Published August 30, 2023 | Version https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue8,Article296.pdf
Journal article Open

Effect of Dry Needling Over Trigger Point Release for Masticatory Myofacial Pain: A Comparative Study

Authors/Creators

  • 1. Junior Resident, Physiotherapist, Department of PMR, SKIMS, Soura
  • 2. Assistant Professor, Department of PMR, SKIMS, Soura
  • 3. Senior Resident, Department of PMR, SKIMS, Soura
  • 4. Junior Resident, Department of PMR, SKIMS, Soura
  • 5. Senior Resident, Physiotherapist, Department of PMR, SKIMS, Soura

Description

Introduction: Masticatory Myofascial Pain (MMP) is a prevalent, chronic orofacial disorder causing pain in the jaw and facial muscles. It considerably impacts patients’ quality of life due to its key role in eating and speaking. The complex nature of MMP necessitates comprehensive treatment, including emerging techniques like Dry Needling and Trigger Point Release. Objective: The study aims to compare and assess the effect of dry needling versus trigger point release for masticatory myofascial pain. Methods: Two intervention groups were treated with dry needling and trigger point release. The outcome measures were based on the Numeric Pain Rating Scale (NPRS), Maximal Mouth Opening (MMO), and Temporomandibular Disability Index (TMD). Results: Both groups showed significant improvement in all outcome measures, with dry needling showing superior outcomes. Pre and post-test scores demonstrated a notable difference for both intervention methods. For NPRS, the p-values were <0.2761 (pre-test) and 0.0018 (post-test). Similarly, MMO scores had p-values of 0.2275 (pre-test) and <0.0003 (post-test). Conversely, TMD scores had p-values of 0.9289 (pre-test) and <0.0002 (post-test). Effect Size: The effect size between Group-A and B for NPRS, MMO, and TMD scores was -1.42, -0.38, and -1.63, respectively, indicating a significant difference in the treatment effect. Conclusion: The study results indicate that dry needling more effectively alleviated masticatory myofascial pain and improved patient outcomes. Further studies are encouraged to confirm these observed effects through controlled, randomized trials.

 

 

Abstract (English)

Introduction: Masticatory Myofascial Pain (MMP) is a prevalent, chronic orofacial disorder causing pain in the jaw and facial muscles. It considerably impacts patients’ quality of life due to its key role in eating and speaking. The complex nature of MMP necessitates comprehensive treatment, including emerging techniques like Dry Needling and Trigger Point Release. Objective: The study aims to compare and assess the effect of dry needling versus trigger point release for masticatory myofascial pain. Methods: Two intervention groups were treated with dry needling and trigger point release. The outcome measures were based on the Numeric Pain Rating Scale (NPRS), Maximal Mouth Opening (MMO), and Temporomandibular Disability Index (TMD). Results: Both groups showed significant improvement in all outcome measures, with dry needling showing superior outcomes. Pre and post-test scores demonstrated a notable difference for both intervention methods. For NPRS, the p-values were <0.2761 (pre-test) and 0.0018 (post-test). Similarly, MMO scores had p-values of 0.2275 (pre-test) and <0.0003 (post-test). Conversely, TMD scores had p-values of 0.9289 (pre-test) and <0.0002 (post-test). Effect Size: The effect size between Group-A and B for NPRS, MMO, and TMD scores was -1.42, -0.38, and -1.63, respectively, indicating a significant difference in the treatment effect. Conclusion: The study results indicate that dry needling more effectively alleviated masticatory myofascial pain and improved patient outcomes. Further studies are encouraged to confirm these observed effects through controlled, randomized trials.

 

 

Files

IJPCR,Vol15,Issue8,Article296.pdf

Files (516.5 kB)

Name Size Download all
md5:c3341cf5891500270f9359eacf8280fc
516.5 kB Preview Download

Additional details

Identifiers

URL
https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue8,Article296.pdf

Dates

Accepted
2023-04-27

Software

Repository URL
https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue8,Article296.pdf
Development Status
Active

