Laser therapy and dry needling in patients with myofascial pain: a comparative study
DOI:
https://doi.org/10.33448/rsd-v9i10.8922Keywords:
Temporomandibular Joint Dysfunction Syndrome; Facial Pain; Therapeutic Conduct.Abstract
Objective: This study compared low intensity laser therapy and dry needling, in the short and long term, in the treatment of myofascial pain, from pain to muscle palpation and in mandibular mobility. Methodology: This is a clinical trial in which 28 individuals were recruited to participate in the study. The patients were randomly assigned to two groups: GI (laser therapy) and Gll (dry needling). In GI there were 12 applications and in GII, three applications. Patients in both groups underwent nine evaluations (T0-T8). Return visits and new evaluations were carried out sixty days and 18 months after the end of the therapies in order to evaluate their efficacy and possible cumulative effects. To compare the groups in all parameters over time, ANOVA GLM and Multiple Comparison of Tukey were used with a significance level of 5% for all analyzes. Results: In general, the two therapies tested were effective for all parameters evaluated at T7 (2 months after T6). However, at T8, dry needling therapy was found to support the results compared to laser therapy. Conclusion: It is concluded that, although both therapies were effective, for immediate relief of symptoms of myofascial pain, dry needling was more efficient and lasting in the analyzed parameters.
References
Abbaszadeh-Amirdehi, M.; Ansari, N. N.; Naghdi, S.; Olyaei, G. & Nourbakhsh, M. R. (2017). Neurophysiological and clinical effects of dry needling in patients with upper trapezius myofascial trigger points. J Bodyw Mov Ther, 21(1), 48-52.
Alvarez, J. D. & Rockwell, P. G. (2002). Trigger points: diagnosis and management. Am Fam Phys, 65(4), 653-660.
Armijo-Olivo, S.; Pitance, L.; Singh, V.; Neto, F.; Thie, N.; Michelotti, A. (2016). Effectiveness of manual therapy and therapeutic exercise for temporomandibular disorders: systematic review and meta-analysis. Phys Ther, 96(1), 9-25.
Bertoli, F. M. P.; Bruzamolin, C. D.; Pizzatto, E.; Losso, E. M.; Brancher, J. A.; Souza, J. F. (2018). Prevalence of diagnosed temporomandibular disorders: A cross-sectional study in Brazilian adolescents. Plos one, 13(2), e0192254.
Dworkin, S. F. & LeResche, L. (1992). Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord, 6(4), 301-55.
Gerwin, R. D. (2014). Diagnosis of myofascial pain syndrome. Phys Med Rehabil Clin N Am, 25(2), 341-355.
Guimarães, A. S. (2012). Dor orofacial entre amigos: uma discussão científica. São Paulo: Quintessence.
Huang, Y. T.; Lin, S. Y.; Neoh, C. A.; Wang, K. Y.; Jean, Y. H. & Shi, H. Y. (2011). Dry needling for myofascial pain: prognostic factors. J Altern Complement Med, 17(8), 755-762.
Kuan, T. S. (2009). Current studies on myofascial pain syndrome. Curr Pain Headache Rep, 13(5), 365-369.
León-Hernández, J. V.; Martín-Pintado-Zugasti, A.; Frutos, L. G.; Alguacil-Diego, I. M.; de la Llave-Rincón, A. I. & Fernandez-Carnero, J. (2016). Immediate and short-term effects of the combination of dry needling and percutaneous TENS on post-needling soreness in patients with chronic myofascial neck pain. Braz J Phys Ther, 20(5), 422-431.
Majlesi, J. & Unalan, H. (2010). Effect of treatment on trigger points. Curr Pain Headache Rep, 14(5), 353-360.
Melchior, M. O.; Venezian, G. C.; Machado, B. C.; Borges, R. F. & Mazzetto, M. O. (2013). Does low level laser therapy reduce pain and change orofacial myofunctional conditions? Cranio, 31(2), 133-139.
Melo, L. A.; Medeiros, A. K. B.; Campos, M. F. T. P.; Resende C. M. B. M.; Barbosa, G. A. S. & Almeida, E. O. (2020). Manual Therapy in the Treatment of Myofascial Pain Related to Temporomandibular Disorders: A Systematic Review. J Oral Facial Pain Headache, 34(2), 141-148.
Pecos-Martín, D.; Montañez-Aguilera, F. J.; Gallego-Izquierdo, T.; Urraca-Gesto, A.; Gómez-Conesa, A.; Romero-Franco, N.; et al. (2015). Effectiveness of dry needling on the lower trapezius in patients with mechanical neck pain: a randomized controlled trial. Arch Phys Med Rehabil, 96(5), 775-781.
Pedro Netto, B.; Sotto-Maior, B. S.; Oliveira, R. G.; Teixeira, M. L. & Miranda ME. (2007). Laserterapia de baixa intensidade no tratamento de desordens temporomandibulares. Rev Fac Odontol, 48(1/3), 88-91.
Pereira, T. S.; Flecha, O. D.; Guimarães, R. C.; Oliveira, D.; Botelho, A. M.; Ramos Glória, J. C.; et al. (2014). Efficacy of red and infrared lasers in treatment of temporomandibular disorders – a double-blind, randomized, parallel clinical trial. Cranio, 32(1), 51-56.
Poluha, R. L; Grossmann, E.; Iwaki, L. C. V.; Uchimura T. T.; Santana, R. G. & Filho, L. I. (2018). Myofascial trigger points in patients with temporomandibular joint disc displacement with reduction: a cross-sectional study. J Appl Oral Sci, 26(1), e20170578.
Pullinger, A. G.; Seligman, D. A. & Gornbein, J. A. (1993). A multiple logistic regression analysis of the risk and relative odds of temporomandibular disorders as a function of common occlusal features. J Dent Res, 72(6), 968-979.
Santos Júnior, B. J.; Guimarães, A. S. & Rodrigues, L. L. F. R. (2016). Tratamento de trismo muscular agudo com agulhamento seco. In: Junqueira JLC, Napimoga MH (Orgs.). Ciência e Odontologia: casos clínicos baseados em evidências científicas. Campinas: Mundi Brasil.
Shirani, A. M.; Gutknecht, N.; Taghizadeh, M. & Mir, M. (2009). Low-level laser therapy and myofacial pain dysfunction syndrome: a randomized controlled clinical trial. Lasers Med Sci, 24(5), 715-720.
Srbely, J. Z.; Dickey, J. P.; Lee, D. & Lowerison, M. (2010). Dry needle stimulation of myofascial trigger points evokes segmental anti-nociceptive effects. J Rehabil Med, 42(5), 463-468.
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. Eur J Pain, 13(1), 3-10.
Uemoto, L.; Azevedo, R. N.; Alfaya, T. A.; Reis, R. N. J.; Gouvêa, C. V. D. & Garcia, M. A. C. (2013). Myofascial trigger point therapy: laser therapy and dry needling. Curr Pain Headache Rep, 17(9), 357.
Venancio, R. A.; Camparis, C. M. & Lizarelli, R. F. (2005). Low intensity laser therapy in the treatment of temporomandibular disorders: a double-blind study. J Oral Rehabil, 32(11), 800-807.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Beatriz de Pedro Netto; Laércio Almeida de Melo; Fabíola Pessôa Pereira Leite; Luciana de Castro Braga; Marcelo Lucchesi Teixeira; Camila Moreira Lima; Júlio César Brigolini de Faria; Jéssica Mayara de Figueirêdo Oséas; Rui Barbosa de Brito Júnior
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.
