Evaluation of TENS therapy and Placebo drug therapy in the management of TMJ pain disorders: A comparative study

Singh, Harpreet; Sunil, M.K.; Kumar, Rahul; Singla, Neetu; Dua, Nisha; Garud, Sumanth R

doi:10.4103/0972-1363.143685

Cited by 6 publications

(20 citation statements)

References 1 publication

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“…Several studies have examined the effects of conservative therapies, such as oral nonsteroidal anti-inflammatory drugs, orthodontics, electrotherapy, physical therapy, occlusal splints, oxygen-ozone therapy, and extracorporeal shockwave therapy (ESWT) in patients affected by TMD [13][14][15][16][17][18][19][20][21][22][23]. Among them, ESWT has been demonstrated to be effective in reducing pain and improving the function of the stomatognathic system; however, this treatment is relatively slow in relieving pain for patients and needs additional functional therapy to preserve the long-term therapeutic result [23].…”

Section: Introductionmentioning

confidence: 99%

Effects of Radial Extracorporeal Shock Wave Therapy in Reducing Pain in Patients with Temporomandibular Disorders: A Pilot Randomized Controlled Trial

et al. 2022

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Temporomandibular disorders (TMD) are primarily characterized by pain as well as issues concerning the proper functioning of individual elements of the stomatognathic system. The aim of the study was to assess the safety and efficacy of physical exercise, with or without radial Extracorporeal Shock Wave Therapy (rESWT), in patients with TMD. Eligible patients were adults (≥18 years) with diagnosed myofascial pain with or without mouth opening limitation (Group Ia, Ib) based on the Diagnostic Criteria for TMD (DC/TMD). Enrolled patients (n = 15) were randomly assigned 1:1 to receive physical exercise combined with rESWT (n = 8) or sham rESWT (n = 7) for four weeks. The primary endpoint was the pain intensity measured by a visual analogue scale (VAS). The secondary endpoints were muscle activity and function assessed through the surface electromyography evaluation of the anterior temporalis and the masseter muscles. The rESWT group (mean age: 28.50 ± 8.85 years) showed a statistically significant pain reduction (VAS Right side: ΔT0-T1 MD = −3.00; p = 0.023, Left side: ΔT0-T1, MD = 3.57, p = 0.021), whereas patients in the sham WBV group (mean age: 30.71 ± 8.98 years), did not reach statistical significance (VAS: Right side: ΔT0-T1 MD = 1.00, p = 0.155; Left side: ΔT0-T1 MD = 1.25 SE = 0.25, p = 0.094). Concurrently, muscle activity and performance significantly improved in the active rESWT group, with an improvement in the percentage of the overlapping coefficient (POC) compared to the control group. No dropouts and no side effects were recorded. Taken together, the findings of this pilot RCT suggested that rESWT combined with physical therapy could be effective in relieving pain and improving function in muscle-related TMD patients.

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Section: Introductionmentioning

confidence: 99%

Effects of Radial Extracorporeal Shock Wave Therapy in Reducing Pain in Patients with Temporomandibular Disorders: A Pilot Randomized Controlled Trial

et al. 2022

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“…Twenty-eight studies used transcutaneous electrical nerve stimulation as therapy and evaluated pain intensity. [36][37][38]40,[48][49][50][51][52]54,55,[57][58][59][60]62,63,[65][66][67][68][69]71,[73][74][75][76][77] Among these 28 trials, 13 36,38,40,48,50,54,57,59,63,65,68,69,75 included patients with myogenous temporomandibular disorders (myogenic temporomandibular disorders, facial myalgia, and myofascial pain). Of those, four reported that transcutaneous electrical nerve stimulation was better than home exercise, 65 laser, 50 splint, 68 and a waiting list 36 ; however, six reported that dental program, 57 ultrasound, 48,…”

Section: Effectiveness Of Intervention By Type Of Currentmentioning

confidence: 99%

Effectiveness of electrotherapy for the treatment of orofacial pain: A systematic review and meta-analysis

et al. 2023

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Objective Summarize the evidence from randomized controlled trials and controlled trials that examined the effectiveness of electrotherapy in the treatment of patients with orofacial pain. Data Source Medline, Embase, CINAHL PLUS with Full text, Cochrane Library Trials, Web of Science, and Scopus. Review Methods A data search (last update, July 1, 2022) and a manual search were performed (October 5, 2022). Trials involving adults with orofacial pain receiving electrotherapy compared with any other type of treatment were included. The main outcome was pain intensity; secondary outcomes were mouth opening and tenderness. The reporting was based on the new PRISMA Guidelines. Results From the electronics databases and manual search 43 studies were included. Although this study was open to including any type of orofacial pain, only studies that investigated temporomandibular disorders were found. The overall quality of the evidence for pain intensity was very low. Although the results should be carefully used, transcutaneous electric nerve stimulation therapy showed to be clinically superior to placebo for reducing pain after treatment (2.63 [−0.48; 5.74]) and at follow-up (0.96 [−0.02; 1.95]) and reduce tenderness after treatment (1.99 [−0.33; 4.32]) and at follow-up (2.43 [−0.24; 5.10]) in subjects with mixed temporomandibular disorders. Conclusion The results of this systematic review support the use of transcutaneous electric nerve stimulation therapy for patients with mixed temporomandibular disorders to improve pain intensity, and tenderness demonstrating that transcutaneous electric nerve stimulation is superior to placebo. There is inconsistent evidence supporting the superiority of transcutaneous electric nerve stimulation against other therapies.

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“…Also, many studies observed that TENS therapy was significantly reducing pain in Temporomandibular joint region, it also helps in reduced pain and discomfort alsohelped in relieving muscular and chronic painalso in improvement in mouth opening in the treatment of TMD. [22][23][24][25][26]…”

Section: Temporomandibular Joint Disordermentioning

confidence: 99%

Application of Transcutaneous Electrical Nerve Stimulation in Dentistry

Katch¹

2021

Indian Journal of Forensic Medicine & Toxicology

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Evaluation of TENS therapy and Placebo drug therapy in the management of TMJ pain disorders: A comparative study

Cited by 6 publications

References 1 publication

Effects of Radial Extracorporeal Shock Wave Therapy in Reducing Pain in Patients with Temporomandibular Disorders: A Pilot Randomized Controlled Trial

Effects of Radial Extracorporeal Shock Wave Therapy in Reducing Pain in Patients with Temporomandibular Disorders: A Pilot Randomized Controlled Trial

Effectiveness of electrotherapy for the treatment of orofacial pain: A systematic review and meta-analysis

Application of Transcutaneous Electrical Nerve Stimulation in Dentistry

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