Effects of magnetostimulation on muscle activity and pain in edentulous adults with temporomandibular disorders

• Autorzy: Rój R. , Chladek G. , Wyszyńska M. , Morawiec T. , Kasperski J.

Identyfikatory

DOI

10.5277/ABB-01070-2017-02

• Języki publikacji: EN

Abstrakty

EN

Introduction: Multifactorial aetiologies of painful temporomandibular disorders (TMD) have an impact on correct diagnosis and consequently prevent proper treatment. Aim of the study: The aim of the study was to evaluate the effect of magnetic stimulation on electromyographic activity in temporal muscles and masseters in patients using occlusal splints. Materials and methods: The examined group consisted of 40 edentulous patients with TMD. The patients were examined based on Helkimo Index. Next, electromyographic activity of the temporal muscle and masseter were investigated using 8-channel surface electromyography. All patients received acrylic occlusal splints for 12 weeks. The group qualified for the study included 20 randomized patients, whose therapy was additionally carried out by extremely low-frequency magnetic fields for a period of 21 days. Following examinations were conducted after 3, 6 and 12 weeks with surface electromyography recording of the examined muscles. Patients received occlusal splint corrections using the T-Scan III system. The clinical evaluation of TMD was analysed using Helkimo index and VAS scale before and after the treatment. All the data were analysed using Statistica 12.5 PL. Results: Patients with combination therapy had lower asymmetry of temporal muscle activity. Conclusions: Combination therapy using magnetic stimulation reduced intensity of pain in patients with TMD and decreased values of the Helkimo indices.

Słowa kluczowe

EN

temporomandibular disorders; electromyography; magnetic field therapy

PL

elektromiografia; terapia polem magnetycznym; fizykoterapia

• Wydawca: Oficyna Wydawnicza Politechniki Wrocławskiej
• Czasopismo: Acta of Bioengineering and Biomechanics
• Rocznik: 2018
• Tom: Vol. 20, no. 2
• Strony: 89--99
• Opis fizyczny: Bibliogr. 28 poz., tab., wykr.

Twórcy

autor

Rój R.

• Department of Prosthetic Dentistry, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice, Bytom, Poland

autor

Chladek G.

• Silesian University of Technology, Faculty of Mechanical Engineering, Institute of Engineering Materials and Biomaterials, Gliwice, Poland

autor

Wyszyńska M.

• Department of Prosthetic Dentistry, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice, Bytom, Poland

autor

Morawiec T.

• Department of Oral Surgery, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice, Bytom, Poland

autor

Kasperski J.

• Department of Prosthetic Dentistry, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice, Bytom, Poland

