Effect of Low Level Laser Therapy Vs Ultrasound Therapy in The Management of Temporomandibular Joint Pain Syndrome

Life Sciences-Physiotherapy

Authors

  • K. Saraswathi Lecturer, Faculty of Physiotherapy, Dr. MGR. Educational & Research Institute, Velappanchavadi, Chennai-77, Tamil Nadu, India. https://orcid.org/0000-0001-9831-2798
  • Koushik Kumar Nandhagopal Professor, Faculty of Physiotherapy, Meenakshi Academy of Higher Education & Research, West KK. Nagar. Chennai- 78, Tamilnadu.
  • S Nandhini Lecturer, Faculty of Physiotherapy, Dr. MGR. Educational & Research Institute, Velappanchavadi, Chennai-77, Tamil Nadu, India.
  • Bernard Ebenezer Cyrus Assistant Professor, Faculty of Physiotherapy, Dr. MGR. Educational &Research Institute, Velappanchavadi, Chennai-77, Tamil Nadu, India.
  • K. Kirupa Assistant Professor, Faculty of Physiotherapy, Dr. MGR. Educational &Research Institute, Velappanchavadi, Chennai-77, Tamil Nadu, India.
  • B. Aishwarya BPT Internee, Faculty of Physiotherapy, Dr. MGR. Educational & Research Institute, Velappanchavadi, Chennai -77, Tamil Nadu, India
  • S. Pavithra BPT Internee, Faculty of Physiotherapy, Dr. MGR. Educational & Research Institute, Velappanchavadi, Chennai -77, Tamil Nadu, India

DOI:

https://doi.org/10.22376/ijlpr.2024.14.2.L18-L24

Keywords:

Temporomandibular joint pain syndrome, low-level laser therapy, ultrasound therapy, stretching exercise, visual analog scale.

Abstract

The temporomandibular joint is a synovial joint made up of articulating surface of the temporal bone and the head of the mandible.Patients suffering from temporomandibular joint pain syndrome will frequently have pain in the region, limitation in opening, asymmetrical jawmovements, and restricted jaw movements. The etiology is associated with several factors, including malocclusion, trauma, emotional stress,and para-functional habits, which cause excruciating pain and inflammation of the surrounding muscle, posterior fibers, and synovial fluid. Thisstudy evaluated and compared the effectiveness of low-level laser therapy (LLLT) and ultrasound therapy (UST) in managing temporomandibularjoint pain syndrome. This experimental study of pre and post-comparative types involves 30 subjects with temporomandibular joint painsyndrome who were selected from the outpatient department. This study included 30 subjects divided into two groups of each 15 by simplerandom sampling method.15 sessions each alternate day of low-level laser therapy (GROUP A) and ultrasound therapy (GROUP B) wereadministered to the affected side. Both groups received stretching exercises as a common intervention. Group A received low-level lasertherapy along with stretching exercises for 7 sessions /week/10 min. Group B received ultrasound therapy and stretching exercises for 7sessions /one weeks/10 min. On comparing the mean values of Group A & Group B on the Visual Analogue Scale Score in terms of painintensity, it shows a significant decrease in the post-test mean values in both groups, but (Group A - Low-level Laser Therapy) shows 2.33,which has the lower mean value is more effective than (Group B - Ultrasound Therapy) 3.53 at P ≤ 0.001. Hence the null Hypothesis isrejected. On comparing the pre-test and Post-test between Group A & Group B on VAS Score, Group A shows a highly significant difference inmean values at P ≤ 0. 001. Thus, we conclude that low-level laser therapy is more effective than ultrasound therapy in the management oftemporomandibular joint pain syndrome.

References

Scrivani SJ, Keith DA, Kaban LB. Temporomandibular disorders. New England Journal of Medicine. 2008 Dec 18;359(25):2693-705.

Rahimi A, Rabiei S, Mojahedi SM, Kosarieh E. Application of low level laser in temporomandibular disorders: J Lasers Med Sci 2011;2(4):165-70

Grossmann E, Tambara JS, Grossmann TK, Siqueira JT. Transcutaneous electrical nerve stimulation for temporomandibular joint dysfunction. Revista Dor. 2012; 13:271-276.

Shukla D, Muthusekhar MR. Efficacy of low-level laser therapy in temporomandibular disorders: A systematic review. National journal of maxillofacial surgery. 2016 Jan;7(1):62.

Draper DO. Facts and misfits in ultrasound therapy: steps to improve your treatment outcomes. European Journal of Physical and Rehabilitation Medicine. 2014 Mar 5;50(2):209-16.

Baker KG, Robertson VJ, Duck FA. A review of therapeutic ultrasound: biophysical effects. Physical therapy. 2001 Jul 1;81(7):1351-8.

