Massage therapy in the management of myogenic TMD: a pilot study

Verena Kise Capellini, Gisela Soares de Souza, Cláudia Regina Sgobbi de Faria, Verena Kise Capellini, Gisela Soares de Souza, Cláudia Regina Sgobbi de Faria

Abstract

Introduction: The Temporomandibular disorder (TMD) is greatly prevalent in the population and can be associated with bruxism. This disorder produces several signs and symptoms. Among them, pain is one of the most important because it reduces life quality and productivity of people who have such disorder. The aim of this research was to study if massage causes pain relief and/or electromyographic (EMG) changes.

Materials and methods: The subjects were chosen by a questionnaire and divided into 2 different groups. Their ages varied from 19 to 22 years. The experimental group consisted of 6 TMD patients, who were submitted to the massage treatment and 4 EMG-sessions (the 1st EMG-session occurred before the treatment and the others in the 1st, 15th and 30th days after the treatment). The control group consisted of 6 TMD patients, who were submitted to the same 4 EMG-sessions. While EMG activity was recorded, subjects were asked to keep mandibular rest position (MRP) and to perform maximal voluntary clenching (MVC). The treatment consisted of 15 massage-sessions on face and neck and in application of Visual Analogue Scale (VAS) for measuring pain level. The massage sessions had 30 minutes of duration and were performed daily. The EMG data were processed to obtain the Root Mean Square (RMS), which were normalized by MVC.

Results: It was demonstrated that (1) RMS-MRP of the right masseter in experimental group at the 1st EMG-session was higher than at the 2nd EMG-session and (2) statistically significant reduction was found for VAS values after massage session.

Conclusion: Unfortunately the sample is insufficient to draw any conclusions, therefore, more studies regarding the use of massage in the management of myogenic TMD are necessary.

