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Facial Pain: RCT between Conventional Treatment and Fascial Manipulation® for Temporomandibular Disorders

2022; Multidisciplinary Digital Publishing Institute; Volume: 9; Issue: 7 Linguagem: Inglês

10.3390/bioengineering9070279

2306-5354

Florence Mitsue Sekito, Marco Pintucci, Carmelo Pirri, Mariana Ribeiro de Moraes Rego, Mayra Cardoso, Kenia Soares Paixão, Valquiria Ribeiro da Silva, Antonio Stecco,

Botulinum Toxin and Related Neurological Disorders

Background: To investigate the effectiveness of a specific manual therapy, Fascial Manipulation® (FM), in comparison with conventional treatments in temporomandibular disorders (TMD) patients using a two-arm randomized controlled trial. Methods: The study consisted of 28 patients that were divided in two groups (Group 1: Fascial Manipulation® vs. Group 2: conventional TMD treatment). The Verbal Rating Scale (VRS), RDC/TMD, electromyography (EMG) and Pression/Pain Evaluation on Masseter and Temporalis Muscle were assessed with different times. Results: In both groups, the improvement in pain was evident on the VRS scale (p < 0.0001) and pain-free opening (p < 0.001). In Group 1, the recovery of the function was faster; maximum unassisted opening T0 vs. T1 (p = 0.001). Conclusions: FM® can be used as an effective method for facial pain, being a rapid, safe and cost-effective approach to reduce pain, gain function and mouth opening that can be used prior to occlusion stabilization appliances.