Muscle activity in the course of rehabilitation of masticatory motor system functional disorders

Kijak, Edward; Lietz–Kijak, Danuta; Śliwiński, Zbigniew; Frączak, Bogumiła

doi:10.5604/17322693.1051002

Cited by 15 publications

(17 citation statements)

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“…The implementation of the appropriate set of exercises significantly improves the action of analgesic methods and all physical fitness parameters [35]. Because of the multidimensional nature of the problem, patients with musculoskeletal pain of the face should be treated by an interdisciplinary team.…”

Section: Discussionmentioning

confidence: 99%

Assessment of the Short-Term Effectiveness of Kinesiotaping and Trigger Points Release Used in Functional Disorders of the Masticatory Muscles

Lietz–Kijak

Kopacz

Ardan

et al. 2018

Pain Research and Management

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Chronic face pain syndrome is a diagnostic and therapeutic problem for many specialists, and this proves the interdisciplinary and complex nature of this ailment. Physiotherapy is of particular importance in the treatment of pain syndrome in the course of temporomandibular joint functional disorders. In patients with long-term dysfunction of masticatory muscles, the palpation examination can localize trigger points, that is, thickening in the form of nodules in the size of rice grains or peas. Latent trigger points located in the muscles can interfere with muscular movement patterns, cause cramps, and reduce muscle strength. Because hidden trigger points can spontaneously activate, they should be found and released to prevent further escalation of the discomfort. Kinesiotaping (KT) is considered as an intervention that can be used to release latent myofascial trigger points. It is a method that involves applying specific tapes to the patient's skin in order to take advantage of the natural self-healing processes of the body. The aim of the study was to evaluate the effect of the kinesiotaping method and trigger points inactivation on the nonpharmacological elimination of pain in patients with temporomandibular disorders. The study was conducted in 60 patients (18 to 35 years old). The subjects were randomly divided into two subgroups of 30 people each. Group KT (15 women and 15 men) were subjected to active kinesiotaping application. Group TrP, composed of 16 women and 14 men, was subjected to physiotherapy with the release of trigger points by the ischemic compression method. The results show that the KT method and TrP inactivation brought significant therapeutic analgesic effects in the course of pain-related functional disorders of the muscles of mastication. The more beneficial outcomes of the therapy were observed after using the KT method, which increased the analgesic effect in dysfunctional patients.

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Section: Discussionmentioning

confidence: 99%

Assessment of the Short-Term Effectiveness of Kinesiotaping and Trigger Points Release Used in Functional Disorders of the Masticatory Muscles

Lietz–Kijak

Kopacz

Ardan

et al. 2018

Pain Research and Management

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“…Thus, the first step in establishing the therapy program comprised a literature review with selection of 38 papers, from which the aspects to be addressed in the therapy were defined, as follows: increased strength and mobility of the lips, tongue and cheeks [30][31][32] ; perception of the stomatognathic system 11,29 ; adaptation of the habitual posture of the lips, tongue and mandible; exercises for mandibular mobility 11,29 ; adequacy of respiratory functions 11,29,[31][32][33] ; mastication 11,29,32,33 ; swallowing 11,29,30 and speech 11,29,31,33 . These aspects were distributed in a program comprising 12 sessions to be held once a week, while another study designed a program of 6 sessions 28 , yet with a technical focus only on masticatory function, which explains the greater number of sessions proposed in this paper.…”

Section: Discussionmentioning

confidence: 99%

Programa de terapia miofuncional orofacial para indivíduos submetidos à cirurgia ortognática

2017

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Purpose: to present an Orofacial Myofunctional Therapy Program for individuals submitted to orthognathic surgery. Methods: 3 different steps were performed: the first involved preparation of the initial program, by reviewing the literature on the therapeutic process after surgery; the second comprised the application of the initial program by two speech therapists qualified in orofacial motricity, to 21 individuals, after orthognathic surgery, who suggested changes in the initial protocol, resulting in a second version; on the third and last stage, the content of the Therapy Program was analyzed by three speech therapists specialists in Orofacial Motricity and further changes were made. Results: the Therapy Program was developed based on 38 scientific papers, whose application by the speech therapists resulted in changes, taking into account the facial typology and dento-occlusal conditions, storage of saline, detailing of the goals of proposed activities and elongation of the upper lip. After the experts' suggestions, the final version consisted of 12 sessions, the first being assessment, 10 sessions of therapy once a week, involving myofunctional exercises, sensorial stimulation and functional training, and the last session for re-assessment. Conclusion: it was possible to develop a Myofunctional Orofacial Therapy Program aimed at individuals submitted to orthognathic surgery, to be validated in future studies. Keywords: Myofunctional Therapy; Orthognathic Surgery; Speech, Language and Hearing Sciences RESUMO Objetivo: apresentar um Programa de Terapia Miofuncional Orofacial para indivíduos submetidos à cirurgia ortognática. Métodos: foram realizadas 3 etapas distintas: a primeira envolveu a elaboração do programa inicial a partir da revisão da literatura sobre o processo terapêutico após a cirurgia; a segunda a aplicação do programa inicial por duas fonoaudiólogas especialistas em motricidade orofacial em 21 indivíduos, após ortognática, que sugeriram modificações no protocolo inicial, resultando numa segunda versão; na terceira e última etapa, o mesmo foi analisado quanto ao conteúdo por três fonoaudiólogas especialistas em Motricidade Orofacial e novas modificações foram realizadas. Resultados: o programa foi elaborado com base em 38 trabalhos científicos, cuja aplicação pelas fonoaudiólogas resultou em modificações considerando a tipologia facial e as condições dento-oclusais, armazenamento do soro fisiológico; detalhamento dos objetivos das atividades propostas e alongamento do lábio superior. Após as sugestões das especialistas a versão final foi constituída de 12 sessões, sendo a primeira avaliação, 10 sessões de terapia uma vez por semana, envolvendo exercícios miofuncionais, estimulação sensorial e treino funcional, sendo a última sessão de reavaliação. Conclusão: foi possível desenvolver um Programa de Terapia Miofuncional Orofacial para indivíduos submetidos à cirurgia ortognática, sendo necessário que o mesmo seja validado.

