Background: This study, investigated the effect of physiotherapy applications around the masseter on neck pain in individuals with masseter-derived cervical myofascial pain.Materials and methods: The study included 90 participants between the ages of 18-30 who attend Bahçeşehir University. Their average age was 24.5 ± 2.4. The participants were divided into three groups: the transcutaneous electrical nerve stimulation (TENS) group (n = 30), the control group (n = 30), and the friction group (n = 30). A different intervention was applied to each group three times a week for four weeks. The TENS group received conventional TENS application and relaxation exercises. The control group performed exercises for respiration, posture, and range of motion. The friction group received masseter muscle friction massage and performed a relaxation exercise program which included exercises for the mandibular joint. All of the evaluation parameters were repeated at the end of the twelfth session for each group.Results: After treatment, scores of the visual analogue scale (VAS), Neck Pain and Disability Inventory, Beck's Depression Inventory, and State-Trait Anxiety Inventory were found to be significantly lower (p < 0.05) for the treatment groups and control group. When the three groups were compared among themselves, there was no significant difference found between them (p > 0.05).Conclusions: Once again, we found the importance of exercise and described the anatomical relationship between the cervical region and the temporomandibular region. However, TENS, relaxation exercises and friction massage applications have no advantages over one another.
Background:Our study is an analysis of the histological and radiological changes in degenerated lumbar intervertebral discs, after transplantation of fibroblasts in rabbits. With that study we aimed to show the viability of the fibroblasts injected to the degenerated discs, and observe their potential for further studies.Method:The apoptosis of the cell is one of the factors at the disc degeneration process. Fibroblasts may act as mesenchymal stem cells at the tissue to which they are injected and they may replace the apoptotic cells. The nucleus pulposus of the discs from eight rabbits were aspirated under scopic guidance to induce disc degeneration.Results:One month later, cultured fibroblasts, which had been taken from the skin, were injected into the disc. The viability and the potential of the injected cells for reproduction were studied histologically and radiologically. Cellular formations and organizations indicating to the histological recovery were observed at the discs to which fibroblasts were transplanted. The histological findings of the discs to which no fibroblasts were transplanted, did not show any histological recovery. Radiologically, no finding of the improvement was found in both groups. The fibroblasts injected to the degenerated discs are viable.Conclusion:The findings of improvement, observed in this study, suggest that fibroblast transplantation could be an effective method of therapy for the prevention or for the retardation of the degenerative disease of the discs.
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