DOI:

10.37988/1811-153X_2023_4_42

Restoration the kinematics of mandibular movements by the method of hardware mechanotherapy in the protocol of functional rehabilitation for patients with TMJ’s diseases and myofascial pain syndrome

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Authors

  • D.V. Shipika 1, PhD in Medical Sciences, associate professor of the Maxillofacial and plastic surgery Department
    ORCID ID: 0000-0001-6335-3311
  • A.D. Bagoviev 1, postgraduate at the Maxillofacial and plastic surgery Department
    ORCID ID: 0000-0001-5980-1679
  • K.A. Popova 1, postgraduate at the Maxillofacial and plastic surgery Department
  • A.E. Darkhanova 1, 5th year student
    ORCID ID: 0000-0002-0408-9079
  • A.Y. Drobyshev 1, PhD in Medical Sciences, full professor of the Maxillofacial and plastic surgery Department
    ORCID ID: 0000-0002-1710-6923
  • 1 Moscow State University of Medicine and Dentistry, 127473, Moscow, Russia

Abstract

Objectives — design an algorithm for restoring the kinematics of lower jaw movements by the method of hardware mechanotherapy, to evaluate the effectiveness of its use in patients with TMJ diseases and myofascial pain syndrome.
Materials and methods.
Thirty-four patients diagnosed with TMJ pain, limited mouth opening of up to 39 mm (the physiological norm is 40—45 mm), and internal TMJ disorders based on MRI data were treated with apparatus mechanotherapy. Pain syndrome severity, mouth opening value, and the IMPACT index (masticatory muscle hypertonicity) were measured before treatment and on the 7th, 14th, and 21st days using EMG data.
Results.
On the twenty-first day, there was a 38.7% increase of 12.2±2.3mm in mouth opening when compared to initial values. Additionally, there was an IMPACT index reduction of 502±292 μV (11.2% reduction) and a decrease of 5.0±0.5 points (99% decrease) in the severity of pain syndrome according to VAS.
Conclusion.
Based on the research’s results we can recommend the method of hardware mechanotherapy to using in the protocol of treatment of patients with reduced mouth opening, myofascial pain syndrome, TMJ diseases. Hardware mechanotherapy promotes to the speedy restoration of the physiological kinematics of the movements of the lower jaw, relief of pain syndrome and normalization of the bioelectric activity of the chewing muscles.

Key words:

mouth opening restriction, mechanotherapy, masticatory muscle trism, myofascial pain syndrome, functional rehabilitation, TMJ

For Citation

[1]
Shipika D.V., Bagoviev A.D., Popova K.A., Darkhanova A.E., Drobyshev A.Y. Restoration the kinematics of mandibular movements by the method of hardware mechanotherapy in the protocol of functional rehabilitation for patients with TMJ’s diseases and myofascial pain syndrome. Clinical Dentistry (Russia).  2024; 26 (4): 42—50. DOI: 10.37988/1811-153X_2023_4_42

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Received

September 10, 2023

Accepted

November 22, 2023

Published on

January 16, 2024