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Study on the effect of TENS, exercise and friction massage on the masseter regarding masseter-derived cervical myofascial pain Cover

Study on the effect of TENS, exercise and friction massage on the masseter regarding masseter-derived cervical myofascial pain

Open Access
|Apr 2020

Figures & Tables

Comparison of the Neck Pain and Disability Inventory scale scores of the subjects within and among the groups

Group IGroup IIGroup IIIp
Avg. ± s.d.MedAvg. ± s.d.MedAvg. ± s.d.Med
Score received for the Neck Pain and Disability Inventory
Before treatment35.7 ± 14.941.531.4 ± 13.638.032.4 ± 16.233.50.270 K
After treatment35.1 ± 14.640.530.8 ± 13.437.531.3 ± 15.832.50.244 K
Change before/after treatment–0.6 ± 0.7–1.0–0.5 ± 0.90.0–1.1 ± 1.0–1.00.013 K
Change: p-value0.000 w0.009 w0.000 w

Distribution by age, gender and educational status in the study groups

Group I Group II Group III p
Avg ± SD/n-%MedAvg ± SD/n-%MedAvg ± SD/n-%Med
Age 24.0 ± 2.224.024.6 ± 2.524.024.9 ± 2.625.00.346 A
SexFemale21–70.0 15–50.0 19–63.3 0.270 X2
Male9–30.0 15–50.0 11–36.7
Educational status
Undergraduate 19–63.3 23–76.7 22–73.3 0.495 X2
Graduate 11–36.7 7–23.3 8–26.7

Relationship between the difficulty in opening and closing the mouth, scores obtained in the Neck and Disability Inventory score and movement- and rest-related VAS scores

Difficulty in opening and closing the mouth
PresentNot presentp
Avg.±s.d.MedAvg.±s.d.Med
Score received for the Neck Pain and Disability Inventory
Before treatment44.3 ± 7.645.018.6 ± 7.819.00.000 m
After treatment43.3 ± 7.444.018.1 ± 7.719.00.000 m
Movement-related VAS
Before treatment6.4 ± 0.86.02.9 ± 1.33.00.000 m
After treatment6.1 ± 0.96.02.8 ± 1.33.00.000 m
VAS during rest
Before treatment5.5 ± 1.35.02.4 ±1.32.00.000 m
After treatment5.3 ± 1.35.02.4 ±1.32,00.000 m

Relationship between the ratio of the anterior tilt position of the head, ratio of difficulty in opening and closing the mouth and ratio of trigger points in the trapezius and sternocleidomastoid muscles before and after treatment

Anterior tilt of the head
PresentNot presentp
n%n%
Difficulty in opening and closing the mouth(+)4989.1%25.7%0.000 X2
(–)610.9%3394.3%
Trigger point in the SCM muscle
Before treatment(+)5090.9%12.9%0.000 X2
(–)59.1%3497.1%
After treatment(+)5090.9%12.9%0.000 X2
(–)59.1%3497.1%
Trigger point in the trapezius muscle
Before treatment(+)4887.3%38.6%0.000 X2
(–)712.7%3291.4%
After treatment(+)4887.3%38.6%0.000 X2
(–)712.7%3291.4%

Relationship between the ratio of difficulty in opening and closing the mouth, ratio of trigger points in the trapezius and sternocleidomastoid muscles before and after treatment and ratio of trigger points in the masseter muscle after the treatment

Difficulty in opening and closing the mouth
PresentNot presentp
n%n%
Trigger point in the SCM muscle
Before treatment(+)4894.1%37.70.000 X2
(–)35.93692.3%
After treatment(+)4894.1%37.70.000 X2
(–)35.93692.3%
Trigger point in the trapezius muscle
Before treatment(+)4588.2%615.4%0.000 X2
(–)611.8%3384.6%
After treatment(+)4588.2%615.4%0.000 X2
(–)611.8%3384.6%
Trick point in the masseter muscle
After treatment(+)4078.4%3692.3%0.072 X2
(–)1121.6%37.7

Comparison of the movement- and rest-related VAS scores of the subjects within and among the groups

Group IGroup IIGroup IIIp
Avg. ± s.d.MedAvg. ± s.d.MedAvg. ± s.d.Med
Movement-Related VAS
Before treatment5.3 ± 1.96.04.9 ± 1.75.54.4 ± 2.35.50.317K
After treatment5.1 ± 1.95.54.7 ± 1.75.04.1 ± 2.25.00.202K
Change before/after treatment–0.2 ± 0.40.0–0.2 ± 0.40.0–0.3 ± 0.50.00.275K
Change: p-value0.025 w0.014 w0.014 w
VAS during Rest
Before treatment4.0 ± 1.85.04.2 ± 1.95.04.3 ± 2.34.50.880K
After treatment4.0 ± 1.85.04.1 ± 2.05.03.9 ± 2.14.00.846K
Change before/after treatment0.0 ± 0.30.0–0.1 ± 0.40.0–0.3 ± 0.50.00.003K
Change: p-value1.000 w0.317 w0.002 w
Language: English
Page range: 1 - 9
Submitted on: Dec 27, 2019
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Accepted on: Mar 31, 2020
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Published on: Apr 8, 2020
In partnership with: Paradigm Publishing Services

© 2020 Ece Debre, Kerem Alptekin, Jülide Öncü Alptekin, Ashley Giritharan, published by University of Physical Education in Warsaw
This work is licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License.