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Comparative Analysis of the Influence of Selected Physical Factors on the Level of Pain in the Course of Temporomandibular Joint Disorders
Pain Research and Management ( IF 2.5 ) Pub Date : 2020-10-10 , DOI: 10.1155/2020/1036306
Łukasz Kopacz 1 , Żaneta Ciosek 2 , Helena Gronwald 1 , Piotr Skomro 1 , Roman Ardan 3 , Danuta Lietz-Kijak 1
Affiliation  

Introduction. Temporomandibular joints (TMJs) play a very significant function in the activity of the locomotor system of the masticatory system. But they are often a source of pain, myopathy, myoarthropathy, and malfunction of their surrounding or internal structures. The treatment of a patient’s discomfort associated with masticatory system dysfunctions strongly depends on their cause. Aim of the Study. The objective of the study was to evaluate the impact of selected physical factors: LED light therapy with electromagnetic field and cryotherapy for the level of pain, in the treatment of patients suffering from temporomandibular disorders (TMDs). Materials and Methods. The study included 60 patients of both genders with diagnosed TMD in a clinical trial. The participants were randomly divided into two groups. Each group consisted of 30 people and was subjected to separate therapies in which LED light therapy with electromagnetic field (MLT) and cryotherapy (CT) were applied. Results. Having assessed the results of the author’s own research in terms of analgesic activity, determined on the VAS scale during the daily routine activity of the mandible and its individual movements, in general, each of the studied groups demonstrated a considerable decrease in the level of the patients’ perception of pain (<0.001). Having compared both the therapeutic methods used, a greater reduction in the level of perceived pain was achieved with MLT (). The type of therapy used turned out to be the only significant factor for the magnitude of this reduction. Conclusions. Conclusions based on the results of our own research indicate that the selected methods of treatment demonstrate an analgesic effect in terms of the overall discomfort in the course of TMD, and that they may be an alternative pain relief thereby reducing the patient’s intake of painkillers.

中文翻译:

选择性物理因素对颞下颌关节疾病疼痛水平影响的比较分析

引言。颞下颌关节(TMJ)在咀嚼系统的运动系统的活动中起着非常重要的作用。但是它们通常是疼痛,肌病,肌关节炎以及周围或内部结构故障的原因。与咀嚼系统功能障碍有关的患者不适的治疗很大程度上取决于其原因。研究目的。这项研究的目的是评估选定的物理因素的影响:采用电磁场的LED光疗法和针对疼痛程度的冷冻疗法,以治疗颞下颌关节疾病(TMD)。材料和方法。这项研究在一项临床试验中纳入了60名患有TMD的男女患者。参与者被随机分为两组。每组由30人组成,分别接受单独的疗法,其中应用了具有电磁场(MLT)和冷冻疗法(CT)的LED光疗法。结果。在对下颌骨的日常日常活动及其个体运动过程中以VAS量表确定的镇痛活性评估了作者自己的研究结果之后,总体而言,每个研究组均显示出其镇痛水平明显下降。患者对疼痛的感觉(<0.001)。比较了所用的两种治疗方法后,MLT可以更大程度地减少感觉到的疼痛()。事实证明,所用疗法的类型是造成这种减少幅度的唯一重要因素。结论。根据我们自己的研究结果得出的结论表明,就TMD进程中的总体不适而言,所选的治疗方法具有镇痛作用,并且它们可能是替代性的止痛药,从而减少了患者对止痛药的摄入。
更新日期:2020-10-11
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