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Comparative effectiveness of photobiomodulation and manual therapy alone or combined in TMD patients: a randomized clinical trial
Brochado, Fernanda Thomé; Jesus, Luciano Henrique de; Carrard, Vinicius Coelho; Freddo, Angelo Luiz; Chaves, Karen Dantur; Martins, Manoela Domingues.
  • Brochado, Fernanda Thomé; Universidade Federal do Rio Grande do Sul. School of Dentistry. Department of Oral Pathology. Porto Alegre. BR
  • Jesus, Luciano Henrique de; Universidade Federal do Rio Grande do Sul. School of Dentistry. Department of Oral Pathology. Porto Alegre. BR
  • Carrard, Vinicius Coelho; Universidade Federal do Rio Grande do Sul. School of Dentistry. Department of Oral Pathology. Porto Alegre. BR
  • Freddo, Angelo Luiz; Universidade Federal do Rio Grande do Sul. School of Dentistry. Department of Buco Maxillofacial Surgery and Traumatology. Porto Alegre. BR
  • Chaves, Karen Dantur; Universidade Federal do Rio Grande do Sul. School of Dentistry. Department of Conservative Dentistry. Porto Alegre. BR
  • Martins, Manoela Domingues; Universidade Federal do Rio Grande do Sul. School of Dentistry. Department of Oral Pathology. Porto Alegre. BR
Braz. oral res. (Online) ; 32: e50, 2018. tab, graf
Article in English | LILACS | ID: biblio-952145
ABSTRACT
Abstract The effectiveness of photobiomodulation (PBM) and manual therapy (MT), alone or combined (CT), were evaluated in pain intensity, mandibular movements, psychosocial aspects, and anxiety symptoms of temporomandibular disorder (TMD) patients. Fifty-one TMD patients were randomly assigned to three groups the PBM group (n = 18), which received PBM with 808 nm, 100 mW, 13.3 J/cm2, and 4 J per point; the MT group (n=16) for 21 minutes each session on masticatory muscles and temporomandibular joint TMJ; and the CT group (n = 17), applied during twelve sessions. Seven evaluations were performed in different moments using visual analogue scale (VAS), Research Diagnosis Criteria for Temporomandibular Disorders (RDC/TMD) Axis I and II, and Beck anxiety inventory (BAI). All groups demonstrated reductions in pain and improvement in jaw movements during treatment and at follow-up (< 0.001). The assessment of psychosocial aspects of TMD, comparing baseline and follow-up in all treatment groups, revealed that treatment did not promote modification in the intensity of chronic pain (p > 0.05). However, depression symptoms showed a reduction in PBM and CT groups (p≤0.05). All treatments promoted reduction in physical symptoms with and without pain and enhancement of jaw disabilities (p ≤ 0.05). MT promotes improvement in 5 functions, PBM in 2, and CT in 1 (p < 0.001). BAI analysis revealed that all treatments lead to a reduction in anxiety symptoms (p≤0.05). All protocols tested were able to promote pain relief, improve mandibular function, and reduce the negative psychosocial aspects and levels of anxiety in TMD patients. However, the combination of PBM and MT did not promote an increase in the effectiveness of both therapies alone.
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Full text: Available Index: LILACS (Americas) Main subject: Temporomandibular Joint Disorders / Musculoskeletal Manipulations / Low-Level Light Therapy Type of study: Controlled clinical trial / Practice guideline / Observational study / Prognostic study / Risk factors Limits: Adolescent / Aged / Female / Humans / Male Language: English Journal: Braz. oral res. (Online) Journal subject: Dentistry Year: 2018 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Federal do Rio Grande do Sul/BR

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Full text: Available Index: LILACS (Americas) Main subject: Temporomandibular Joint Disorders / Musculoskeletal Manipulations / Low-Level Light Therapy Type of study: Controlled clinical trial / Practice guideline / Observational study / Prognostic study / Risk factors Limits: Adolescent / Aged / Female / Humans / Male Language: English Journal: Braz. oral res. (Online) Journal subject: Dentistry Year: 2018 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Federal do Rio Grande do Sul/BR