickness was done with the help of a t-test. Results: There was a significant reduction in the thickness of masseter muscle (P = 0.028) and VAS scores (P < 0.001) post TENS therapy. There was also a significant improvement in the mouth opening (P = 0.011) post TENS therapy. Conclusions: In the present study, ultrasonography was found to be an effective measuring tool in the assessment of TENS therapy in subjects with myositis and myofascial pain.

Keywords

References

  1. Grossmann E, Tambara JS, Grossmann TK, de Siqueira JT. Transcutaneous electrical nerve stimulation for temporomandibular joint disorder. Rev Dor Sao Paulo 2012; 13: 271-6.
  2. Blasberg B, Greenberg MS. Temporomandibular disorders. In: Burket's oral medicine. 11th ed. Edited by Greenberg MS, Glick M, Ship JA. Hamilton, BC Decker Inc. 2008, pp 223-56.
  3. Ariji Y, Sakuma S, Izumi M, Sasaki J, Kurita K, Ogi N, et al. Ultrasonographic features of the masseter muscle in female patients with temporomandibular disorder associated with myofascial pain. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004; 98: 337-41. https://doi.org/10.1016/j.tripleo.2004.06.068
  4. Rajendran R. Diseases of nerves and muscles. In: Shafer's textbook of oral pathology. 6th ed. Edited by Rajendran R, Sivapathasundharam B. Gurgaon, Reed Elsevier India Private Limited. 2009, pp 844-60.
  5. Ariji Y, Katsumata A, Hiraiwa Y, Izumi M, Sakuma S, Shimizu M, et al. Masseter muscle sonographic features as indices for evaluating efficacy of massage treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 110: 517-26. https://doi.org/10.1016/j.tripleo.2010.05.003
  6. Moger G, Shashikanth MC, Sunil MK, Shambulingappa P. Transcutaneous electrical nerve stimulation therapy in temporomandibular disorder: a clinical study. J Indian Acad Oral Med Radiol 2011; 23: 46-50. https://doi.org/10.5005/jp-journals-10011-1090
  7. Rodrigues D, Siriani AO, Berzin F. Effect of conventional TENS on pain and electromyographic activity of masticatory muscles in TMD patients. Braz Oral Res 2004; 18: 290-5. https://doi.org/10.1590/S1806-83242004000400003
  8. Kato MT, Kogawa EM, Santos CN, Conti PC. TENS and low-level laser therapy in the management of temporomandibular disorders. J Appl Oral Sci 2006; 14: 130-5. https://doi.org/10.1590/S1678-77572006000200012
  9. Kogawa EM, Kato MT, Santos CN, Conti PC. Evaluation of the efficacy of low-level laser therapy (LLLT) and the microelectric neurostimulation (MENS) in the treatment of myogenic temporomandibular disorders: a randomized clinical trial. J Appl Oral Sci 2005; 13: 280-5. https://doi.org/10.1590/S1678-77572005000300015
  10. Zuim PR, Garcia AR, Turcio KH, Hamata MM. Evaluation of microcurrent electrical nerve stimulation (MENS) effectiveness on muscle pain in temporomandibular disorders patients. J Appl Oral Sci 2006; 14: 61-6. https://doi.org/10.1590/S1678-77572006000100012
  11. Aldemir K, Ustuner E, Erdem E, Demiralp AS, Oztuna D. Ultrasound evaluation of masseter muscle changes in stabilization splint treatment of myofascial type painful temporomandibular diseases. Oral Surg Oral Med Oral Pathol Oral Radiol 2013; 116: 377-83. https://doi.org/10.1016/j.oooo.2013.06.011
  12. Bakke M, Tuxen A, Vilmann P, Jensen BR, Vilmann A, Toft M. Ultrasound image of human masseter muscle related to bite force, electromyography, facial morphology, and occlusal factors. Scand J Dent Res 1992; 100: 164-71.
  13. Okeson JP. Functional anatomy and biomechanics of the masticatory system. In: Management of temporomandibular disorders and occlusion. 6th ed. Edited by Okeson JP. St. Louis (MO), Mosby Elsevier. 2008, pp 2-24.
  14. List T, Helkimo M. Acupuncture and occlusal splint therapy in the treatment of craniomandibular disorders. II. A 1-year follow-up study. Acta Odontol Scand 1992; 50: 375-85. https://doi.org/10.3109/00016359209012785
  15. Wessberg GA, Carroll WL, Dinham R, Wolford LM. Transcutaneous electrical stimulation as an adjunct in the management of myofascial pain-dysfunction syndrome. J Prosthet Dent 1981; 45: 307-14. https://doi.org/10.1016/0022-3913(81)90396-6

Cited by

  1. Patients with myogenic temporomandibular disorders have reduced oxygen extraction in the masseter muscle vol.21, pp.5, 2017, https://doi.org/10.1007/s00784-016-1912-2
  2. 턱관절 장애 유무에 따른 깨물근의 두께와 턱관절 가동범위의 비대칭성 비교 vol.26, pp.1, 2016, https://doi.org/10.12674/ptk.2019.26.1.028
  3. The predictive role of the posterior tibial tendon cross-sectional area in early diagnosing posterior tibial tendon dysfunction vol.99, pp.36, 2016, https://doi.org/10.1097/md.0000000000021823
  4. Masseter muscle thickness and elasticity in periodontitis vol.62, pp.1, 2020, https://doi.org/10.2334/josnusd.18-0341
  5. Immediate Effect of Masticatory Muscle Activity with Transcutaneous Electrical Nerve Stimulation in Muscle Pain of Temporomandibular Disorders Patients vol.9, pp.10, 2016, https://doi.org/10.3390/jcm9103330
  6. 머리전방자세가 턱관절의 최대 개구량과 관자근 및 깨물근의 근활성도와 비대칭률에 미치는 영향 vol.22, pp.3, 2016, https://doi.org/10.5762/kais.2021.22.3.291
  7. Comparison of the Efficiency of High-Intensity Laser Therapy and Transcutaneous Electrical Nerve Stimulation Therapy in Patients With Symptomatic Temporomandibular Joint Disc Displacement With Reducti vol.80, pp.1, 2022, https://doi.org/10.1016/j.joms.2021.07.014