Universität zu Köln

Giannakopoulos, N. N., Rauer, A. -K., Hellmann, D., Hugger, S., Schmitter, M. and Hugger, A. (2018). Comparison of device-supported sensorimotor training and splint intervention for myofascial temporomandibular disorder pain patients. J. Oral Rehabil., 45 (9). S. 669 - 677. HOBOKEN: WILEY. ISSN 1365-2842

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Abstract

This study was to compare the short-term therapeutic efficacy of device-supported sensorimotor training with that of standard splint therapy for patients with myofascial temporomandibular disorder (TMD) pain over a treatment period of 3months. We tested the hypothesis that both types of intervention are equally effective for pain reduction. In addition, the electromyographic (EMG) activity of the temporal and masseter muscles was recorded under conditions of force-controlled submaximum and maximum biting in intercuspation. Of consecutive patients seeking treatment for non-odontogenic oro-facial pain, 45 patients with myofascial TMD pain (graded chronic pain status, GCPS, I and II) were randomly assigned to 2 treatment groups (sensorimotor training and conventional splint treatment). Patients were evaluated 4 times (initial examination, 2, 6 and 12weeks later) by use of the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Electromyographic activity was recorded at the initial session and after 3months. Ease-of-use of the treatment options was also evaluated. Significant (P<.0001) pain reduction (sensorimotor training 53%, splint therapy 40%) was achieved for both groups, with no significant differences (P>.05) between the groups. Force-controlled sub-maximum normalized electromyographic activity was significantly different between T0 and T3 for group A (sensorimotor training, P < .05) but was not significantly different for group B (splint, P > .05). For normalized maximum-biting EMG activity in intercuspation, however, a significant increase in EMG activity was observed for group A for the masseter and temporal muscles (P < .001) and for group B for the masseter muscle only (P < .001). Moreover, sensorimotor training was significantly (P<.05) less easy to use than the splint. The results of this study confirm the pain-reducing effect of sensorimotor training for patients with myofascial TMD pain (GCPS I and II). This innovative active treatment might be a promising option for TMD pain patients.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Giannakopoulos, N. N. UNSPECIFIED UNSPECIFIED UNSPECIFIED Rauer, A. -K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hellmann, D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hugger, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmitter, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hugger, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-173718
DOI:	10.1111/joor.12662
Journal or Publication Title:	J. Oral Rehabil.
Volume:	45
Number:	9
Page Range:	S. 669 - 677
Date:	2018
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1365-2842
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language LOW-BACK-PAIN; PHYSICAL-THERAPY; DIAGNOSTIC-CRITERIA; OROFACIAL PAIN; HOME-EXERCISE; MANAGEMENT; NEUROBIOLOGY; MECHANISMS Multiple languages Dentistry, Oral Surgery & Medicine Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/17371