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Effects on temporomandibular disorder in the treatment of tension-type headache with acupuncture and therapeutic exercises. A secondary analysis from a randomized controlled trial.
Schiller, Joerg; Büttner, Alina; Niederer, Daniel; Bökel, Andrea; Korallus, Christoph; Sturm, Christian; Vogt, Lutz; Gutenbrunner, Christoph; Karst, Matthias; Fink, Matthias; Egen, Christoph.
Afiliación
  • Schiller J; Department of Rehabilitation and Sport Medicine, Hannover Medical School, Hannover, Germany.
  • Büttner A; Department of Rehabilitation and Sport Medicine, Hannover Medical School, Hannover, Germany.
  • Niederer D; Department of Sports Medicine and Exercise Physiology, Institute of Occupational, Social and Environmental Medicine, Goethe University Frankfurt, Frankfurt am Main, Germany.
  • Bökel A; Department of Rehabilitation and Sport Medicine, Hannover Medical School, Hannover, Germany.
  • Korallus C; Department of Rehabilitation and Sport Medicine, Hannover Medical School, Hannover, Germany.
  • Sturm C; Department of Rehabilitation and Sport Medicine, Hannover Medical School, Hannover, Germany.
  • Vogt L; Department of Sports Medicine and Exercise Physiology, Goethe University Frankfurt, Frankfurt am Main, Germany.
  • Gutenbrunner C; Department of Rehabilitation and Sport Medicine, Hannover Medical School, Hannover, Germany.
  • Karst M; Department of Rehabilitation and Sport Medicine, Hannover Medical School, Hannover, Germany.
  • Fink M; Department of Anesthesiology and Intensive Care Medicine, Hannover Medical School, Hannover, Germany.
  • Egen C; Department of Rehabilitation and Sport Medicine, Hannover Medical School, Hannover, Germany.
Clin Rehabil ; 38(5): 623-635, 2024 May.
Article en En | MEDLINE | ID: mdl-38304940
ABSTRACT

OBJECTIVES:

To examine the effects of acupuncture and therapeutic exercise alone and in combination on temporomandibular joint symptoms in tension-type headache and to evaluate the potential interaction of existing temporomandibular dysfunction on the success of headache treatment.

DESIGN:

Pre-planned secondary analysis of a randomized controlled, non-blinded trial.

SETTING:

Outpatient clinic of a German university hospital.

SUBJECTS:

Ninety-six Participants with frequent episodic or chronic tension-type headache were randomized to one of four treatment groups.

INTERVENTIONS:

Six weeks of acupuncture or therapeutic exercise either as monotherapies or in combination, or usual care. Follow-up at 3 and 6 months. MAIN

MEASURES:

Subjective temporomandibular dysfunction symptoms were measured using the Functional Questionnaire Masticatory Organ, and the influence of this sum score and objective initial dental examination on the efficacy of headache treatment interventions was analyzed.

RESULTS:

Temporomandibular dysfunction score improved in all intervention groups at 3-month follow-up (usual care 0.05 [SD 1.435]; acupuncture -5 [SD 1.436]; therapeutic exercise -4 [SD 1.798]; combination -3 [SD 1.504]; P = 0.03). After 6 months, only acupuncture (-6 [SD 1.736]) showed a significant improvement compared to the usual care group (P < 0.01). Subjective temporomandibular dysfunction symptoms had no overall influence on headache treatment.

CONCLUSIONS:

Only acupuncture had long-lasting positive effects on the symptoms of temporomandibular dysfunction. Significant dental findings seem to inhibit the efficacy of acupuncture for tension-type headache.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos de la Articulación Temporomandibular / Terapia por Acupuntura / Cefalea de Tipo Tensional Tipo de estudio: Clinical_trials Límite: Humans Idioma: En Revista: Clin Rehabil Asunto de la revista: REABILITACAO Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos de la Articulación Temporomandibular / Terapia por Acupuntura / Cefalea de Tipo Tensional Tipo de estudio: Clinical_trials Límite: Humans Idioma: En Revista: Clin Rehabil Asunto de la revista: REABILITACAO Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido