Masticatory muscle pain and low-level laser therapy: A double-blind and placebo-controlled study

MERİÇ, Uğur; ÇAPAN, NALAN; KIPIRDI, Selin; KESKİN, Haluk; Gokcen-Rohlig, Bilge

Masticatory muscle pain and low-level laser therapy: A double-blind and placebo-controlled study

Bilge Gökçen RÖHLİG, (İstanbul Üniversitesi, Diş Hekimliği Fakültesi, Ağız Diş ve Çene Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

Selin KIPIRDI, (İstanbul Üniversitesi, Diş Hekimliği Fakültesi, Ağız Diş ve Çene Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

Uğur MERİÇ, (İstanbul Üniversitesi, Diş Hekimliği Fakültesi, Ağız Diş ve Çene Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

Nalan ÇAPAN, (İstanbul Üniversitesi, Diş Hekimliği Fakültesi, Ağız Diş ve Çene Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

Haluk KESKİN (İstanbul Üniversitesi, Diş Hekimliği Fakültesi, Ağız Diş ve Çene Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi

2 0

Yıl: 2011 Cilt: 57 Sayı: 1 Sayfa Aralığı: 31 - 37 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Masticatory muscle pain and low-level laser therapy: A double-blind and placebo-controlled study

Öz:

Amaç: Bu çalışmanın amacı kronik kas kaynaklı orofasyal ağrılı hastalarda düşük-doz lazer tedavisinin (DDLT) etkinliğini araştırmaktır.Gereç ve Yöntem: Kassal temporomandibular rahatsızlığı olan 40 hasta uygulanan tedavi seçeneğine göre rastgele iki gruba ayrıldı; lazer grubu ve plasebo grubu. 300 mW güç ile 820 nm dalga boyunda 8 J/cm2 enerji üreten düşük doz lazer aleti çalışmada kullanıldı. Lazer uygulaması çiğneme kaslarına her iki günde bir üç hafta boyunca toplam on seans olacak şekilde gerçekleştirildi. Mandibuler hareket incelendi, çiğneme kasları hassasiyeti değerlendirildi, basınç ağrı eşiği ve VAS skorları elde edildi.Bulgular: Tekrarlanan tek-yönlü ANOVA analizi lazer ve plasebo grupları arasında istatistiksel anlamlı sonuçlar ortaya çıkardı. Lazer grubunda basınç ağrı eşiği değerlerinde ve palpasyonda ağrılı kas sayısında istatistiksel olarak anlamlı seviyede (p<0,05) azalma gözlendi. Mandibuler hareketler anlamlı derecede iyileşti (p<0,05). Plasebo grubunda istatistiksel olarak anlamlı olmayan hafif iyileşme gözlendi.Sonuç: Belirtilen özellikte düşük-doz lazer kassal temporomandibular rahatsızlıklarda alternatif bir tedavi metodu olabilir. Türk Fiz Tıp Rehab Derg 2011;57:31-7.

Anahtar Kelime:

Konular: Rehabilitasyon

Çiğneme Kası Ağrısı ve düşük-doz lazer tedavisi: Çift-kör ve plasebo kontrollü çalışma

Öz:

Objective: This study was designed to evaluate the efficacy of low-level laser therapy (LLLT) in patients with chronic orofacial pain of muscular origin. Materials and Methods: A sample of 40 patients with temporomandibular disorders (TMD) of muscular origin was randomly divided on the basis of the treatment applied: laser group versus placebo group. A continuous low-intensity semiconductor laser device with an output of 300 mW, emitting radiation with a wavelength of 820 nm and having energy density of 8 J/cm2 was used. Laser irradiation was applied to the muscles of mastication every other day for three weeks for a total of ten sessions. Mandibular mobility was examined, masticatory muscles tenderness was assessed, pressure pain threshold (PPT) values and visual analog scale (VAS) scores were obtained. Results: A repeated measurement one-way ANOVA demonstrated significant differences between the laser and placebo groups. In the laser group, there was a statically significant reduction in PPT values and in the number of muscles with pain on palpation (p<0.05). Mandibular movements improved significantly (p<0.05) The placebo group demonstrated slight improvement, but it was not statistically significant. Conclusion: This particular type of LLLT can be an alternative modality in the treatment of TMD in cases of myogenic origin.

