Biofreeze ve yüzeyel ısının mastikatör miyofasiyal ağrı sendromuna (MAS) etkisi

Yıl 2021, Cilt: 55 Sayı: 3, 133 - 138, 21.09.2021

Deniz Yaman , Cansu Alpaslan , Oya Kalaycıoğlu

https://doi.org/10.26650/eor.2021858837

Öz

Amaç: Bu çalışmanın amacı, MAS'lı hastalarda yüzeysel ısı ve Biofreeze'in ağrı, ağız açıklığı (mm) ve yaşam kalitesi üzerindeki etkisini değerlendirmektir.
Gereç ve Yöntem: Çalışmaya dahil edilen MAS’ı olan 52 hasta, yüzeysel ısı ve Biofreeze uygulaması yapılmak üzere rastgele iki gruba ayrıldı. Biofreeze grubundaki hastalar (n=26) günde iki kez olmak üzere yedi gün boyunca masseter ve temporal kaslarına % 3.5 mentol jeli uygularken, diğer grup yüzeyel ısı uyguladı. Hastaların başlangıç, 7. ve 21. gün VAS, ağız açıklığı (mm) ve Ağız Sağlığı Etki Profili-14 (OHIP-14) skorları SPSS ile değerlendirildi.
Bulgular: Ağız açıklığı, Biofreeze uygulanan grupta 4,27 ± 3,80 mm, yüzeysel ısı uygulanan grupta 2,58 ± 2,16 mm artmıştır. Her grupta başlangıç değerlerine göre 7. günde VAS ve OHIP-14 skorlarında anlamlı azalma gözlenmiştir (p <0.001). Miyofasiyal ağrı, ağız açıklığı (mm) ve OHIP-14 skorlarında iki uygulama arasında istatistiksel olarak anlamlı fark yoktur (p> 0.05). Her iki uygulamanın bu parametreler üzerindeki olumlu etkileri sadece kullanım süreleri ile sınırlı kalmıştır.
Sonuç: Bu çalışma Biofreeze ve yüzeysel ısının MAS üzerindeki etkilerini analiz eden ilk çalışmadır. Her iki uygulamayla kısa dönemde tetik nokta kaynaklı ağrının azalması ve ağız açıklığında artış sağlanmaktadır.

Anahtar Kelimeler

Miyofasiyal ağrı, miyofasiyal ağrı sendromları, miyofasiyal ağrı tetik noktası, Mentol, yansıyan ağrı

The effects of Biofreeze and superficial heat on masticatory myofascial pain syndrome

Öz

Purpose This study aims to assess the influence of superficial heat and Biofreeze on pain, mouth opening (mm), and quality of life in patients with masticatory myofascial pain syndrome (MPS). Materials and Methods 52 patients with MPS were included in the study. They were randomly divided into two groups. Patients in the Biofreeze group (n = 26) applied 3.5% menthol gel to the masseter and temporal muscles twice a day for seven days, while the other group applied superficial heat. Baseline, 7th, and 21st days of VAS, mouth opening (mm), and Oral Health Impact Profile-14 (OHIP-14) scores of the patients were evaluated statistically. Results The mouth opening increased by 4.27 ± 3.80 mm in the Biofreeze group and 2.58 ± 2.16 mm in the superficial heat group. In each group, a significant decrease in VAS and OHIP-14 scores was observed on the 7th day compared to the baseline values (p<0.001). There was no statistically significant difference between the two applications on myofascial pain, mouth opening (mm), and OHIP-14 total score variables. The favorable effects of both applications on these parameters were limited to the duration of use. Conclusion Biofreeze and superficial heat in MPS were found to increase the quality of life, but the limited effectiveness of these applications underlines the importance of the underlying factors.

Anahtar Kelimeler

Myofascial pain, myofascial pain syndromes, myofascial trigger point pain, menthol, referred pain

Kaynakça

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