Evaluation of Biofeedback Usefulness in Masticatory Muscle Activity Management—A Systematic Review

Florjański, Wojciech; Małysa, Andrzej; Orzeszek, Sylwia; Smardz, Joanna; Olchowy, Anna; Paradowska-Stolarz, Anna; Więckiewicz, Mieszko

doi:10.3390/jcm8060766

Cited by 42 publications

(46 citation statements)

References 33 publications

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“…This phenomenon appears to be analogous to deprogramming and creating new muscle engrams [ 33 , 34 ]. T-scan III might prove useful in clinical procedures as an occlusal biofeedback [ 35 , 36 ]. This may be of great importance in the case of people who, due to occlusal reasons, have consciously changed their chewing pattern (one-sided chewing, bypassing selected anatomical units in the chewing cycle) and, consequently, overload the structures of the masticatory system.…”

Section: Discussionmentioning

confidence: 99%

Comparative Evaluation of Occlusion before and after Soft Tissue Mobilization in Patients with Temporomandibular Disorder—Myofascial Pain with Referral

Kuć

Szarejko²,

Gołębiewska

2021

IJERPH

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The aim of the study was to evaluate occlusal parameters in patients with myofascial pain with referral before and after soft tissue mobilization. The study group consisted of 50 people (37 females and 13 males, average age 23.36 ± 2.14 years) diagnosed with myofascial pain with referral. All patients underwent triplicate soft tissue mobilization. Occlusal parameters were evaluated six times, before and after each treatment, using T-scan III. A decreasing tendency of the occlusion time was observed after the first, second, and third therapy. After the third treatment, the mean occlusion time in the entire study group was 0.119 s. The 1st soft tissue mobilization shortened both right and left disclusion times to 0.181 s and 0.185 s, respectively. After the third treatment, these parameters amounted to 0.159 s and 0.165 s, respectively. The Friedman test for the entire study group indicated that soft tissue mobilization altered the occlusion time and both disclusion times (p < 0.05). In conclusion, soft tissue mobilization affects biotensegrity of the masticatory system, thus modifying occlusal parameters. The occlusion time and both disclusion times cannot be considered as cofactors of the existing temporomandibular disorders—myofascial pain with referral.

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Section: Discussionmentioning

confidence: 99%

Comparative Evaluation of Occlusion before and after Soft Tissue Mobilization in Patients with Temporomandibular Disorder—Myofascial Pain with Referral

Kuć

Szarejko²,

Gołębiewska

2021

IJERPH

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“…Approximately 80% of patients with TMD suffer from clinical conditions such as disc displacement, arthralgia, osteoarthrosis, and osteoarthritis (Warren and Fried, 2001;Wadhwa and Kapila, 2008). TMDs have a complex and multifactorial etiology (Florjanski et al, 2019). Mechanical loading has been shown to contribute to their onset and progression (Holyoak et al, 2019), and metabolismrelated dysbiosis and the accumulation of inflammatory cytokines might also be involved in disease pathogenesis (Wadhwa and Kapila, 2008;Park and Chung, 2016).…”

Section: Introductionmentioning

confidence: 99%

Low-Intensity Pulsed Ultrasound Alleviates Hypoxia-Induced Chondrocyte Damage in Temporomandibular Disorders by Modulating the Hypoxia-Inducible Factor Pathway

et al. 2020

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Temporomandibular disorders are a common cause of chronic pain in the orofacial region and have a complex and multi-factorial pathophysiology. Mechanical loading or inflammatory conditions have been shown to decrease oxygen tension within the joint cartilage and activate the hypoxia-inducible factor (HIF) pathway, which in turn aggravates the pathological processes underlying temporomandibular joint (TMJ) disorders. We previously showed that low-intensity pulsed ultrasound (LIPUS) treatment effectively repairs TMJ injury induced by chronic sleep deprivation (CSD). Here, we explored the effects of LIPUS treatment on hypoxia-induced chondrocyte injury. We found that it effectively restored the proliferation capacity of mandibular chondrocytes under hypoxic conditions and lowered their rate of apoptosis. Chondrogenic capacity, as assessed by type II collagen levels, and mucin-positive areas were also significantly increased after LIPUS treatment. Levels of matrix metalloprotein-3 and interleukin-6 decreased in mandibular chondrocytes following this treatment, whereas the expression of tissue inhibitor of metalloproteinase-1 increased. We also found that HIF-1a expression was upregulated in mandibular chondrocytes under hypoxic conditions and was further enhanced by LIPUS treatment. Similarly, HIF-2a levels increased in mandibular chondrocytes under hypoxic conditions but decreased following LIPUS treatment. Subsequently, we established a CSD-induced TMJ injury model and found that LIPUS increased mucin-positive areas as well as HIF-1a expression and decreased HIF-2 level in the chondrocyte layer. Together, our results indicate that the protective effect of LIPUS on chondrocyte is partly associated with the HIF pathway.

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“…A systematic review of the literature concludes that biofeedback can be useful in helping to manage masticatory muscle activity. Most of the studies showed a significant correlation between the use of biofeedback and the reduction of masticatory muscle activity (18).…”

Section: Discussionmentioning

confidence: 99%

Functional Magnetic Resonance Connectivity in Patients With Temporomadibular Joint Disorders

et al. 2021

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Myofascial pain in the masticatory region, generally referred to as headache, is a common temporomandibular disorder (TMD) characterized by the hypersensitive regions of the contracted skeletal muscle fibers. A correct clinical treatment of myofascial pain has the potential to modify the functional activation of cerebral networks associated with pain and unconscious teeth clenching, specifically the pain network (PN) and default mode network (DMN). In this study, research is presented as a case series of five patients with myofascial pain: three were diagnosed with intra- and extra-articular disorders, and two were diagnosed with only extra-articular disorders. All five patients received gnathological therapy consisting of passive splints and biofeedback exercises for tongue–palatal vault coordination. Before and after treatment, patients underwent pain assessments (through measures of visual analog scales and muscular palpation tests), nuclear magnetic resonance of the temporomandibular joint, and functional nuclear magnetic resonance of the brain. In each patient, temporomandibular joint nuclear magnetic resonance results were similar before and after the gnathological treatment. However, the treatment resulted in a considerable reduction in pain for all patients, according to the visual analog scales and the palpation test. Furthermore, functional nuclear magnetic resonance of the brain clearly showed a homogeneous modification in cerebral networks associated with pain (i.e., PN and DMN), in all patients. In conclusion, gnathological therapy consisting of passive aligners and biofeedback exercises improved myofascial pain in all five patients. Most importantly, this study showed that all five patients had a homogeneous functional modification of pain and default mode networks. Using passive splints in combination with jaw exercises may be an effective treatment option for patients with TMD. This research could be a starting point for future investigations and for clinicians who want to approach similar situations.

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Evaluation of Biofeedback Usefulness in Masticatory Muscle Activity Management—A Systematic Review

Cited by 42 publications

References 33 publications

Comparative Evaluation of Occlusion before and after Soft Tissue Mobilization in Patients with Temporomandibular Disorder—Myofascial Pain with Referral

Comparative Evaluation of Occlusion before and after Soft Tissue Mobilization in Patients with Temporomandibular Disorder—Myofascial Pain with Referral

Low-Intensity Pulsed Ultrasound Alleviates Hypoxia-Induced Chondrocyte Damage in Temporomandibular Disorders by Modulating the Hypoxia-Inducible Factor Pathway

Functional Magnetic Resonance Connectivity in Patients With Temporomadibular Joint Disorders

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