Effects of deep dry needing on the treatment of temporomandibular dysfunction: case study
DOI:
https://doi.org/10.33448/rsd-v10i16.23770Keywords:
Temporomandibular Joint Dysfunction Syndrome; Dry needling.Abstract
This study aimed to evaluate the effectiveness of deep dry needling for the treatment of temporomandibular disorders (TMD) through the numerical pain scale, hospital anxiety and depression scale and mouth opening. Three patients were evaluated and diagnosed with TMD by clinical examination based on Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Pain intensity was also assessed using the numerical pain scale, mouth opening measurement (with a caliper) and the Hospital Anxiety and Depression Scale (HADS) questionnaire to assess anxiety and depression. Dry needling at trigger points in the masseter and temporal muscles was performed using 0.20 x 13 mm needles. After 4 weeks of treatment, 1 session per week, the results showed that one patient had mixed TMD and the other 2 myogenous; that pain intensity and HADS questionnaire score for anxiety and depression decreased for all patients and promoted an increase in mouth opening in the patient with limitation. In conclusion, dry needling in active trigger points in the masseter and temporal muscles in patients with myofascial TMD showed important clinical improvement after 4 weeks of treatment with pain resolution and decreased anxiety and depression.
References
Alonso-Blanco, C., Fernández-de-las-Peñas, C., De-la-Llave-Rincón, A. I., Zarco-Moreno, P., Galán-del-Río, F., & Svensson, P. (2012). Characteristics of referred muscle pain to the head from active trigger points in women with myofascial temporomandibular pain and fibromyalgia syndrome. The Journal of Headache and Pain, 13(8), 625–637. https://doi.org/10.1007/s10194-012-0477-y
Arias-Buría, J. L., Martín-Saborido, C., Cleland, J., Koppenhaver, S. L., Plaza-Manzano, G., & Fernández-de-las-Peñas, C. (2018). Cost-effectiveness Evaluation of the Inclusion of Dry Needling into an Exercise Program for Subacromial Pain Syndrome: Evidence from a Randomized Clinical Trial. Pain Medicine, 19(12), 2336–2347. https://doi.org/10.1093/pm/pny021
Blasco-Bonora, P. M., & Martín-Pintado-Zugasti, A. (2017). Effects of Myofascial Trigger Point Dry Needling in Patients with Sleep Bruxism and Temporomandibular Disorders: A Prospective Case Series. Acupuncture in Medicine, 35(1), 69–74. https://doi.org/10.1136/acupmed-2016-011102
Butts, R., Dunning, J., Perreault, T., Mettille, J., & Escaloni, J. (2017). Pathoanatomical characteristics of temporomandibular dysfunction: Where do we stand? (Narrative review part 1). Journal of Bodywork and Movement Therapies, 21(3), 534–540. https://doi.org/10.1016/j.jbmt.2017.05.017
Cagnie, B., Dewitte, V., Barbe, T., Timmermans, F., Delrue, N., & Meeus, M. (2013). Physiologic Effects of Dry Needling. Current Pain and Headache Reports, 17(8), 348. https://doi.org/10.1007/s11916-013-0348-5
Carlson, C. R., Bertrand, P. M., Ehrlich, A. D., Maxwell, A. W., & Burton, R. G. (2001). Physical self-regulation training for the management of temporomandibular disorders. J Orofac Pain, 15(1), 47+55.
Chisnoiu, A. M., Picos, A. M., Popa, S., Chisnoiu, P. D., Lascu, L., Picos, A., & Chisnoiu, R. (2015). Factors involved in the etiology of temporomandibular disorders - a literature review. Medicine and Pharmacy Reports, 88(4), 473–478. https://doi.org/10.15386/cjmed-485
Cummings, T. M., & White, A. R. (2001). Needling therapies in the management of myofascial trigger point pain: A systematic review. Archives of Physical Medicine and Rehabilitation, 82(7), 986–992. https://doi.org/10.1053/apmr.2001.24023
Laat, A., Stappaerts, K., & Papy, S. (2003). Counseling and physical therapy as treatment for myofascial pan of masticatory system. J Orofac Pain, 17(1), 42–49.
Dincer, F., & Linde, K. (2003). Sham interventions in randomized clinical trials of acupuncture—a review. Complementary Therapies in Medicine, 11(4), 235–242. https://doi.org/10.1016/S0965-2299(03)00124-9
Dommerholt, J. (2011). Dry needling — peripheral and central considerations. Journal of Manual & Manipulative Therapy, 19(4), 223–227. https://doi.org/10.1179/106698111X13129729552065
Dunning, J., Butts, R., Mourad, F., Young, I., Flannagan, S., & Perreault, T. (2014). Dry needling: a literature review with implications for clinical practice guidelines. Physical Therapy Reviews, 19(4), 252–265. https://doi.org/10.1179/108331913X13844245102034
Espejo-Antúnez, L., Tejeda, J. F.-H., Albornoz-Cabello, M., Rodríguez-Mansilla, J., de la Cruz-Torres, B., Ribeiro, F., & Silva, A. G. (2017). Dry needling in the management of myofascial trigger points: A systematic review of randomized controlled trials. Complementary Therapies in Medicine, 33, 46–57. https://doi.org/10.1016/j.ctim.2017.06.003
Fernández-Carnero, J., Touche, R. La, Ortega-Santiago, R., Galan-del-Rio, F., Pesquera, J., Ge, H.-Y., & Fernández-de-Las-Peñas, C. (2010). Short-term effects of dry needling of active myofascial trigger points in the masseter muscle in patients with temporomandibular disorders. J Orofac Pain, 24(1), 106–112.
