Evaluation of short-term effectiveness of orthopedic manual therapy in signs and symptoms of myofascial pain: A controlled clinical trial

Sheilaha Vivanco-Coke; Antonio Jiménez-Silva; Felipe Rios-Quiñinao; Raúl Ernesto Frugone Zambra; Julio Tobar-Reyes

doi:10.17126/joralres.2020.019

Evaluation of short-term effectiveness of orthopedic manual therapy in signs and symptoms of myofascial pain: A controlled clinical trial

Título traducido de la contribución: Evaluación de la eficacia a corto plazo de la terapia manual ortopédica en signos y síntomas de dolor miofascial: Un ensayo clínico controlado

Sheilaha Vivanco-Coke^*, Antonio Jiménez-Silva, Felipe Rios-Quiñinao, Raúl Ernesto Frugone Zambra, Julio Tobar-Reyes

^*Autor correspondiente de este trabajo

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1 Cita (Scopus)

Resumen

Evaluar la efectividad a corto plazo de la terapia manual ortopédica (TMO) en los signos y síntomas del dolor miofascial (DMF) en adultos jóvenes. Materiales and Métodos: Se realizó un estudio clínico controlado en adultos jóvenes entre 19 y 24 años. Treinta y un pacientes fueron diagnosticados con DMF según los criterios de diagnóstico para trastornos tempo-romandibulares (CDI/TTM) y se dividieron en dos grupos. Grupo A: Terapia manual ortopédica (n = 16; 10 mujeres, 6 hombres; 21,6 ± 1,70 años), y Grupo B: grupo de control (n = 15; 10 mujeres, 5 hombres; 20,9 ± 2,00 años). Los participantes del grupo A fueron tratados por un período de 6 semanas. Se realizaron seis intervenciones terapéuticas. El grado de disfunción (índice Helkimo), el nivel de dolor (escala EVA) y el rango de movimientos mandibulares (movimientos de apertura y laterales) se evaluaron al inicio del estudio (T0) e inmediatamente después del tratamiento (T1). Los datos se analizaron con la prueba de chi-cuadrado y la prueba t de student; se consideró significativo cuando p fue menor a 0.05. Resultados: Después de la TMO, no hubo cambios significativos en el diagnóstico de DMF según CDI /TTM (p=0,41); sin embargo, hubo una mejora estadísticamente significativa en el índice Helkimo (p=0.0083) y el nivel de dolor según la escala EVA (p= 0.0004). Los movimientos mandibulares no mostraron diferencias significativas (p>0.05). Conclusión: Este estudio sugirió que un período de 6 semanas de tratamiento con TMO tiene un efecto clínicamente significativo en el nivel de dolor y el grado de disfunción en pacientes con DMF. Se requiere un estudio de largo plazo para evaluar de mejor forma el efecto de la terapia manual ortopédica.

Título traducido de la contribución	Evaluación de la eficacia a corto plazo de la terapia manual ortopédica en signos y síntomas de dolor miofascial: Un ensayo clínico controlado
Idioma original	Inglés
Páginas (desde-hasta)	121-128
Número de páginas	8
Publicación	Journal of Oral Research
Volumen	9
N.º	2
DOI	https://doi.org/10.17126/joralres.2020.019
Estado	Publicada - 30 abr. 2020

Palabras clave

Trastornos de la articulación tempo-romandibular
síndromes del dolor miofascial
manipulaciones musculoesqueléticas
adulto joven
movimiento
dolor

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@article{1466ad75ef4e420ab30c243e91d42c7d,

title = "Evaluation of short-term effectiveness of orthopedic manual therapy in signs and symptoms of myofascial pain: A controlled clinical trial",

abstract = "To evaluate the short-term effectiveness of orthopedic manual therapy (OMT) in signs and symptoms of myofascial pain (MFP) in young adults. Materials and Methods: An experimental controlled clinical study was performed in young adults between 19 and 24 years old. Thirty-one patients with MFP according to Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) were divided into two groups. Group A: Orthopedic Manual Therapy (n=16; 10 females, 6 males; 21.6 ± 1.70 years old), and Group B: Control group (n=15; 10 females, 5 males; 20.9 ± 2.00 years old). The participants of group A were treated for a period of 6 weeks; Six therapeutic interventions were performed. Degree of dysfunction (Helkimo index), pain level (VAS scale), and range of mandibular movements (opening and lateral movements) were taken at baseline (T0) and immediately at post-treatment (T1). The data were analyzed with chi-square test and t-test; p<0.05 was considered significant. Result: After the OMT, there were no significant changes in diagnosis of MFP according to RDC/TMD (p=0.41); however, there was a statistically significant improvement in the Helkimo index (p=0.0083) and the level of pain according to the VAS scale (p=0.0004). Mandibular movements did not show significant differences (p>0.05). Conclusion: This study suggested that a 6-week period of OMT treatment has a clinically significant effect in pain level and degree of dysfunction in patients with MFP. A longer follow-up study is required to better assess the effects of manual therapy.",

