Low-intensity pulsed ultrasound in the treatment of masticatory myositis and temporomandibular joint synovitis: A clinical trial

作者全名："Zhang, Xiaoqing; Gao, Wentong; Zhou, Jianping; Dai, Hongwei; Xiang, Xuerong; Xu, Jie"

作者地址："[Zhang, Xiaoqing; Gao, Wentong; Zhou, Jianping; Dai, Hongwei; Xiang, Xuerong; Xu, Jie] Chongqing Med Univ, Stomatol Hosp, 426 Songshi North Rd, Chongqing, Peoples R China; [Zhang, Xiaoqing; Gao, Wentong; Zhou, Jianping; Dai, Hongwei; Xiang, Xuerong; Xu, Jie] Chongqing Key Lab Oral Dis & Biomed Sci, Chongqing, Peoples R China; [Zhang, Xiaoqing; Gao, Wentong; Zhou, Jianping; Dai, Hongwei; Xiang, Xuerong; Xu, Jie] Chongqing Municipal Key Lab Oral Biomed Engn Highe, Chongqing, Peoples R China"

通信作者："Xu, J (通讯作者)，Chongqing Med Univ, Stomatol Hosp, 426 Songshi North Rd, Chongqing, Peoples R China.; Xu, J (通讯作者)，Chongqing Municipal Key Lab Oral Biomed Engn Highe, Chongqing, Peoples R China."

来源：JOURNAL OF STOMATOLOGY ORAL AND MAXILLOFACIAL SURGERY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001141245300001

JCR分区：Q2

影响因子：1.8

年份：2024

卷号：125

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：Low-intensity pulsed ultrasound; Temporomandibular disorders; Masticatory myositis; Synovitis

摘要："Background: Low-intensity pulsed ultrasound (LIPUS) is a non-invasive physical stimulation application for the therapy of articular cartilage injury. This study aimed to explore the therapeutic effects of low-intensity pulsed ultrasound in treating masticatory myositis and synovitis in temporomandibular joint disorders and to establish an evaluation system to evaluate the clinical efficacy.Methods: TMD patients who met the inclusion criteria in the temporomandibular joint clinic of the affiliated Stomatological Hospital of Chongqing Medical University from April 3, 2021, to December 2021 were selected. Before the start and after 7 days of LIPUS treatment, the Fricton temporomandibular joint disorder index, Visual Analog Scale (VAS), and Pressure Difference of Precision Manometer (PD) were measured. A paired t-test was used to compare the values of the Fricton index, VAS, and PD before and after treatment in each group. One-way ANOVA analysis of variance was used to compare the differences between groups.Results: After one week of LIPUS treatment, the PI, DI and CMI of the Fricton index in the masticatory myositis (PI: P < 0.001; CMI: P < 0.001; DI: P = 0.2641, ns) and the synovitis group (DI: P < 0.001; CMI: P < 0.001, PI: P = 0.9729, ns) significantly decreased. The VAS of the masticatory myositis group and the synovitis group were significantly reduced (P < 0.001). The PD between the affected and healthy sides of the masticatory myositis group and the synovitis group was significantly reduced (P < 0.001), and the reduction was more evident in the M group.Conclusions: LIPUS is effective in pain relief in patients with masticatory myositis and joint synovitis, mean-while, masticatory myositis was more sensitive to LIPUS. A new comprehensive clinical efficacy evaluation system which includes PV, FI, and VAS was created to better 2 diagnose masticatory myositis and joint synovitis.(c) 2023 Elsevier Masson SAS. All rights reserved."

基金机构：National Natural Science Foundation of China [81800999]; Chongqing Health Commission & Science and Technology Bureau Foundation [2023ZDXM019]; CQMU Program for Youth Innovation in Future Medicine [W0135]; Foundation of State Key Laboratory of Ultrasound in Medicine and Engineering [2022KFKT003]; Chongqing Postdoctoral Science Foundation

基金资助正文："This work was supported by the National Natural Science Foundation of China (Grant No. 81800999) , Project supported by Chongqing Health Commission & Science and Technology Bureau Foundation (NO. 2023ZDXM019) , CQMU Program for Youth Innovation in Future Medicine [No. W0135] , Foundation of State Key Laboratory of Ultrasound in Medicine and Engineering (Grant No. 2022KFKT003) "" and the Chongqing Postdoctoral Science Foundation in 2019."