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首页> 外文期刊>Pain research & management: the journal of the Canadian Pain Society = journal de la socie?te? canadienne pour le traitement de la douleur >A New Device Improves Signs and Symptoms of TMD
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A New Device Improves Signs and Symptoms of TMD

机译：一种新设备可改善TMD的症状和体征

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Background. Temporomandibular joint dysfunction (TMD) therapy remains an open challenge for modern dentistry. Herein, we propose a new neuromuscular lingual device able to reduce signs and symptoms of TMD in female patients with chronic orofacial pain. Methods. 50 females with myofascial TMD according to RDC/TMD were randomly assigned to study (n?=?25) and control groups (n?=?25). At T0, both groups received sEMG/KNG and pain evaluation by the VAS scale. The study group received the ELIBA device (lingual elevator by Balercia) constructed under ULF-TENS (ultra-low-frequency transcoutaneous electrical nervous stimulation). Subjects were instructed to use ELIBA at least for 16?h/day. After 6?months (T1), both groups underwent to sEMG/KNG and VAS revaluation. Results. T1 study group compared to controls showed a significant reduction in total () and mean () sEMG values, as well as a significant increase in both maximum vertical mouth opening () and maximum velocity in mouth opening () and closing (). Interestingly, a significant reduction in pain measured by VAS () was reported. Conclusions. After 6?months, the ELIBA device is able to significantly reduce TMD-associated myogenous pain and to promote the enhancement of sEMG/KNG values. Practical Implications. ELIBA can be considered as a new device, potentially useful for head-neck pain relief in patients suffering from chronic TMD. In addition, its use promotes a muscles relaxation inducing freeway space increase. This characteristic makes it particularly useful for rehabilitation of patients with not enough space for construction of conventional orthotics or neuromuscular bites.
机译：背景。颞下颌关节功能障碍（TMD）治疗仍然是现代牙科的一个开放挑战。本文中，我们提出了一种新的神经肌肉舌装置，能够减轻女性慢性口面部疼痛的TMD征象和症状。方法。根据RDC / TMD，将50名患有肌筋膜TMD的女性随机分配至研究组（n = 25）和对照组（n = 25）。在T0时，两组均接受sEMG / KNG并通过VAS量表进行疼痛评估。该研究小组接受了在ULF-TENS（超低频经声带电神经刺激）下构造的ELIBA设备（Balercia的语言电梯）。指导受试者至少每天16小时使用ELIBA。在6个月（T1）后，两组均进行了sEMG / KNG和VAS重估。结果。与对照组相比，T1研究组显示sEMG的总（）和平均值（）显着降低，最大垂直张开（）和最大张开速度（）和闭合（）均显着增加。有趣的是，据报道，通过VAS（）可以显着减轻疼痛。结论。 6个月后，ELIBA设备能够显着减轻TMD相关的肌源性疼痛，并促进sEMG / KNG值的提高。实际影响。 ELIBA被认为是一种新设备，对于缓解患有慢性TMD的患者的头颈部疼痛可能很有用。另外，它的使用促进肌肉松弛，导致高速公路空间增加。该特征使其对于没有足够空间来构造常规矫正器或神经肌肉咬伤的患者的康复特别有用。

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