keywords = "Movement, Musculoskeletal manipulations, Myofascial pain syndromes, Pain, Temporomandibular joint disorders, Young adult, Trastornos de la articulaci{\'o}n tempo-romandibular, s{\'i}ndromes del dolor miofascial, manipulaciones musculoesquel{\'e}ticas, adulto joven, movimiento, dolor",

author = "Sheilaha Vivanco-Coke and Antonio Jim{\'e}nez-Silva and Felipe Rios-Qui{\~n}inao and \{Frugone Zambra\}, \{Ra{\'u}l Ernesto\} and Julio Tobar-Reyes",

year = "2020",

month = apr,

day = "30",

doi = "10.17126/joralres.2020.019",

language = "English",

volume = "9",

pages = "121--128",

journal = "Journal of Oral Research",

issn = "0719-2460",

publisher = "Universidad de Concepcion",

number = "2",

}

Evaluation of short-term effectiveness of orthopedic manual therapy in signs and symptoms of myofascial pain: A controlled clinical trial. / Vivanco-Coke, Sheilaha; Jiménez-Silva, Antonio; Rios-Quiñinao, Felipe et al.
En: Journal of Oral Research, Vol. 9, N.º 2, 30.04.2020, p. 121-128.

Producción científica: Contribución a una revista › Artículo › revisión exhaustiva

TY - JOUR

T1 - Evaluation of short-term effectiveness of orthopedic manual therapy in signs and symptoms of myofascial pain

T2 - A controlled clinical trial

AU - Vivanco-Coke, Sheilaha

AU - Jiménez-Silva, Antonio

AU - Rios-Quiñinao, Felipe

AU - Frugone Zambra, Raúl Ernesto

AU - Tobar-Reyes, Julio

PY - 2020/4/30

Y1 - 2020/4/30

N2 - To evaluate the short-term effectiveness of orthopedic manual therapy (OMT) in signs and symptoms of myofascial pain (MFP) in young adults. Materials and Methods: An experimental controlled clinical study was performed in young adults between 19 and 24 years old. Thirty-one patients with MFP according to Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) were divided into two groups. Group A: Orthopedic Manual Therapy (n=16; 10 females, 6 males; 21.6 ± 1.70 years old), and Group B: Control group (n=15; 10 females, 5 males; 20.9 ± 2.00 years old). The participants of group A were treated for a period of 6 weeks; Six therapeutic interventions were performed. Degree of dysfunction (Helkimo index), pain level (VAS scale), and range of mandibular movements (opening and lateral movements) were taken at baseline (T0) and immediately at post-treatment (T1). The data were analyzed with chi-square test and t-test; p<0.05 was considered significant. Result: After the OMT, there were no significant changes in diagnosis of MFP according to RDC/TMD (p=0.41); however, there was a statistically significant improvement in the Helkimo index (p=0.0083) and the level of pain according to the VAS scale (p=0.0004). Mandibular movements did not show significant differences (p>0.05). Conclusion: This study suggested that a 6-week period of OMT treatment has a clinically significant effect in pain level and degree of dysfunction in patients with MFP. A longer follow-up study is required to better assess the effects of manual therapy.

AB - To evaluate the short-term effectiveness of orthopedic manual therapy (OMT) in signs and symptoms of myofascial pain (MFP) in young adults. Materials and Methods: An experimental controlled clinical study was performed in young adults between 19 and 24 years old. Thirty-one patients with MFP according to Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) were divided into two groups. Group A: Orthopedic Manual Therapy (n=16; 10 females, 6 males; 21.6 ± 1.70 years old), and Group B: Control group (n=15; 10 females, 5 males; 20.9 ± 2.00 years old). The participants of group A were treated for a period of 6 weeks; Six therapeutic interventions were performed. Degree of dysfunction (Helkimo index), pain level (VAS scale), and range of mandibular movements (opening and lateral movements) were taken at baseline (T0) and immediately at post-treatment (T1). The data were analyzed with chi-square test and t-test; p<0.05 was considered significant. Result: After the OMT, there were no significant changes in diagnosis of MFP according to RDC/TMD (p=0.41); however, there was a statistically significant improvement in the Helkimo index (p=0.0083) and the level of pain according to the VAS scale (p=0.0004). Mandibular movements did not show significant differences (p>0.05). Conclusion: This study suggested that a 6-week period of OMT treatment has a clinically significant effect in pain level and degree of dysfunction in patients with MFP. A longer follow-up study is required to better assess the effects of manual therapy.

KW - Movement

KW - Musculoskeletal manipulations

KW - Myofascial pain syndromes

KW - Pain

KW - Temporomandibular joint disorders

KW - Young adult

KW - Trastornos de la articulación tempo-romandibular

KW - síndromes del dolor miofascial

KW - manipulaciones musculoesqueléticas

KW - adulto joven

KW - movimiento

KW - dolor

UR - https://www.scopus.com/pages/publications/85086318177

U2 - 10.17126/joralres.2020.019

DO - 10.17126/joralres.2020.019

M3 - Article

SN - 0719-2460

VL - 9

SP - 121

EP - 128

JO - Journal of Oral Research

JF - Journal of Oral Research

IS - 2

ER -

Evaluation of short-term effectiveness of orthopedic manual therapy in signs and symptoms of myofascial pain: A controlled clinical trial

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