References

  • 1. American Society of Temporomandibular Joint Surgeons. Guidelines for diagnosis and management of disorders involving the temporomandibular joint and related musculoskeletal structures. Cranio 2003; 21: 68-76. 2. Travell JG. Travell and SimonsMyofascial Pain and Dysfunction: The Trigger Point Manual, vol. Upper Half of Body. Williams & Wilkins, Baltimore; 1983 3. McMillan AS, Nolan A, Nelly PJ. The efficacy of dry needling and procaine in the treatment of myofascial pain in the jaw muscles. J Orofac Pain. 1997; 11: 307-14. 4. Zakrzewska JM, Hamlyn PJ. Facial pain. In : Crombik IK , craft PR, Linton SJ , at el,eds .Epidemiology of pain , seattle, WA ; IASP Press, 1999 : 171-202 5. Martin WJJM, Perez RSGM, Tuinzing DB, Forouzanfar T. Efficacy of antidepressants on orofacial pain: a systematic review. Int J Oral Maxillofac Surg [Internet]. Elsevier; 2015 Mar 26;41(12):1532–9. 6. National Institute of Dental and Craniofacial research. http://www.nidcr.nih.gov/ DataStatistics /Find Data By Topic /FacialPain/ 7. LeResche L. Epidemiology of temporomandibular disorders: implications for the investigation of etiologic factors. Crit Rev Oral Biol Med. International and American Associations for Dental Research; 1997;8(3):291–305. Merskey H, Bogduk N 1994 classification of chronic pain, Seattle, WA, IASP Press. 8. 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. Schiffman E, et al, J Oral Facial Pain Headache. 2014 Winter;28(1):6-27. doi: 10.11607/jop.1151. 9. Schiffman E, Ohrbach R, Truelove E, International RDC/TMD Consortium Network, 10. J Oral Facial Pain Headache. 2014 Winter;28(1):6-27 11. Simons, D. G., Travell, J. G., & Simons, L. S. (1999). Travell& Simons' Myofascial Pain and Dysfunction: Upper half of body. Williams & Wilkins. 12. Han, S. C., & Harrison, P. (1997). Myofascial pain syndrome and trigger-point management. Regional Anesthesia and Pain Medicine, 22(1), 89–101. 13. Zhang, Y., Ge, H.-Y., Yue, S.-W., Kimura, Y., & Arendt-Nielsen, L. (2009). Attenuated skin blood flow response to nociceptive stimulation of latent myofascial trigger points. Archives of Physical Medicine and Rehabilitation, 90(2), 325–332. 14. Ito H, Okimoto K, Mizumori T, Terada Y, Maruyama T. A clinical study of the relationship between occlusal curvature and craniomandibular disorders. Int J Prosthodont 1997;10(1):78-82 15. Fricton JR. Etiology and management of masticatory myofascial pain. J Musculoskeletal Pain 1999;7(1/2):143-160 16. Kerstein RB. Treatment of myofascial pain dysfunction syndrome with occlusal therapy to reduce lengthy disclusion time-a recall evaluation. Cranio 1995;13(2):105-15. 17. Flor H, Birbaumer N, Schulte W, Roos R. Stress-related electromyographic responses in patients with chronic temporomandibular pain. Pain 1991;46(2):145-52.18. Svensson P, Burgaard A, Schlosser S. Fatigue and pain in human jaw muscles during a sustained, low-intensity clenching task. Arch Oral Biol 2001;46(8):773-7. 44. 19. Mense S. The pathogenesis of muscle pain. Current Pain and Headache Reports 2003;7(6):419-425. 20. Treatment of temporomandibularmyofascial pain with deep dry needling. Luis M. GonzalezPerez, Pedro Infante-Cossio, Mercedes Granados-Nuñez, Francisco J. Urresti-Lopez4. Med Oral Patol Oral Cir Bucal. 2012 Sep; 17(5): e781–e785. doi: 10.4317/medoral.17822 21. Mense, S., &Gerwin, R. D. (2010). Muscle pain: diagnosis and treatment. Springer Science & Business Media. Jones Oliver, The Muscles of Mastication, TeachMeAnotomy; 2014 22. Fricton, J. R. (1998). Masticatory myofascial pain: an explanatory model integrating clinical, epidemiological and basic science research. Bulletin Du Groupement International Pour La Recherche Scientifique En Stomatologie & Odontologie, 41(1), 14–25. 23. McCain GA. "Fibromyalgia and Myofascial Pain Syndromes." In Wall, PD; and Melzack R, Textbook of Pain (3rd Edition). Churchill Livingstone. New York. 1994. 24. Grosshandler, S. L., Stratas, N. E., Toomey, T. C., &Gray, W. F. (1985). Chronic neck and shoulde6r pain. Focusing on myofascial origins. Postgraduate Medicine, 77(3), 149–151. 25. Rachlin, E. S., &Rachlin, I. S. (2002). Myofascial pain and fibromyalgia: trigger point management. Mosby In. Bronfort, G., Haas, M., Evans, R., Leininger, B., & Triano, J. (2010). Effectiveness of manual therapies: the UK evidence report. Chiropractic & Manual Therapies, 18(1), 3. 26. Fernández-Carnero, J., La Touche, R., OrtegaSantiago, 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. Journal of Orofacial Pain, 24(1), 106. 27. Beltran-Alacreu, H., López-de-UraldeVillanueva, I., Paris-Alemany, A., AnguloDíaz-Parreño, S., & La Touche, R. (2014). Intra-rater and Inter-rater Reliability of Mandibular Range of Motion Measures Considering a Neutral Craniocervical Position. Journal of Physical Therapy Science, 26(6), 915. 28. SOHAIL, A., & AMJAD, A. (2011). the range of inter-incisal opening among university students of Ajman, UAE. Pakistan Oral & Dental Journal, 31(1). 29. Dijkstraeta. The validity and reliability of four different method of assessing the TMJ mobility. DOI: 10.1046/j.1365-2842.1999.00358. 30. Beltran-Alacreu, H., López-de-UraldeVillanueva, I., Paris-Alemany, A., AnguloDíaz-Parreño, S., & La Touche, R. (2014). Intra-rater and Inter-rater Reliability of Mandibular Range of Motion Measures Considering a Neutral CraniocervicalPosition.Journalof Physical Therapy Science, 26(6), 915. 31. Ferreira-Valente, M. A., Pais-Ribeiro, J. L., & Jensen, M. P. (2011). Validity of four pain intensity rating scales. PAIN®, 152(10), 2399– 2404. 32. Steigerwald DP, Maher JH: The Steigerwald/Maher TMD disability questionnaire. Today's Chiropractic 1997; JulyAugust:86-91. 33. Chou LW, Kao MJ, Lin JG. Probable mechanisms of needling therapies for myofascial pain control. Evid Based Complement Alternat Med. 2012;2012:705327 34. 38. Simons DG, Travell JG, Simons LS, Cummings BD. Travell & Simons'myofascial pain and dysfunction: the trigger point manual. 2nd ed. Vol. 1. Baltimore, MD: Lippincott Williams & Wilkins; 1998. 35. Shah JP, Danoff JV, Desai MJ, Parikh S, Nakamura LY, Phillips TM, et al. Biochemicals associated with pain and inflammation are elevated in sites near to and remote from active myofascial trigger points. Arch Phys Med Rehabil 2008;89:16–23 36. [PubMed]Simons DG. New views of myofascial trigger points: etiology and diagnosis. Arch Phys Med Rehabil 2008;89:157–9 [PubMed]