STRAIN/COUNTERSTRAIN ON INTERNAL PTERYGOID MUSCLES. SHORT-TERM EFFECTS ON MANDIBULAR DYNAMICS
Keywords:
strain/counterstrain, myofascial pain syndrome, mouth, bite force, muscle hypertonia, temporomandibu-lar joint.Abstract
Objective: to assess the short-term effects on mandibular dynamics (in terms of jaw opening and bite force) of the ap-plication strain/counterstain (SCS) on latent myofascial trigger points (MTrPs) of the internal pterygoid muscles. Intervention: forty-nine subjects, 25 males and 24 females, were randomly allocated to one of two groups: experimental (25 subjects), who received SCS therapy, and control (24 subjects), who received a placebo treatment. As outcome variables, we considered maximum active jaw opening and maximum bite force. Results: the results showed a significant improvement with respect to active jaw opening [controls: (–0,02) mm ± 0,76; experimental subjects: 1,48 mm ± 1,3; p< 0,01] and maximum bite force [controls: (–0,06) N ± 1,21; experimental subjects: 32,43 N ± 16,81; p< 0,001] after treatment of MTrPs with SCS. Conclusions: our results suggest that muscular inhibition methods through the application of strain/counterstain (SCS) could be used in the treatment of the MTrPs of the internal pterygoid muscles in order to improve maximum jaw opening and maximum bite force.
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