Effect of dry needling, ischemic compression and cross-taping of the masseter in patients with orofacial myofascial pain: a randomized comparative study

Background and objectiveTemporomandibular disorders, of multifactorial etiology, refer to a series of pathologies that affect the temporomandibular joint and the associated musculature of the orofacial region and are the result of alterations in the physiological relationships of the stomatognathic...

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Main Authors: B. Macedo de Sousa, N. López-Valverde, A. López-Valverde, D. Neves, M. Santos, J. A. Blanco Rueda
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Oral Health
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Online Access:https://www.frontiersin.org/articles/10.3389/froh.2024.1524496/full
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author B. Macedo de Sousa
N. López-Valverde
N. López-Valverde
A. López-Valverde
A. López-Valverde
D. Neves
M. Santos
J. A. Blanco Rueda
J. A. Blanco Rueda
author_facet B. Macedo de Sousa
N. López-Valverde
N. López-Valverde
A. López-Valverde
A. López-Valverde
D. Neves
M. Santos
J. A. Blanco Rueda
J. A. Blanco Rueda
author_sort B. Macedo de Sousa
collection DOAJ
description Background and objectiveTemporomandibular disorders, of multifactorial etiology, refer to a series of pathologies that affect the temporomandibular joint and the associated musculature of the orofacial region and are the result of alterations in the physiological relationships of the stomatognathic system, responsible for functions such as chewing, phonation and swallowing. They produce, among other symptoms, mainly pain, which affects the quality of life of the patients who suffer from them. To alleviate the discomfort of neuromuscular pathology in the orofacial region, various therapeutic strategies are employed, ranging from non-invasive to more invasive methods. The aim of the study was to compare the efficacy of three therapeutic methods (dry needling, ischemic compression and cross-taping) in reducing or relieving masseter pain in individuals with orofacial myofascial pain.Materials and methodsA multicenter randomized comparative clinical trial was conducted in 60 subjects over 18 years of age, divided into three groups: dry needling, ischemic compression and cross-taping. Pain intensity was assessed, randomly, by a single blinded evaluator, according to the Numerical Pain Rating Scale in the pre-treatment period, immediately after, 1–2 weeks and one month later.ResultsImmediately after applying the therapies, there was a greater decrease in pain intensity in dry needling, followed by ischemic compression and a smaller decrease in the cross-taping technique (p < 0.0001; p = 0.0001; p = 0.0014, respectively). After 1–2 weeks, there was a noticeable increase in the dry needling technique, however, there was a decrease in pain in the cross-taping technique. After 1 month of application, both dry needling and ischemic compression showed a slight reduction in pain intensity, in contrast to the cross-taping group, which showed an increase in pain intensity.ConclusionsDry needling and ischemic compression were more effective than cross-taping for immediate reduction of orofacial myofascial pain. Further short- and long-term research is needed to confirm these findings.Clinical Trial Registrationclinicaltrials.gov, identifier (NCT0660604).