References

    1. Al-Saad M, Akeel MR. EMG and pain severity evaluation in patients with TMD using two different occlusal devices. Int J Prosthodont. 2001;14(1):15–21.
    1. Amemori Y, Yamashita S, Ai M, Shinoda H, Sato M, Takahashi J. Influence of nocturnal bruxism on the stomatognathic system. Part I: a new device for measuring mandibular movements during sleep. J Oral Rehabil. 2001;28(10):943–949.
    1. Ash MM, Ramfjord SP, Schmidseder J. Oclusão. São Paulo: Ed.Santos; 1998. Dor e disfunção bucofaciais.
    1. Biasotto DA. Estudo da eficácia da técnica fisioterapêutica (massoterapia) em indivíduos portadores de Desordem Temporomandibular Miogênica, Frendor, através da eletromiografia pré e pós tratamento. Piracicaba: 2002. Dissertação de Doutorado—Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas.
    1. Cassar MP. In: ________. Manual de massagem terapêutica: um guia completo de massoterapia para o estudante e para o terapeuta. São Paulo: Manole; 2001. Os efeitos da massagem.
    1. Chaitow L. Técnicas neuromusculares modernas. São Paulo: Manole; 2001.
    1. Ciancaglini R, Gherlone EF, Radaelli G. The relationship of bruxism with craniofacial pain and symptoms from the masticatory system in the adult population. J Oral Rehabil. 2001;28(9):842–848.
    1. Dahlström L. Electromyographic studies of craniomandibular disorders: a review of the literature. J Oral Rehabil. 1989;16(1):1–20.
    1. Dao TT, Lund JP, Lavigne GJ. Comparison of pain and quality of life in bruxers and patients with myofascial pain of the masticatory muscles. J Orofac Pain. 1994;8(4):350–356.
    1. Dworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord. 1992;6(4):301–355.
    1. Ervilha UF, Duarte M, Amadio AC. Estudo sobre procedimentos de normalização do sinal eletromiografico durante o movimento humano. Rev Bras Fisiot. 1998;3(1):15–20.
    1. Ferrario VF, Sforza C, Tartaglia GM, Dellavia C. Immediate effect of a stabilization splint on masticatory muscle activity in temporomandibular disorder patients. J Oral Rehabil. 2002 Sep;29(9):810–815.
    1. Hemmings BJ. Physiological, psychological and performance effects of massage therapy in sport: a review of the literature. Phys Ther Sport. 2001;2:165–170.
    1. Hilbert JE, Sforzo GA, Swensen T. The effects of massage on delayed onset muscle soreness. Br J Sports Med. 2003;37:72–75.
    1. Hollis M. Massagem para terapeutas. São Paulo: Manole; 1990.
    1. Kemsley EK, Defernez M, Sprunt JC, Smith AC. Electromyographic responses to prescribed mastication. J Electromyogr Kinesiol. 2003;13(2):197–207.
    1. Lederman E. Fundamentos da terapia manual: fisiologia, neurologia e psicologia. São Paulo: Manole; 2001.
    1. LeResche L, Burgess J, Dworkin SF. Reliability of visual analog and verbal descriptor scales for "objective" measurement of temporomandibular disorder pain. J Dent Res. 1988;67(1):33–36.
    1. Liu ZJ, Yamagata K, Kasahara Y, Ito G. Electromyographic examination of jaw muscles in relation to symptoms and occlusion of patients with temporomandibular joint disorders. J Oral Rehabil. 1999;26(1):33–47.
    1. Mongini F. ATM e Músculos craniocervicofaciais: fisiopatologia e tratamento. São Paulo: Ed.Santos; 1998.
    1. Negrão Filho RF. Análise quantitativa e qualitativa da atividade elétrica das porções do m. Rectus Abdominis. Piracicaba: 1999. Dissertação de Doutorado—Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas.
    1. Nicolakis P, Erdogmus B, Kopf A, Djaber-Ansari A, Piehslinger E, Fialka-Moser V. Exercise therapy for craniomandibular disorders. Arch Phys Med Rehabil. 2000;81(9):1137–1142.
    1. Nissani M. A bibliographical survey of bruxism with especial emphasis on non-traditional treatment modalities. J Oral Sci. 2001;43(2):73–83.
    1. Okeson JP. Tratamento das desordens temporomandibulares e oclusão. 4. São Paulo: Artes Médicas; 2000.
    1. Pinho JC, Caldas FM, Mora MJ, Santana-Penin U. Electromyographic activity in patients with temporomandibular disorders. J Oral Rehabil. 2000;27(11):985–990.
    1. Plesh O, Curtis DA, Hall LJ, Miller A. Gender difference in jaw pain induced by clenching. J Oral Rehabil. 1998;25(4):258–263.
    1. Quinn C, Chandler C, Moraska A. Massage therapy and frequency of chronic tension headeaches. Am J Public Health. 2002;92(10):1657–1661.
    1. Southwell J, Deary IJ, Geissler P. Personality and anxiety in temporomandibular joint syndrome patients. J Oral Rehabil. 1990;17:239–243.
    1. Tiidus P. Manual massage and recovery of muscle function follwing exercise: a literature review. J Orthop Sports Phys Ther. 1997;25(2):107–112.
    1. Treacy K. Awareness/relaxation training and transcutaneous electrical neural stimulation in the treatment of bruxism. J Oral Rehabil. 1999;26(4):280–287.
    1. Turcio KHL, Garcia AR, Derogis AR, Zuim PRJ. Avaliação eletromiográfica e eletrovibratofráfica antes e após o tratamento da desordem temporo-mandibular. PGRO-Pós-Grad Rev Odontol. 2002;5(2):36–43.
    1. Wieselmann-Penkner K, Janda M, Lorenzoni M, Polansky R. A comparison of the muscular relaxation effect of TENS and EMG-biofeedback in patients with bruxism. J Oral Rehabil. 2001;28(9):849–853.
    1. Wood EC, Becker PD. Massagem de Beard. 3. São Paulo: Manole; 1984.

Source: PubMed

Szponzorok és közreműködők

Egészségi állapot

Kábítószer-beavatkozások

3
Iratkozz fel