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“…4 Stabilizasyon splintleri; kas ağrılarının tedavisinde, ideal oklüzyonun sağlanmasında, parafonksiyonel kas aktivitesinin azaltılmasında, kas hiperaktivitesine bağlı bruksizm varlığında, lokal kas ağrısı varlığında, retrodiskit durumunda böl-geyi ikincil travmalardan korumak ve hasarlı dokuların iyileşmesi sürecinde iyileşmeyi hızlan-dırmak amacıyla kullanılmaktadır. [18][19][20] Okeson stabilizasyon splintinin kriterlerini aşağıdaki şekilde sıralamıştır: 4 Bunlar;…”

Section: Stabi̇li̇zasyon Spli̇nti̇unclassified

Splint Therapy in Temporomandibular Joint Disorders: Review

Türker¹,

Büyükkaplan²

2017

Turkiye Klinikleri J Dental Sci

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Ö ÖZ ZE ET T Toplumda yüksek oranda gözlemlenen temporomandibuler eklem (TME) rahatsızlıkları çene, boyun ve baş ağrıları, eklem sesleri gibi pek çok semptomla bireylerin yaşam kalitesini düşürmek-tedir. Bu rahatsızlıklar tedavi edilmediği takdirde ilerlemekte ve TME'de kalıcı hasara sebep olabilmektedir. TME rahatsızlıkları için pek çok tedavi yöntemi bildirilmiştir. Bu tedavi yöntemleri geri dönüşümlü (noninvaziv) ve geri dönüşümsüz (invaziv) tedaviler olmak üzere ikiye ayrılmıştır. Geri dönüşümlü tedaviler arasında bilgilendirme yöntemi, fizik tedavi yöntemleri, farmakolojik tedavi, psikiyatrik destek tedavisi ve oklüzal splint tedavileri yer alır iken; geri dönüşümsüz tedaviler oklüzal uyumlama ve cerrahi girişimleri içermektedir. TME rahatsızlıklarında geri dönüşümsüz tedavilerden önce daha konservatif yöntemler olan geri dönüşümlü tedaviler denenmesi temel prensiptir. Tavsiye edilen tedavi yöntemlerinin etkinliklerini araştırmak amacıyla pek çok çalışma yapılmıştır. Bununla birlikte, tedavi etmede ya da semptomları azaltmada hangi tedavi yönteminin ya da hangi splint tipinin daha etkin olduğuna dair kesin bir kanıt mevcut değildir. Etki mekanizmaları ve tedavi başarıları tartışmalı olmasına rağmen, TME rahatsızlıkları tedavisinde en çok kullanılan yöntem oklüzal splint tedavisidir. Diş hekimliğinde her biri farklı özel durumlar için olmak üzere birçok oklüzal splint kullanılmaktadır. Splint endikasyonları TME inflamasyonu, eklem içi dü-zensizlik, cerrahi sonrası tedavi, hipertonik yüz kasları, diş sıkma ve gıcırdatma olarak belirtilmektedir. Bu çalışmada, oklüzal splint çeşitleri ele alınmış ve güncel literatür bilgisine dayanılarak TME rahatsızlıklarının tedavisinde kullanılan geri dönüşümlü yöntemlerin etkinliklerinin değer-lendirilmesi amaçlanmıştır.A An na ah ht ta ar r K Ke el li im me el le er r: : Temporomandibuler eklem bozuklukları; oklüzal splintler A AB BS ST TR RA AC CT T Temporomandibular joint (TMJ) disorders are highly prevalent in the community and reduces the quality of life with many symptoms such as jaw and neck pain, headache and joint sounds. These disorders progress when they are not treated and may cause permanent damage to the TMJ. Many treatment modalities have been reported for TMJ disorders. These treatment methods are divided into two as non-invasive treatments and invasive treatments. Non-invasive treatments include informative methods, physical therapy, pharmacological treatment, psychiatric support therapy and occlusal splint therapies and invasive treatments include occlusal adjustment and surgical interventions. Non-invasive treatments, which are more conservative methods should be employed before invasive treatments for TMJ disorders. Many studies have been conducted to investigate the effectiveness of recommended treatment modalities. However, there is no definitive evidence of which treatment method or splint type is more effective in treating or reducing symptoms. Although the mechanisms of influence and treatment success are controversial, the most common method of tre...

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Muscle activity in the course of rehabilitation of masticatory motor system functional disorders

Cited by 15 publications

References 1 publication

Assessment of the Short-Term Effectiveness of Kinesiotaping and Trigger Points Release Used in Functional Disorders of the Masticatory Muscles

Assessment of the Short-Term Effectiveness of Kinesiotaping and Trigger Points Release Used in Functional Disorders of the Masticatory Muscles

Programa de terapia miofuncional orofacial para indivíduos submetidos à cirurgia ortognática

Splint Therapy in Temporomandibular Joint Disorders: Review

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