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spelling doaj-art-edd23e8d72694cd4927319b50cf9c0762025-01-07T06:40:53ZengFrontiers Media S.A.Frontiers in Oral Health2673-48422025-01-01510.3389/froh.2024.15244961524496Effect of dry needling, ischemic compression and cross-taping of the masseter in patients with orofacial myofascial pain: a randomized comparative studyB. Macedo de Sousa0N. López-Valverde1N. López-Valverde2A. López-Valverde3A. López-Valverde4D. Neves5M. Santos6J. A. Blanco Rueda7J. A. Blanco Rueda8Institute for Occlusion and Orofacial Pain, Faculty of Medicine, University of Coimbra, Coimbra, PortugalDepartment of Surgery, Faculty of Medicine, University of Salamanca, Salamanca, SpainBiomedical Research Intitute of Salamanca (IBSAL), Salamanca, SpainDepartment of Surgery, Faculty of Medicine, University of Salamanca, Salamanca, SpainBiomedical Research Intitute of Salamanca (IBSAL), Salamanca, SpainInstitute for Occlusion and Orofacial Pain, Faculty of Medicine, University of Coimbra, Coimbra, PortugalInstitute for Occlusion and Orofacial Pain, Faculty of Medicine, University of Coimbra, Coimbra, PortugalDepartment of Surgery, Faculty of Medicine, University of Salamanca, Salamanca, SpainBiomedical Research Intitute of Salamanca (IBSAL), Salamanca, SpainBackground and objectiveTemporomandibular disorders, of multifactorial etiology, refer to a series of pathologies that affect the temporomandibular joint and the associated musculature of the orofacial region and are the result of alterations in the physiological relationships of the stomatognathic system, responsible for functions such as chewing, phonation and swallowing. They produce, among other symptoms, mainly pain, which affects the quality of life of the patients who suffer from them. To alleviate the discomfort of neuromuscular pathology in the orofacial region, various therapeutic strategies are employed, ranging from non-invasive to more invasive methods. The aim of the study was to compare the efficacy of three therapeutic methods (dry needling, ischemic compression and cross-taping) in reducing or relieving masseter pain in individuals with orofacial myofascial pain.Materials and methodsA multicenter randomized comparative clinical trial was conducted in 60 subjects over 18 years of age, divided into three groups: dry needling, ischemic compression and cross-taping. Pain intensity was assessed, randomly, by a single blinded evaluator, according to the Numerical Pain Rating Scale in the pre-treatment period, immediately after, 1–2 weeks and one month later.ResultsImmediately after applying the therapies, there was a greater decrease in pain intensity in dry needling, followed by ischemic compression and a smaller decrease in the cross-taping technique (p < 0.0001; p = 0.0001; p = 0.0014, respectively). After 1–2 weeks, there was a noticeable increase in the dry needling technique, however, there was a decrease in pain in the cross-taping technique. After 1 month of application, both dry needling and ischemic compression showed a slight reduction in pain intensity, in contrast to the cross-taping group, which showed an increase in pain intensity.ConclusionsDry needling and ischemic compression were more effective than cross-taping for immediate reduction of orofacial myofascial pain. Further short- and long-term research is needed to confirm these findings.Clinical Trial Registrationclinicaltrials.gov, identifier (NCT0660604).https://www.frontiersin.org/articles/10.3389/froh.2024.1524496/fullorofacial myofascial paindry needlingischemic compressioncross-tapingmasseter
spellingShingle B. Macedo de Sousa
N. López-Valverde
N. López-Valverde
A. López-Valverde
A. López-Valverde
D. Neves
M. Santos
J. A. Blanco Rueda
J. A. Blanco Rueda
Effect of dry needling, ischemic compression and cross-taping of the masseter in patients with orofacial myofascial pain: a randomized comparative study
Frontiers in Oral Health
orofacial myofascial pain
dry needling
ischemic compression
cross-taping
masseter
title Effect of dry needling, ischemic compression and cross-taping of the masseter in patients with orofacial myofascial pain: a randomized comparative study
title_full Effect of dry needling, ischemic compression and cross-taping of the masseter in patients with orofacial myofascial pain: a randomized comparative study
title_fullStr Effect of dry needling, ischemic compression and cross-taping of the masseter in patients with orofacial myofascial pain: a randomized comparative study
title_full_unstemmed Effect of dry needling, ischemic compression and cross-taping of the masseter in patients with orofacial myofascial pain: a randomized comparative study
title_short Effect of dry needling, ischemic compression and cross-taping of the masseter in patients with orofacial myofascial pain: a randomized comparative study
title_sort effect of dry needling ischemic compression and cross taping of the masseter in patients with orofacial myofascial pain a randomized comparative study
topic orofacial myofascial pain
dry needling
ischemic compression
cross-taping
masseter
url https://www.frontiersin.org/articles/10.3389/froh.2024.1524496/full
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