Local Vibratory Stimulation for Temporomandibular Disorder Myofascial Pain Treatment: A Randomised, Double-Blind, Placebo-Controlled Preliminary Study

Several methods are currently used to manage pain related to temporomandibular disorder (TMD). Vibratory stimulation is applied as a pain treatment for several musculoskeletal disorders, but it has not yet been studied in-depth for TMD symptoms. The aim of this study is to analyse the effectiveness...

Full description

Saved in:
Bibliographic Details
Main Authors: Emanuela Serritella, Giordano Scialanca, Paola Di Giacomo, Carlo Di Paolo
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2020/6705307
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832546986260168704
author Emanuela Serritella
Giordano Scialanca
Paola Di Giacomo
Carlo Di Paolo
author_facet Emanuela Serritella
Giordano Scialanca
Paola Di Giacomo
Carlo Di Paolo
author_sort Emanuela Serritella
collection DOAJ
description Several methods are currently used to manage pain related to temporomandibular disorder (TMD). Vibratory stimulation is applied as a pain treatment for several musculoskeletal disorders, but it has not yet been studied in-depth for TMD symptoms. The aim of this study is to analyse the effectiveness of at-home local vibration therapy (LVT) for the management of TMDs-related myofascial pain. Methods. Fifty-four TMD patients (43 F, 11 M) with an average age of 40.7 (age range: 29–54 yr.) were randomly subdivided into two groups. The study group (AG) received 1 week of at-home LVT treatment with the NOVAFON Pro Sk2/2 : 50/100 Hz, bilaterally applied to the pain area for 16 minutes daily. The placebo group (IG) followed the same protocol using inactive devices. Temporomandibular joint pain (TMJ), muscular pain (MM), and headache (HA) were assessed. Pain was evaluated using the visual analogue scale (VAS) before (T0) and after therapy (T1). Statistical analysis and Student’s t-tests were applied (statistical significance for P<0.05). Results. AG patients reported decreased average values for all types of pain considered between T0 and T1, with a statistically significant difference for TMJ pain (P<0.05), MM pain, and HA (P<0.001). IG patients reported a no statistically significant decrease in the average values of MM pain and an increase in the average values of TMJ pain and HA. Conclusion. The study supports the use of local vibration therapy in the control of TMD-related TMJ pain, local muscular pain, and headache.
format Article
id doaj-art-fb924e1f6e3f48dd8abf1bd8f28035e7
institution Kabale University
issn 1203-6765
1918-1523
language English
publishDate 2020-01-01
publisher Wiley
record_format Article
series Pain Research and Management
spelling doaj-art-fb924e1f6e3f48dd8abf1bd8f28035e72025-02-03T06:46:30ZengWileyPain Research and Management1203-67651918-15232020-01-01202010.1155/2020/67053076705307Local Vibratory Stimulation for Temporomandibular Disorder Myofascial Pain Treatment: A Randomised, Double-Blind, Placebo-Controlled Preliminary StudyEmanuela Serritella0Giordano Scialanca1Paola Di Giacomo2Carlo Di Paolo3Clinical Gnathology Unit, Department of Oral and Maxillofacial Sciences, “Sapienza” University of Rome, Rome, ItalyClinical Gnathology Unit, Department of Oral and Maxillofacial Sciences, “Sapienza” University of Rome, Rome, ItalyClinical Gnathology Unit, Department of Oral and Maxillofacial Sciences, “Sapienza” University of Rome, Rome, ItalyClinical Gnathology Unit, Department of Oral and Maxillofacial Sciences, “Sapienza” University of Rome, Rome, ItalySeveral methods are currently used to manage pain related to temporomandibular disorder (TMD). Vibratory stimulation is applied as a pain treatment for several musculoskeletal disorders, but it has not yet been studied in-depth for TMD symptoms. The aim of this study is to analyse the effectiveness of at-home local vibration therapy (LVT) for the management of TMDs-related myofascial pain. Methods. Fifty-four TMD patients (43 F, 11 M) with an average age of 40.7 (age range: 29–54 yr.) were randomly subdivided into two groups. The study group (AG) received 1 week of at-home LVT treatment with the NOVAFON Pro Sk2/2 : 50/100 Hz, bilaterally applied to the pain area for 16 minutes daily. The placebo group (IG) followed the same protocol using inactive devices. Temporomandibular joint pain (TMJ), muscular pain (MM), and headache (HA) were assessed. Pain was evaluated using the visual analogue scale (VAS) before (T0) and after therapy (T1). Statistical analysis and Student’s t-tests were applied (statistical significance for P<0.05). Results. AG patients reported decreased average values for all types of pain considered between T0 and T1, with a statistically significant difference for TMJ pain (P<0.05), MM pain, and HA (P<0.001). IG patients reported a no statistically significant decrease in the average values of MM pain and an increase in the average values of TMJ pain and HA. Conclusion. The study supports the use of local vibration therapy in the control of TMD-related TMJ pain, local muscular pain, and headache.http://dx.doi.org/10.1155/2020/6705307
spellingShingle Emanuela Serritella
Giordano Scialanca
Paola Di Giacomo
Carlo Di Paolo
Local Vibratory Stimulation for Temporomandibular Disorder Myofascial Pain Treatment: A Randomised, Double-Blind, Placebo-Controlled Preliminary Study
Pain Research and Management
title Local Vibratory Stimulation for Temporomandibular Disorder Myofascial Pain Treatment: A Randomised, Double-Blind, Placebo-Controlled Preliminary Study
title_full Local Vibratory Stimulation for Temporomandibular Disorder Myofascial Pain Treatment: A Randomised, Double-Blind, Placebo-Controlled Preliminary Study
title_fullStr Local Vibratory Stimulation for Temporomandibular Disorder Myofascial Pain Treatment: A Randomised, Double-Blind, Placebo-Controlled Preliminary Study
title_full_unstemmed Local Vibratory Stimulation for Temporomandibular Disorder Myofascial Pain Treatment: A Randomised, Double-Blind, Placebo-Controlled Preliminary Study
title_short Local Vibratory Stimulation for Temporomandibular Disorder Myofascial Pain Treatment: A Randomised, Double-Blind, Placebo-Controlled Preliminary Study
title_sort local vibratory stimulation for temporomandibular disorder myofascial pain treatment a randomised double blind placebo controlled preliminary study
url http://dx.doi.org/10.1155/2020/6705307
work_keys_str_mv AT emanuelaserritella localvibratorystimulationfortemporomandibulardisordermyofascialpaintreatmentarandomiseddoubleblindplacebocontrolledpreliminarystudy
AT giordanoscialanca localvibratorystimulationfortemporomandibulardisordermyofascialpaintreatmentarandomiseddoubleblindplacebocontrolledpreliminarystudy
AT paoladigiacomo localvibratorystimulationfortemporomandibulardisordermyofascialpaintreatmentarandomiseddoubleblindplacebocontrolledpreliminarystudy
AT carlodipaolo localvibratorystimulationfortemporomandibulardisordermyofascialpaintreatmentarandomiseddoubleblindplacebocontrolledpreliminarystudy