A Case Series of Temporomandibular Disorders Treated with Acupuncture, Occlusal Splint and Point Injection Therapy

2003 ◽  
Vol 21 (4) ◽  
pp. 138-149 ◽  
Author(s):  
Yiu-kai Wong ◽  
Jason Cheng
Keyword(s):  
Temporomandibular Disorders ◽  
Acupuncture Treatment ◽  
Case Series ◽  
Injection Therapy ◽  
Treatment Modalities ◽  
Occlusal Splint ◽  
Treatment Results ◽  
Splint Therapy ◽  
Point Injection ◽  
Randomised Controlled

A treatment regime combining acupuncture, occlusal splint and point injection therapy for temporomandibular disorders (TMD) is presented. There were 89 consecutive patients treated by the regime in this case series but four patients dropped out after two to three visits. Data and treatment results of the remaining 85 patients who had treatment completed were analysed. It was found that 73 (85%) of patients with TMD had symptoms relieved within six visits under this regime. Complications were rare and minor. Acupuncture treatment, in combination with splint therapy and point injection therapy, appears to be effective for managing TMD. However, further research, using randomised controlled trials should be conducted to ascertain its effectiveness over other treatment modalities.

scholarly journals Effectiveness of physical therapy in addition to occlusal splint in myogenic temporomandibular disorders: protocol of a randomised controlled trial

BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e038438
Author(s):  
Cristina Incorvati ◽  
Antonio Romeo ◽  
Adele Fabrizi ◽  
Luca Defila ◽  
Carla Vanti ◽  
...  
Keyword(s):  
Temporomandibular Disorders ◽  
Controlled Trial ◽  
Masticatory Muscles ◽  
Educational Programme ◽  
Occlusal Splint ◽  
Intention To Treat ◽  
Splint Therapy ◽  
Ethical Approval ◽  
Registration Number ◽  
Randomised Controlled

IntroductionTemporomandibular disorders (TMDs) are considered a collection of musculoskeletal conditions involving the masticatory muscles, the temporomandibular joint and associated structures. The myogenous group appears to represent the most frequently diagnosed category. In the context of a multimodal approach, splint therapy and musculoskeletal physiotherapy are often considered as a preferred therapy. The purpose of this study will be to investigate the effects of musculoskeletal physiotherapy combined with occlusal splint and education versus occlusal splint and education alone in the treatment of chronic myogenous TMD on pain and mandibular range of motion.Methods and analysisAll consecutive adults complaining of TMDs presented to the Department of Biomedical and Neuromotor Sciences of the University of Bologna will be considered eligible. Inclusion criteria shall be based on the presence of myogenous TMDs, as diagnosed through clinical examination in reference to the international diagnostic criteria of TMDs. Randomisation, concealed allocation, blinded assessment and intention-to-treat analysis will be employed. The splint therapy will consist of the use of the splint every night and concurrent delivery of an educational programme; the protocol shall have a duration of three consecutive months. The combined musculoskeletal physiotherapy, splint therapy and education will additionally consist of manual therapy techniques and exercise; such protocol shall consist of a duration of three consecutive months, inclusive of 10 sessions for the enhanced elements. All outcome measures will be collected at baseline, after treatment and at a 6 months follow-up.Ethics and disseminationEthical approval has been obtained from the Independent Ethic Committee in Clinical Research of AUSL Bologna-Italy (47/2018/SPER/AUSLBO). Pursuant to applicable rules,we will obtain informed consent from each participant and collect data anonymously to maintain privacy. Results will be disseminated to clinicians and researchers through peer-reviewed publications and conferences.Trial registration numberNCT03726060

scholarly journals Emergency Management of Paraphimosis

2003 ◽  
Vol 10 (4) ◽  
pp. 253-257 ◽  
Author(s):  
Ch Chung
Keyword(s):  
Case Reports ◽  
Data Extraction ◽  
Treatment Options ◽  
Case Series ◽  
Treatment Modalities ◽  
Invasive Treatment ◽  
Manual Search ◽  
Study Selection ◽  
Library Network ◽  
Randomised Controlled

