Effectiveness of relief of masticatory muscle spasticity in patients with myofascial pain syndrome
E. N. Iarygina,
Yu. A. Makedonova,
L. A. Devyatchenko,
M. V. Kabytova,
O. Yu. Afanasyeva,
A. G. Pavlova-Adamovich https://doi.org/10.36377/ET-0018
Abstract
AIM. The aim of this work is to evaluate the effectiveness of relief of masticatory muscle spasticity in patients with myofascial pain syndrome by a combined treatment method – the use of injections of botulinum toxin type A in combination with kinesiotaping.
MATERIALS AND METHODS. 36 people were examined in two stages – clinical and functional examination of the condition of the chewing muscles before the start of therapy, after 14 and 28 days.
RESULTS. At all follow-up periods, positive dynamics was obtained in determining the volume of oral cavity opening in active and passive form, assessing the motor activity of the chewing muscles on the MAS scale, intensity and duration of pain potential and according to myotonometric, ultrasound and electromyographic methods. To relieve myofascial pain syndrome, it is advisable to use a differentiated, patient-oriented approach.
CONCLUSIONS. Timely inclusion of botulinum therapy and kinesiotaping in the treatment plan is justified and appropriate, the choice of wait-and-see tactics can lead to the formation of persistent functional shifts, which further significantly complicates the relief of masticatory muscle spasticity in patients with myofascial pain syndrome.
About the Authors
E. N. Iarygina
Volga State Medical University
Russian Federation
Competing Interests:
Russian Federation
Elena N. Iarygina – Cand. Sci. (Med.), Associate Professor, Head of the Department of Surgical Dentistry and Maxillofacial Surgery
1 Pavshih Borcov sq, Volgograd 400131
Competing Interests:
The authors declare no conflict of interests.
Yu. A. Makedonova
Volgograd State Medical University; Volgograd Medical Scientific Center
Russian Federation
Competing Interests:
Russian Federation
Yuliya A. Makedonova – Dr. Sci. (Med.), Professor, Head of the Department of Dentistry at the Institute of Continuing Medical and Pharmaceutical Education, Volgograd State Medical University; Senior Researcher at the Laboratory of Innovative Methods of Rehabilitation and Habilitation, Volgograd Medical Scientific Center
1 Pavshih Borcov sq, Volgograd 400131
Competing Interests:
The authors declare no conflict of interests.
L. A. Devyatchenko
Volgograd State Medical University
Russian Federation
Competing Interests:
Russian Federation
Lilia A. Devyatchenko – Cand. Sci. (Med.), Associate Professor of the Department of Dentistry, Institute of Continuing Medical and Pharmaceutical Education
1 Pavshih Borcov sq, Volgograd 400131
Competing Interests:
The authors declare no conflict of interests.
M. V. Kabytova
Volgograd State Medical University
Russian Federation
Competing Interests:
Russian Federation
Maria V. Kabytova – Cand. Sci. (Med.), Associate Professor of the Department of Dentistry, Institute of Continuing Medical and Pharmaceutical Education
1 Pavshih Borcov sq, Volgograd 400131
Competing Interests:
The authors declare no conflict of interests.
O. Yu. Afanasyeva
Volgograd State Medical University
Russian Federation
Competing Interests:
Russian Federation
Olga Yu. Afanasyeva – Cand. Sci. (Med.), Associate Professor of the Department of Dentistry at the Institute of Continuing Medical and Pharmaceutical Education
1 Pavshih Borcov sq, Volgograd 400131
Competing Interests:
The authors declare no conflict of interests.
A. G. Pavlova-Adamovich
Volgograd State Medical University
Russian Federation
Competing Interests:
Russian Federation
Anastasiya G. Pavlova-Adamovich – Assistant of the Department of Dentistry
1 Pavshih Borcov sq, Volgograd 400131
Competing Interests:
The authors declare no conflict of interests.
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Review
For citations:
Iarygina E.N., Makedonova Yu.A., Devyatchenko L.A., Kabytova M.V., Afanasyeva O.Yu., Pavlova-Adamovich A.G. Effectiveness of relief of masticatory muscle spasticity in patients with myofascial pain syndrome. Endodontics Today. 2024;22(2):154-161. (In Russ.) https://doi.org/10.36377/ET-0018
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