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Table 2 Summary of Selected Studies Employing NMES in the Treatment of TMDs

From: Neuro-Muscular Dentistry: the “diamond” concept of electro-stimulation potential for stomato-gnathic and oro-dental conditions

Ref

Study Design

Participants (SS; Age; Gender)

Intervention Type

Outcome Measure

Therapy Duration

[52]

Descriptive

35; TMD patients (23.04 ± 3.5) and NSS patients (23.3 ± 3.0); all Female.

TENS

TMD (19 subjects) vs. Control (16 subjects).

EMG

VAS

Applied once to each group for 45 min.

[53]

Descriptive

24; average age of 36.5 yrs.; 15/9.

Occlusal splint vs. TENS

A resting period of a month and a half between the two treatments– the order of the treatments being randomized for each patient.

PRI

Self-reported pain and / or tenderness score

Patients wore the splint 24 h a day, except during meals, for a period of 45 days.

TENS session lasted 45–60 min, 15 sessions (one every 2 days).

[56]

Descriptive

40; TMD: aged 17–60 yrs. (mean age of 28 yrs) and NSS aged 22–31 yrs. (mean age of 25 yrs); TMD 4/21 and NSS 2/13.

Masticatory function description.

TMD (25 subjects) vs. Control (15 subjects).

EMG

[57]

Descriptive

52; aged 18–60 yrs.; paired by age and gender.

Masticatory function description.

TMD (27 subjects) vs. Control (25 subjects).

EMG

CE of habitual chewing

Analysis of ME

[59]

Descriptive

135; 18–57 yrs.; both groups in a proportional relation with regard to age and gender.

Speech pattern description.

TMD (90 subjects) vs. Control (45 subjects).

EMG

  1. Legend: TMD Temporo-Mandibular Disorder, NSS no signs or symptoms patients, EMG electromyography, VAS visual analogue scale for pain evaluation, PRI pantographic reproducibility index; (−) = does not apply; CE clinical evaluation, ME Masticatory efficiency