Objective To review the treatment modalities available for paraphimosis, with special emphasis on those applicable to the emergency department. Data source Relevant medical literature was searched through MEDLINE, EMBASE, CINAHL, and Cochrane Database. Manual search was performed in books on Urology, General Surgery and Emergency Medicine available in the Hospital Library. Further information was obtained through the Internet at < www.infoseek.com >. References cited in articles were also retrieved. Study selection Key words for the literature, Internet and textbook search were ‘paraphimosis’ and ‘treatment’. All available years of study were reviewed. Data extraction Relevant full text articles were obtained through the hospital library network. Original articles, review papers, medical practice, case reports, and relevant book chapters were reviewed. Data synthesis There were no prospective, randomised, controlled studies available. The majority were case series and expert experience or opinions only. Currently, a multitude of non-invasive and invasive treatment options are available, including manual reduction, help of non-crushing tissue forceps, puncture technique and dorsal slit. Conclusion All treatment methods are within the capability of the emergency physician. Hospitalization should rarely be required, unless there are serious complications.

Acupuncture in the Treatment of Hypertension and Stroke

2000 ◽  
Vol 18 (1) ◽  
pp. 54-60 ◽  
Author(s):  
Yue Emily Ren
Keyword(s):  
Stroke Rehabilitation ◽  
Randomised Controlled Trials ◽  
Acupuncture Treatment ◽  
Case Series ◽  
Sham Acupuncture ◽  
Controlled Trials ◽  
Hierarchy Of Evidence ◽  
Treatment Of Hypertension ◽  
Hypertensive Drug ◽  
Randomised Controlled

This article identifies and comments on published studies of acupuncture treatment for hypertension and stroke. In all, 27 appropriate papers were analysed: 13 were hypertension papers with 3 being of controlled trials, and 14 were stroke papers with 5 controlled trials. The articles consisted of randomised controlled trials (RCTs), controlled trials, and case series studies. The hypertension papers also involved some cohort studies. In general, sample sizes of these studies were small. Acupuncture in these papers was used as a secondary intervention for treating hypertension and as a tertiary intervention for stroke rehabilitation. The RCTs (the top of the hierarchy of evidence) of hypertension showed that acupuncture was not more effective than sham acupuncture or the anti-hypertensive drug, reserpine; however, all the case series suggested that acupuncture was an effective treatment. The RCT evidence for stroke showed that the effectiveness of acupuncture was similar to that of conventional treatment. The conclusion was that from the papers analysed there is insufficient evidence to show that acupuncture produces better results than other treatments for hypertension or stroke.

scholarly journals Evaluation of microcurrent electrical nerve stimulation (MENS) effectiveness on muscle pain in temporomandibular disorders patients

2006 ◽  
Vol 14 (1) ◽  
pp. 61-66 ◽  
Author(s):  
Paulo Renato Junqueira Zuim ◽  
Alicio Rosalino Garcia ◽  
Karina Helga Leal Turcio ◽  
Marcelo Matida Hamata
Keyword(s):  
Analysis Of Variance ◽  
Nerve Stimulation ◽  
Temporomandibular Disorders ◽  
Muscle Pain ◽  
Reduction Rate ◽  
Occlusal Splint ◽  
Electrical Nerve Stimulation ◽  
Group Iii ◽  
Splint Therapy ◽  
Group I

The effect of Microcurrent Electrical Nerve Stimulation (MENS) was evaluated and compared with occlusal splint therapy in temporomandibular disorders (TMD) patients with muscle pain. Twenty TMD patients were divided into four groups. One received occlusal splint therapy and MENS (I); other received splints and placebo MENS (II); the third, only MENS (III) and the last group, placebo MENS (IV). Sensitivity derived from muscle palpation was evaluated using a visual analogue scale. Results were submitted to analysis of variance (p<0.05). There was reduction of pain level in all groups: group I (occlusal splint and MENS) had a 47.7% reduction rate; group II (occlusal splint and placebo MENS), 66.7%; group III (MENS), 49.7% and group IV (placebo MENS), 16.5%. In spite of that, there was no statistical difference (analysis of variance / p<0.05) between MENS and occlusal splint therapy regarding muscle pain reduction in TMD patients after four weeks.

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