Anahtar Kelime:

Konular: Rehabilitasyon

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Gokcen-Rohlig B, KIPIRDI S, MERİÇ U, ÇAPAN N, KESKİN H (2011). Masticatory muscle pain and low-level laser therapy: A double-blind and placebo-controlled study. , 31 - 37.
Chicago	Gokcen-Rohlig Bilge,KIPIRDI Selin,MERİÇ Uğur,ÇAPAN NALAN,KESKİN Haluk Masticatory muscle pain and low-level laser therapy: A double-blind and placebo-controlled study. (2011): 31 - 37.
MLA	Gokcen-Rohlig Bilge,KIPIRDI Selin,MERİÇ Uğur,ÇAPAN NALAN,KESKİN Haluk Masticatory muscle pain and low-level laser therapy: A double-blind and placebo-controlled study. , 2011, ss.31 - 37.
AMA	Gokcen-Rohlig B,KIPIRDI S,MERİÇ U,ÇAPAN N,KESKİN H Masticatory muscle pain and low-level laser therapy: A double-blind and placebo-controlled study. . 2011; 31 - 37.
Vancouver	Gokcen-Rohlig B,KIPIRDI S,MERİÇ U,ÇAPAN N,KESKİN H Masticatory muscle pain and low-level laser therapy: A double-blind and placebo-controlled study. . 2011; 31 - 37.
IEEE	Gokcen-Rohlig B,KIPIRDI S,MERİÇ U,ÇAPAN N,KESKİN H "Masticatory muscle pain and low-level laser therapy: A double-blind and placebo-controlled study." , ss.31 - 37, 2011.
ISNAD	Gokcen-Rohlig, Bilge vd. "Masticatory muscle pain and low-level laser therapy: A double-blind and placebo-controlled study". (2011), 31-37.

APA	Gokcen-Rohlig B, KIPIRDI S, MERİÇ U, ÇAPAN N, KESKİN H (2011). Masticatory muscle pain and low-level laser therapy: A double-blind and placebo-controlled study. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 57(1), 31 - 37.
Chicago	Gokcen-Rohlig Bilge,KIPIRDI Selin,MERİÇ Uğur,ÇAPAN NALAN,KESKİN Haluk Masticatory muscle pain and low-level laser therapy: A double-blind and placebo-controlled study. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 57, no.1 (2011): 31 - 37.
MLA	Gokcen-Rohlig Bilge,KIPIRDI Selin,MERİÇ Uğur,ÇAPAN NALAN,KESKİN Haluk Masticatory muscle pain and low-level laser therapy: A double-blind and placebo-controlled study. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, vol.57, no.1, 2011, ss.31 - 37.
AMA	Gokcen-Rohlig B,KIPIRDI S,MERİÇ U,ÇAPAN N,KESKİN H Masticatory muscle pain and low-level laser therapy: A double-blind and placebo-controlled study. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2011; 57(1): 31 - 37.
Vancouver	Gokcen-Rohlig B,KIPIRDI S,MERİÇ U,ÇAPAN N,KESKİN H Masticatory muscle pain and low-level laser therapy: A double-blind and placebo-controlled study. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2011; 57(1): 31 - 37.
IEEE	Gokcen-Rohlig B,KIPIRDI S,MERİÇ U,ÇAPAN N,KESKİN H "Masticatory muscle pain and low-level laser therapy: A double-blind and placebo-controlled study." Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 57, ss.31 - 37, 2011.
ISNAD	Gokcen-Rohlig, Bilge vd. "Masticatory muscle pain and low-level laser therapy: A double-blind and placebo-controlled study". Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 57/1 (2011), 31-37.