Bibliografia

• [1] AGGARWAL A., KELUSKAR V., Physiotherapy as an adjuvant therapy for treatment of TMJ disorders, Gen. Dent., 2012, 60, 119–22.
• [2] ALAJBEG I.Z., GIKIĆ M., VALENTIĆ-PERUZOVIĆ M., Changes in pain intensity and oral health-related quality of life in patients with temporomandibular disorders during stabilization splint therapy – a pilot study, Acta Clin. Croat., 2014, 53, 1, 7–16.
• [3] BAZZOTTI L., Electromyography tension and frequency spectrum analysis at rest of some masticatory muscles, before and after TENS, Electromyogr. Clin. Neurophysiol., 1997, 37, 365–78.
• [4] CHIPAILA N., SGOLASTRA F., SPADARO A., PIETROPAOLI D., MASCI C., CATTANEO R., MONACO A., The effects of ULFTENS stimulation on gnathology: the state of the art., Cranio, 2014, 32,2, 118–130. Review.
• [5] DAIF E.T., Correlation of splint therapy outcome with the electromyography of masticatory muscles in temporomandibular disorder with myofascial pain, Acta Odontol. Scand., 2012, 70, 1, 72–77.
• [6] DALEWSKI B., SEREWA J., FRĄCZAK B., Electromyography of bruxism – case descriptions, Magazyn Stomatologiczny, 2011, 5, 64–68, (in Polish).
• [7] FERRARIO V.F., SFORZA C., COLOMBO A., CIUSA V., An electromyographic investigation of masticatory muscles symmetry in normo-occlusion subjects, J. Oral. Rehabil., 2000, 27, 33–40.
• [8] HUGGER S., SCHINDLER H.J., KORDASS B., HUGGER A., Clinical relevance of surface EMG of the masticatory muscles. (Part 1): Resting activity, maximal and submaximal voluntary contraction, symmetry of EMG activity, Int. J. Comput. Dent., 2012, 15(4), 297–314, Review.
• [9] KASPERSKI J., ROSAK P., RÓJ R., CZELAKOWSKA A., SIEROŃ- -STOŁTNY K., PASEK J., SIEROŃ A., The influence of lowfrequency variable magnetic fields in reducing pain experience after dental implant treatment, Acta Bioeng. Biomech., 2015, 17, 4, 97–105
• [10] KUZMANOVICPFICER J., DODIC S., LAZIC V., TRAJKOVIC G., MILIC N., MILIC B., Occlusal stabilization splint for patients with temporomandibular disorders: Meta-analysis of short and long term effects, PLoS One.2017, 6, 12, (2), Article ID 0171296, DOI: 10.1371/journal.pone.0171296, eCollection 2017.
• [11] LÁSZLÓ J.F., FARKAS P., REICZIGEL J., VÁGÓ P., Effect of local exposure to inhomogeneous static magnetic field on stomatological pain sensation – a double-blind, randomized, placebocontrolled study, Int. J. Radiat. Biol., 2012, 88, 5, 430–438.
• [12] ŁOPUCH P., PIHUT M., BACZYK-ŁOPUCH O., The use of extremely low frequency magnetic fields and in dentistry – a review of literature, Implantoprotetyka, 2010, 2–3(39–40), 46–49, (in Polish).
• [13] LOSTER J., WIECZOREK A., MAJEWSKI S., Co-existence of dysfunction of the stomatognathic system and incidences of depressive conditions based on examination of patients at the University Dental Clinic in Cracow, J. Stoma., 2011, 64, 12, 1017–1025
• [14] MAIA M.L., BONJARDIM L.R., QUINTANSJDE S., RIBEIRO M.A., MAIA L.G., CONTI P.C., Effect of low-level laser therapy on pain levels in patients with temporomandibular disorders: a systematic review, J. Appl. Oral. Sci., 2012, 20, 6, 594–602, Review.
• [15] MONACO A., SGOLASTRA F., PIETROPAOLI D., GIANNONI M., CATTANEO R., Comparison between sensory and motor transcutaneous electrical nervous stimulation on electromyographic and kinesiographic activity of patients with temporomandibular disorder: a controlled clinical trial, BMC Musculoskelet. Disord., 2013, 15, 14, 168.
• [16] MURPHY M.K., MACBARB R.F., WONG M.E., ATHANASIOU K.A., Temporomandibular disorders: a review of etiology, clinical management, and tissue engineering strategies, Int. J. Oral. Maxillofac. Implants, 2013, 28(6), 393–414.
• [17] RAMPELLO A., SACCUCCI M., FALISI G., PANTI F., POLIMENI A., DI PAOLO C., A new aid in temporomandibular joint disorders’ therapy: the universal neuromuscular immediate relaxing appliance, J. Biol. Regul. Homeost. Agents, 2013, 27, 4, 1011–1019.
• [18] RIBEIRO J.A., DE RESENDE C.M., LOPES A.L., FARIAS-NETO A., CARREIRO A.F., Association between prosthetic factors and temporomandibular disorders in complete denture wearers, Gerodontology, 2014, 31(4), 308–313.
• [19] RILO B., SANTANA U., MORA M.J., CADARSO C.M., Myoelectrical activity of clinical rest position and jaw muscle activity in young adults, J. Oral. Rehabil., 1997, 24, 10, 735–740.
• [20] ROLDÁN-BARRAZA C., JANKO S., VILLANUEVA J., ARAYA I., LAUER H.C., A systematic review and meta-analysis of usual treatment versus psychosocial interventions in the treatment of myofascial temporomandibular disorder pain, J. Oral. Facial. Pain Headache, 2014, 28(3), 205–222, DOI: 10.11607/ofph.1241, Review.
• [21] SALMOS BRITO J.A., DE MENEZES R.F., TEIXEIRA C.E., GONZAGA R.K., RODRIGUES B.H., BRAZ R., BESSA- -NOGUEIRA R.V., GERBI M.E., Evaluation of low-level laser therapy in patients with acute and chronic temporomandibular disorders, Lasers Med. Sci., 2013, 28, 1, 57–64.
• [22] SCOPEL V., ALVES DA COSTA G.S., URIAS D., An electromyographic study of masseter and anterior temporalis muscles in extra-articular myogenous TMJ pain patients compared to an asymptomatic and normal population, Cranio, 2005, 23, 3, 194–203.
• [23] SUVINEN T.I., KEMPPAINEN P., Review of clinical EMG studies related to muscle and occlusal factors in healthy and TMD subjects, J. Oral. Rehabil., 2007, 34(9), 631–44, Review.
• [24] SZYSZKOWSKA A., HAMWI R., KOLIŃSKI P., Physiotherapy procedures used in dental therapy, Implantoprotetyka, 2011, XII, 1–2, 42–43, (in Polish).
• [25] VIEIRA E. SILVA C.A., DA SILVA M.A., MELCHIOR-MDE O., DE FELICIO C.M., SFORZA C., TARTAGLIA G.M., Treatment for TMD with occlusal splint and electromyographic control: application of the FARC protocol in a Brazilian population, Cranio, 2012, 30, 3, 218–226.
• [26] WIĘCKIEWICZ M., BOENING K., WILAND P., SHIAU Y.Y., PARADOWSKA-STOLARZ A., Reported concepts for the treatment modalities and pain management of temporomandibular disorders, J. Headache Pain, 2015, 16, 106.
• [27] WIENS J.P., A progressive approach for the use of occlusal devices in the management of temporomandibular disorders, Gen. Dent., 2016, 64(6), 29–36. Review.
• [28] WITULSKI S., VOGL T.J., REHART S., OTTL P., Evaluation of the TMJ by means of Clinical TMD Examination and MRI Diagnostics in Patients with Rheumatoid Arthritis, Biomed. Res. Int., 2014, Article ID 328560.

Uwagi

The study was conducted with the prior approval from the Bioethics Committee of the Medical University of Silesia in Katowice, Poland, Resolution No. KNW/0022/KB1/56/12).

Opracowanie rekordu w ramach umowy 509/P-DUN/2018 ze środków MNiSW przeznaczonych na działalność upowszechniającą naukę (2019).