Ferreira, C. L. P., Silva, M. A. M. R. da, & Felício, C. M. de. (2016). Sinais e sintomas de desordem temporomandibular em mulheres e homens. CoDAS, 28(1), 17–21. https://doi.org/10.1590/2317-1782/20162014218
Fricton, J. (2007). Myogenous temporomandibular disorders: diagnostic and management considerations. Dent Clin North Am, 51(1), 61–83.
Gauer, R. L., & Semidey, M. J. (2015). Diagnosis and treatment of temporomandibular disorders. Am Fam Physician, 15(91), 378–386.
Gonzalez-Perez, L., Infante-Cossio, P., Granados-Nunez, M., & Urresti-Lopez, F. (2012). Treatment of temporomandibular myofascial pain with deep dry needling. Medicina Oral Patología Oral y Cirugia Bucal, e781–e785. https://doi.org/10.4317/medoral.17822
Gonzalez-Perez, L., Infante-Cossio, P., Granados-Nunez, M., Urresti-Lopez, F., Lopez-Martos, R., & Ruiz-Canela-Mendez, P. (2015). Deep dry needling of trigger points located in the lateral pterygoid muscle: Efficacy and safety of treatment for management of myofascial pain and temporomandibular dysfunction. Medicina Oral Patología Oral y Cirugia Bucal, e326–e333. https://doi.org/10.4317/medoral.20384
Kalichman, L., & Vulfsons, S. (2010). Dry Needling in the Management of Musculoskeletal Pain. The Journal of the American Board of Family Medicine, 23(5), 640–646. https://doi.org/10.3122/jabfm.2010.05.090296
Leeuw, R. de, & Klasser, G. D. (2018). Orofacial Pain: Guidelines for Assessment, Diagnosis, and Management (5th ed.).
Manfredini, D., Guarda-Nardini, L., Winocur, E., Piccotti, F., Ahlberg, J., & Lobbezoo, F. (2011). Research diagnostic criteria for temporomandibular disorders: a systematic review of axis I epidemiologic findings. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 112(4), 453–462. https://doi.org/10.1016/j.tripleo.2011.04.021
Michelotti, A., Steenks, M., Farella, M., Parisini, F., Cimino, R., & Martina, R. (2004). The additional value of a home physical therapy refimen versus patient education only for the treatment of myofascial pain of the jaw muscles: shortterm results of a randomized clinical trial. J Orofac Pain, 18(2), 114–125.
Monteiro, D. R., Zuim, P. R. J., Pesqueira, A. A., Ribeiro, P. do P., & Garcia, A. R. (2011). Relationship between anxiety and chronic orofacial pain of temporomandibular disorder in a group of university students. Journal of Prosthodontic Research, 55(3), 154–158. https://doi.org/10.1016/j.jpor.2010.11.001
Ohrbach, R. (2011). AADR TMD statement is timely and necessary. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 111(2), 133–134. https://doi.org/10.1016/j.tripleo.2010.10.036
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica (UAB/NTE/UFSM (ed.); 1°).
Schiffman, E., Ohrbach, R., Truelove, E., Look, J., Anderson, G., Goulet, J.-P., List, T., Svensson, P., Gonzalez, Y., Lobbezoo, F., Michelotti, A., Brooks, S. L., Ceusters, W., Drangsholt, M., Ettlin, D., Gaul, C., Goldberg, L. J., Haythornthwaite, J. A., Hollender, L., … Dworkin, S. F. (2014). Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: Recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group†. Journal of Oral & Facial Pain and Headache, 28(1), 6–27. https://doi.org/10.11607/jop.1151
Simons, D. G. (2004). Review of enigmatic MTrPs as a common cause of enigmatic musculoskeletal pain and dysfunction. Journal of Electromyography and Kinesiology, 14(1), 95–107. https://doi.org/10.1016/j.jelekin.2003.09.018
Tough, E. A., White, A. R., Cummings, T. M., Richards, S. H., & Campbell, J. L. (2009). Acupuncture and dry needling in the management of myofascial trigger point pain: A systematic review and meta-analysis of randomised controlled trials. European Journal of Pain, 13(1), 3–10. https://doi.org/10.1016/j.ejpain.2008.02.006
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Tânia Ecí Santi Castro; Livia Assis; Paola da Mata Messut; Juliana Carolina Tarocco; Carolina Bruder ; Carla Roberta Tim
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.