Muscular diagnostics and the feasibility of microsystem acupuncture as a potential adjunct in the treatment of painful temporomandibular disorders: results of a retrospective cohort study.

Simma, Irmgard; Simma, Leopold; Fleckenstein, Johannes (2018). Muscular diagnostics and the feasibility of microsystem acupuncture as a potential adjunct in the treatment of painful temporomandibular disorders: results of a retrospective cohort study. Acupuncture in medicine, 36(6), pp. 415-421. BMJ Publishing Group 10.1136/acupmed-2017-011492

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AIMS To investigate the effect of microsystem acupuncture on painful temporomandibular disorders (TMD). METHODS We retrospectively analysed 887 treatments in 407 TMD-patients (mean age 45±1.5 years), who received microsystem acupuncture (mouth, scalp or fingers) with a focus on oral acupuncture. All patients systematically underwent palpation of specific muscular tender points and their pain rating was assessed on a four-point Likert scale (no pain to strong pain) before and after treatment. In 42 cases, the pain intensity was determined using a visual analogue scale (0-100 mm). As the data were normally distributed, analysis was performed with unpaired t-tests. RESULTS The pterygoid muscles were most painful to palpation, with the lateral pterygoid rated moderate to strong by 76% of patients and the medial pterygoid by 48% of patients. The palpation of microsystem acupuncture points revealed the strongest sensitivity (moderate or strong pain) of the oral retromolar points at the upper jaw (83%). After treatment, the pain intensity of all tender points had significantly decreased (P<0.001). The proportion of moderate to strong pain ratings was below 3% at most tender points. Overall pain intensity of the subjects (n=42) before treatment was 55.5±19.7 mm on the VAS scale and was significantly reduced to 29.6±20.9 mm (P<0.001) post-treatment. CONCLUSIONS This analysis suggests microsystem acupuncture could reduce the pain intensity of TMD in the short term. Considering the increased local muscular tenderness, further investigations regarding the key role of myofascial trigger points in the occurrence of TMDs are warranted and could lead to new comprehensive treatment strategies.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Medical Education > Institute of Complementary and Integrative Medicine (IKIM)

UniBE Contributor:

Fleckenstein, Johannes

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0964-5284

Publisher:

BMJ Publishing Group

Language:

English

Submitter:

Yasmine Bühlmann

Date Deposited:

20 Mar 2019 16:02

Last Modified:

04 Nov 2019 06:24

Publisher DOI:

10.1136/acupmed-2017-011492

PubMed ID:

29567668

Uncontrolled Keywords:

auricular acupuncture dental surgery otolaryngology pain management

BORIS DOI:

10.7892/boris.125006

URI:

https://boris.unibe.ch/id/eprint/125006

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