The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 18 , ISSUE 7 ( July, 2017 ) > List of Articles

RESEARCH ARTICLE

Therapeutic Evaluation of Cervical Dysfunction in Patients with Myofascial Pain Dysfunction Syndrome: A Prospective Study

B Smriti Jagdhari, Motwani Mukta, A Golhar Saket, Anil V Golhar

Citation Information : Jagdhari BS, Mukta M, Saket AG, Golhar AV. Therapeutic Evaluation of Cervical Dysfunction in Patients with Myofascial Pain Dysfunction Syndrome: A Prospective Study. J Contemp Dent Pract 2017; 18 (7):601-606.

DOI: 10.5005/jp-journals-10024-2092

Published Online: 01-07-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

The aim of this study was to find out the therapeutic correlation between cervical dysfunction and myofascial pain dysfunction syndrome (MPDS).

Materials and methods

The study included 46 patients out of which 23 had MPDS with cervical pain (group I), and 23 patients had only MPDS (group II). Detailed history and examination of the patients were carried out, and the factors taken into consideration were pain and tenderness of muscles of mastication and neck muscles, maximum comfortable mouth opening, and cervical range of motion. All the patients were randomly divided and advised physical exercises, light amplification by stimulated emission of radiation (LASER) therapy, and the combination of both exercise and LASER. Patients were assessed for the relief of signs and symptoms of myofascial pain and cervical pain posttreatment, every month for 2 months.

Results

Both the groups showed a similar response to all the different treatment modalities. In group I, the patients also had relief in their cervical pain although the treatment was directed for MPDS. Patients from both the groups who were advised LASER and combination of both exercise and LASER showed better response in terms of reduction in visual analog scale, number of tender muscles, and increased maximum comfortable mouth opening posttreatment and during the follow-up, as compared with the patients who were advised only exercise.

Conclusion

Patients having cervical pain showed significant improvement comparable with patients having no cervical pain. Hence, the conclusion drawn was that there is a positive interrelationship between MPDS and cervical (neck) pain; MPDS may act as a catalyst for precipitating cervical pain.

Clinical significance

Cervical pain showed significant improvement to physiotherapy in the form of exercise, LASER, and combination treatment, though the effective modality was LASER and combination of exercise and LASER therapy.

How to cite this article

Jagdhari BS, Mukta M, Saket AG, Golhar AV. Therapeutic Evaluation of Cervical Dysfunction in Patients with Myofascial Pain Dysfunction Syndrome: A Prospective Study. J Contemp Dent Pract 2017;18(7):601-606.


PDF Share
  1. Myofascial pain dysfunction syndrome (MPDS). Iran J Otorhinolaryngol Autumn 2010 Oct;22(4):131-136.
  2. Effects of low-level laser in the treatment of myofascial pain dysfunction syndrome. J Dent Res Dent Clin Dent Prospects 2007 Summer;1(2):53-58.
  3. The biomechanical and functional relationship between temporomandibular dysfunction and cervical spine pain. Acta Bioeng Biomech 2011;13(4):93-98.
  4. Evaluation of cervical dysfunction in patients with myofascial pain dysfunction syndrome: a prospective study. Int J Contemp Dent 2014;5:5-10.
  5. Cervical musculoskeletal impairments and temporomandibular disorders. J Oral Maxillofac Res 2012 Oct-Dec;3(4):e4.
  6. Correlation between cervical spine and temporomandibular disorders. Clin Oral Investig 1998 Jun;2(2):54-57.
  7. Management of temporomandibular disorders and occlusion. 5th ed. St. Louis: Mosby; 2003.
  8. Craniocervical dysfunction levels in MPDS patient. JIOMAR 2002;13(3-4):98-102.
  9. Exercise therapy for craniomandibular disorders. Arch Phys Med Rehabil 2000 Sep;81(9):1137-1142.
  10. Effectiveness of exercise therapy in patients with myofascial pain dysfunction syndrome. J Oral Rehabil 2002 Apr;29(4):362-368.
  11. Prevalence of mandibular dysfunction in young adults. J Am Dent Assoc 1979 Jan;98(1):25-34.
  12. Temporomandibular joint pain and dysfunction. Curr Pain Headache Rep 2006 Dec;10(6):408-414.
  13. A descriptive survey of signs and symptoms associated with the myofascial pain-dysfunction syndrome. J Am Dent Assoc 1975 Mar;90(3):635-639.
  14. The additional value of a home physical therapy regimen versus patient education only for the treatment of myofascial pain of the jaw muscles: short-term results of a randomized clinical trial. J Orofac Pain 2004 Spring;18(2):114-125.
  15. Home-exercise regimes for the management of non-specific temporomandibular disorders. J Oral Rehabil 2005 Nov;32(11):779-785.
  16. Lasertherapy efficacy in temporomandibular disorders: control study. Braz J Otorhinolaryngol 2010 May-Jun;76(3):294-299.
  17. Evaluation of the efficacy of low-level laser therapy (LLLT) and the microelectric neurostimulation (MENS) in the treatment of myogenic temporomandibular disorders: a randomized clinical trial. J Appl Oral Sci 2005 Sep;13(3):280-285.
  18. TENS and low-level laser therapy in the management of temporomandibular disorders. J Appl Oral Sci 2006 Apr;14(2):130-135.
  19. Low-level laser therapy for treatment of temporomandibular joint pain: a double-blind and placebo-controlled trial. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008 Apr;105(4):452-456.
  20. Low intensity laser therapy in the treatment of temporomandibular disorders: a double-blind study. J Oral Rehabil 2005 Nov;32(11):800-807.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.