Original scientific paper
SELF-MASSAGE AND LOW-LEVEL LASER IN TREATMENT OF MASSETER MYALGIA: SHORT-TERM EFFECT
Afrim Fetai
; Private practice Fetai, Medulin, Croatia
Vlatka Debeljak
orcid.org/0000-0001-6602-2972
; Department of Prosthodontics, Faculty of Dental Medicine, University of Rijeka, Rijeka, Croatia ; Department of Dental Medicine, Faculty of Dental Medicine and Health, Osijek, J.J. Strossmayer University of Osijek, Osijek, Croatia ; Dental Clinic, Clinical Hospital Center Rijeka, Rijeka, Croatia
Danijela Kovačević- Pavičić
orcid.org/0000-0002-8117-9203
; Department of Prosthodontics, Faculty of Dental Medicine, University of Rijeka, Rijeka, Croatia ; Department of Dental Medicine, Faculty of Dental Medicine and Health, Osijek, J.J. Strossmayer University of Osijek, Osijek, Croatia ;Dental Clinic, Clinical Hospital Center Rijeka, Rijeka, Croatia
Nataša Ivančić Jokić
; Department of Paediatric Dentistry, Faculty of Dental Medicine, University of Rijeka, Clinical Hospital Center Rijeka, Rijeka, Croatia
Dubravka Negovetić Vranić
; Department of Paediatric and Preventive Dentistry, School of Dental Medicine, University of Zagreb, Zagreb,Croatia
Zoran Kovač
; Department of Prosthodontics, Faculty of Dental Medicine, University of Rijeka, Rijeka, Croatia; Dental Clinic, Clinical Hospital Center Rijeka, Rijeka, Croatia
Daniel Komar
; Dental polyclinic, Zagreb, Croatia
Željko Verzak
; Department of Paediatric and Preventive Dentistry, School of Dental Medicine, University of Zagreb, Zagreb,Croatia
Abstract
Introduction: The aim of this study was to explore the efficiency of massage in the treatment of masseter myalgia compared with
biostimulatory laser.
Materials and methods: The instrument Diagnostic Criteria for Temporomandibular Disorders was used to select subjects and
monitor treatment outcome. 54 subjects with masseter myalgia of more than 3 months in duration were invited to participated and 42
cases were available at the end and analyzed. Age range was 16-67 years (median 33, interquartile range 25-53), 36% subjects was
-massage and laser) had 21 participants and were
monitored one months after the start of treatment. Age, gender, distress, somatization, catastrophizing, hypervigilance, health
competence and oral parafunctions were also assessed as factors that could influence effectiveness of treatment.
Results: Laser and massage are effective in reducing symptoms of chronic myalgia of the masseter in self-reported limitation of
jaw function and reducing pain intensities (p<0.001). Increase of mouth opening was present in both groups, but mainly significant
in laser group. The differences in the amount of change between groups were not significant. Psychological characteristics and
parafunctions, present before the treatment, age and gender did not have major affect the effectiveness of treatment.
Conclusion: Both treatment modalities are effective in treatment of chronic myalgia in short-term.
Keywords
facial pain; temporomandibular joint disorder; physical therapy; distress; catastrophizing
Hrčak ID:
266985
URI
Publication date:
4.10.2021.
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