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A randomized clinical trial comparing the efficacy of low-level laser therapy (LLLT) and laser acupuncture therapy (LAT) in patients with temporomandibular disorders.

一项比较低水平激光疗法 (LLLT) 和激光针灸疗法 (LAT) 对颞下颌关节紊乱病患者疗效的随机临床试验。

  • 影响因子:2.32
  • DOI:10.1007/s10103-019-02837-x
  • 作者列表:"Madani A","Ahrari F","Fallahrastegar A","Daghestani N
  • 发表时间:2020-02-01
Abstract

:This study compared the efficacy of low-level laser therapy (LLLT) versus laser acupuncture therapy (LAT) in patients with temporomandibular disorders (TMDs). In this randomized, double-blind clinical trial, 45 TMD patients were randomly divided into three groups. In group 1 (LLLT), a GaAlAs laser was applied on painful masticatory muscles and TMJs (810 nm, 200 mW, 30 s per point, Gaussian beam, spot size 0.28 cm2, 21 J/cm2) two times a week for 5 weeks. In group 2 (LAT), the laser was emitted bilaterally on acupuncture points (ST6, ST7, LI4) with the same settings as the LLLT group. Group 3 (placebo) underwent treatment with sham laser. The patients were evaluated before treatment (T1), after 5 (T2) and 10 (T3) laser applications, and 1 month later (T4). The mandibular range of motion as well as pain intensity in masticatory system was recorded at each interval. There was no significant difference in mouth opening between the groups (p > 0.05), but the amount of lateral excursive and protrusive movements was significantly greater in LLLT and LAT groups than the placebo group at some intervals (p < 0.05). The overall pain intensity and pain degree at masticatory muscles (except temporal muscle) and TMJs were significantly lower in both experimental groups than the placebo group at most intervals after therapy (p < 0.05). Both LLLT and LAT were effective in reducing pain and increasing excursive and protrusive mandibular motion in TMD patients. LAT could be suggested as a suitable alternative to LLLT, as it provided effective results while taking less chair time.

摘要

: 本研究比较了低水平激光治疗 (LLLT) 与激光针灸治疗 (LAT) 颞下颌关节紊乱病 (TMDs) 患者的疗效。在这项随机、双盲临床试验中,45 例TMD患者被随机分为三组。在 1 组 (LLLT) 中,a GaAlA s la s er wa s应用于疼痛的ma s术mu s cle s和TMJ s (8 1 0 nm,200 mW,每点 30 s,Gau s s ian beam,s pot s ize 0.28平方厘米,2 1 J/cm2) 每周两次s,共 5 周s。在第 2 组 (LAT) 中,以与LLLT组相同的设置在穴位 (ST6 、ST7 、LI4) 上双侧发射激光。第 3 组 (安慰剂) 接受假激光治疗。分别于治疗前 (t1) 、 5 次 (T2) 和 1 0 次 (T3) 激光治疗后 1 1 个月后 (T4) 进行评价。记录每个间隔的下颌活动范围以及咀嚼系统的疼痛强度。组间张口度差异无统计学意义 (p> 0.05),但在某些时间间隔内,LLLT和LAT组的侧向偏移和突起运动量显著大于安慰剂组 (p <0.05)。治疗后多数时间点,两组咀嚼肌 (除颞肌外) 和颞下颌关节 (TMJs) 的疼痛强度和疼痛程度均显著低于安慰剂组 (p <0.05)。LLLT和LAT均能有效减轻TMD患者的疼痛,增加下颌角运动和下颌前伸运动。LAT可以被建议作为LLLT的合适替代方案,因为它提供了有效的结果,同时占用的椅子时间更少。

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DOI:10.1097/SCS.0000000000005693
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颌部疾病方向

颌部的疾病,包括颌畸形、颌骨囊肿、颌骨肿瘤等疾病。

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