Evaluation of the Effectiveness of Dry Needling in the Treatment of Myogenous Temporomandibular Joint Disorders
<p>Patient lying in the required position for needling.</p> "> Figure 2
<p>Electromyography surface electrode positioning.</p> "> Figure 3
<p>Pre-needling registry of the activity in MI position.</p> "> Figure 4
<p>Digital occlusal analysis determining the characteristics of the jaw position.</p> "> Figure 5
<p>Graph of EMG activity in CR position compared with other techniques (CR-P, CR-L), <a href="#medicina-58-00256-t001" class="html-table">Table 1</a>.</p> "> Figure 6
<p>Graph EMG activity comparison of the right masseter using different CR measuring methods. Regarding the opening of the mouth and its symmetry, we found a significant change, of >0.05, in the opening, with a mean value of 44.92 mm pre-needling, measured between the incisal borders of the superior and inferior centrals.</p> "> Figure 7
<p>Graph mean mouth opening value measured in mm.</p> "> Figure 8
<p>Graph T-Mi, time needed to achieve maximum force measured in seconds.</p> "> Figure 9
<p>Graph DT posterior disclusion time measured in seconds.</p> "> Figure 10
<p>Graph articular sound presence percentage.</p> ">
Abstract
:1. Background and Objectives
2. Materials and Methods
2.1. Intervention
2.2. Data Analysis
3. Results
4. Discussion
5. Conclusions
- A significant reduction in facial pain and a reduction in muscle activity after needling trigger points.
- A significant variation in the static position and in the trajectory of the movement of the jaw, determined through digital occlusion control using Tec-Scan (occlusal digital analysis).
- A reduction in the asymmetry of the arch when opening and closing the mouth in the centric relation with an increase in the maximum mouth opening after needling.
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
CR | Central relationship |
CR-L | Central Relationship through long sheets |
CR-P | Central Relationship through the first point of occlusal contact |
DDN | Deep dry puncture |
DT | Mandibular disclusion time |
EMG | Electro-miography |
EVA | Visual Analogue scale |
MI | Maximum intercuspidation |
P | Protrusive position |
PP | Placebo puncture |
RDC | Research diagnostic criteria |
RM | Mandibular rest |
TMJ | Temporomandibular joint |
T-MI | Time to reach maximum occlusive force |
Uv | Micro-volt |
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Mean Pre- | Deviation Pre- | Mean Post- | Deviation Post- | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Right | Left | Right | Left | Cont. | Interv. | Cont. | Interv. | |||||
Right | Left | Right | Left | Right | Left | Right | Left | |||||
RM | 19 | 20.36 | 19.31 | 25.05 | 21 | 15.8 | 23.71 | 17.65 | 20.06 | 12.76 | 40.27 | 18.04 |
MI | 130.73 | 125.55 | 227.83 | 248.22 | 229 | 228.75 | 112.86 | 90.71 | 402.1 | 402.25 | 222.34 | 168.37 |
CR | 94 | 85 | 73.5 | 68.38 | 94 | 70.50 | 37.71 | 34.14 | 150.70 | 106.34 | 58.71 | 49.14 |
CR-L | 42.91 | 36.91 | 66.96 | 53.86 | 92 | 70 | 30.50 | 28.3 | 64.3 | 52.5 | 35.3 | 30.45 |
CR-P | 36.91 | 33 | 54.83 | 46.77 | 35 | 30 | 24.4 | 20 | 50.30 | 40.23 | 45.5 | 35.45 |
DT | 3.59 | 1.74 | 3.45 | 2.09 | 0.5 | 1.3 | ||||||
P | 94.82 | 81 | 147.46 | 160.41 | 174.50 | 98.75 | 64.57 | 51.43 | 255.03 | 147.54 | 123.92 | 87.74 |
T-MI | 0.87 | 1.21 | 0.25 | 0.6 |
Presence Percentage | Asymmetry | Symmetry |
---|---|---|
Pre- | 75% | 25% |
Post- | 37.5% | 62.5% |
Mean Pre- | Dev. Pre- | Mean Post- | Dev. Post- | ||||||
---|---|---|---|---|---|---|---|---|---|
Cont. | Interv. | Cont. | Interv. | Cont. | Interv. | Cont. | Interv. | ||
Mouth Opening | 44.92 | 7.36 | 51.75 | 51 | 2.36 | 2.64 | |||
Facial Pain | 7.75 | 8.57 | 0.95 | 0.97 | 0.5 | 1.5 | 0.57 | 0.97 | |
Articular Sound | No | 75% | 75% | 100% | 87.5% | ||||
Yes | 25% | 25% | 0 | 12.5% | |||||
TMJ pain | 2.50 | 3 | 1.73 | 2.77 | 1 | 2.63 | 2 | 3.24 |
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Dib-Zakkour, J.; Flores-Fraile, J.; Montero-Martin, J.; Dib-Zakkour, S.; Dib-Zaitun, I. Evaluation of the Effectiveness of Dry Needling in the Treatment of Myogenous Temporomandibular Joint Disorders. Medicina 2022, 58, 256. https://doi.org/10.3390/medicina58020256
Dib-Zakkour J, Flores-Fraile J, Montero-Martin J, Dib-Zakkour S, Dib-Zaitun I. Evaluation of the Effectiveness of Dry Needling in the Treatment of Myogenous Temporomandibular Joint Disorders. Medicina. 2022; 58(2):256. https://doi.org/10.3390/medicina58020256
Chicago/Turabian StyleDib-Zakkour, Juan, Javier Flores-Fraile, Javier Montero-Martin, Sara Dib-Zakkour, and Ibrahim Dib-Zaitun. 2022. "Evaluation of the Effectiveness of Dry Needling in the Treatment of Myogenous Temporomandibular Joint Disorders" Medicina 58, no. 2: 256. https://doi.org/10.3390/medicina58020256