Madani AS, Ahrari F, Nasiri F, Abtahi M, Tunér J. Low-level laser therapy for management of TMJ osteoarthritis. Cranio®. 2014 Jan 1;32(1):38-44.

Mehta N, Kugel G, Alshuria A. Effect of electronic anaesthesia tens on TMJ and oral fascial pain. J Dent Res 1994;73: 358. 17. Wright V, Hopkins R. The temporo-mandibular joint. Clin Rheum Dis 1982; 8:715-22.

Geissler PR, McPhee PM. Electrostimulation in the treatment of pain in the mandibular dysfunction syndrome. Journal of Dentistry. 1986 Apr 1;14(2):62-4.

Murray GM, Phanachet I, Uchida S, Whittle T. The role of the human lateral pterygoid muscle in the control of horizontal jaw movements. J Orofac Pain. 2001 Jan 1;15(4):279-92.

Malik D, Rathee M, Sehrawatr R. Temporomandibular joint disorder and their management. Am J Health Res 2015; 3:1-5.

Fouda A. Ultrasonic therapy as an adjunct treatment of temporomandibular joint dysfunction. J Oral Maxillofac Surg. 2014 Apr 3;117:232–7.

Saund DSS, Pearson D, Dietrich T. Reliability and validity of self-assessment of mouth opening: a validation study. BMC Oral Health. 2012 Nov 12;12:48.

Grossman E, Tambaram JS. Transcutaneous electrical nerve stimulation for temporomandibular joint disorder. Rev Dor2012;13.

Byahathi SM. Evolution, epidemiology and etiology of TMJ. Indian Acad Oral Med Radiol 2010 ;22:13-8.

Gray RJ, Quayle AA, Hall CA, Schofield MA. Physiotherapy in the treatment of temporomandibular joint disorders: A comparative study of four treatment methods. Br Dent J 1994; 176:257-61.

Khiavi HA, Ebrahimi H, Najafi S, Nakisa M, Habibzadeh S, Khayamzadeh M, Kharazifard MJ. Efficacy of low-level laser, hard occlusal appliance and conventional pharmacotherapy in the management of myofascial pain dysfunction syndrome; A preliminary study. Journal of Lasers in Medical Sciences. 2020;11(1):37.

Khalighi HR, Mortazavi H, Mojahedi SM, Azari-Marhabi S, Parvaie P, Anbari F. The efficacy of low-level diode laser versus laser acupuncture for the treatment of myofascial pain dysfunction syndrome (MPDS). Journal of Dental Anesthesia and Pain Medicine. 2022 Feb;22(1):19.

Molina-Torres G, Rodríguez-Archilla A, Matarán-Peñarrocha G, Albornoz-Cabello M, Aguilar-Ferrándiz ME, Castro-Sánchez AM. Laser Therapy and Occlusal Stabilization Splint for Temporomandibular Disorders in Patients with Fibromyalgia Syndrome: A Randomized, Clinical Trial. Altern Ther Health Med. 2016 Sep;22(5):23-31.

Shobha R, Narayanan VS, Pai BJ, Jaishankar HP, Jijin MJ. Low-level laser therapy: A novel therapeutic approach to temporomandibular disorder–A randomized, double-blinded, placebo-controlled trial. Indian journal of dental research. 2017 Jul 1;28(4):380-7.

Madani AS, Ahrari F, Nasiri F, Abtahi M, Tunér J. Low-level laser therapy for management of TMJ osteoarthritis. Cranio. 2014 Jan;32(1):38-44. doi: 10.1179/0886963413Z.0000000004. PMID: 24660645.

Solak Ö, Turhan-Haktanır N, Köken G, Toktas H, Güler Ö, Kavuncu V, et al. Prevalence of temporomandibular disorders in pregnancy. Electron J Gen Med [Internet]. 2009;6(4):223–8.

AlShaban KK, Gul Abdul Waheed Z. Prevalence of TMJ Disorders among the Patients Attending the Dental Clinic of Ajman University of Science and Technology-Fujairah Campus, UAE. Int J Dent [Internet]. 2018 May 10;2018:9861623.

Published

2024-03-01

How to Cite

Saraswathi, K. ., Nandhagopal, K. K. ., Nandhini, S. ., Cyrus, B. E., Kirupa, K. ., Aishwarya, B. ., & Pavithra, S. . (2024). Effect of Low Level Laser Therapy Vs Ultrasound Therapy in The Management of Temporomandibular Joint Pain Syndrome: Life Sciences-Physiotherapy. International Journal of Life Science and Pharma Research, 14(2), L18-L24. https://doi.org/10.22376/ijlpr.2024.14.2.L18-L24

Issue

Section

Research Articles