Biofeedback and Self-regulation

, Volume 11, Issue 4, pp 279–291 | Cite as

A comparison of treatment modes in the management of myofascial pain dysfunction syndrome

  • D. J. Crockett
  • M. E. Foreman
  • L. Alden
  • B. Blasberg


This research compares different treatment regimes for the management of chronic facial pain associated with the masticatory musculature. Twenty-one females meeting specific criteria were randomly assigned to one of three treatment conditions: a dental splint and physiotherapy program; a relaxation program utilizing progressive muscle relaxation, biofeedback, and stress management techniques; or a minimal treatment program involving transcutaneous electrical nerve stimulation. Improvement was assessed through a dental examination, self-monitoring of pain, and an assessment of EMG activity during resting and task conditions. Significant changes were obtained in response to all treatment programs. The treatment programs differed only in the relative pattern of treatment effects obtained from the self-report monitoring of pain. The data are consistent with the concept of MPD as a psychological response to stress which maintains chronic pain through increased muscle tension in the jaw.

Descriptor Key Words

biofeedback training relaxation training dental treatment transcutaneous nerve stimulation treatment comparisons myofascial pain disorder 


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  1. Bell, W. E. (1969). Clinical diagnosis of the pain-dysfunction syndrome.Journal of the American Dental Association, 79(1), 154–160.Google Scholar
  2. Gelb, H. (1985). Effective management of the cranial-mandibular system. In H. Gelb (Ed.),Clinical management of head, neck and TMJ pain and dysfunction (2nd ed., pp. 307–324). Philadelphia, Pennsylvania: Saunders Press.Google Scholar
  3. Greene, C. S. (1979). Myofascial pain dysfunction syndrome: The evolution of concepts. In B. Sarnat, & D. Laskin (eds.),The temporomandibular joint. (3rd ed., pp. 277–298). Springfield: Charles C. Thomas.Google Scholar
  4. Greene, C. S., & Laskin, D. M. (1983). Long-term evaluation of treatment for myofascial pain dysfunction syndrome: a comparative analysis.Journal of the American Dental Association, 107(2), 325–238.Google Scholar
  5. Griffith, R. H. (1983). Report of the President's conference on the examination, diagnosis, and management of temporomandibular disorders.Journal of the American Dental Association, 106(1), 75–77.Google Scholar
  6. Guralnick, W., Kaban, L., & Merrill, R. G. (1978). Temporomandibular joint afflictions.New England Journal of Medicine, 299(3), 123–129.Google Scholar
  7. Helkimo, M. (1976). Epidemiological surveys of dysfunction of the masticatory system.Oral Science Review, 7 54–69.Google Scholar
  8. Hymes, A. C., Raab, D. E., & Yonehiro, E. G. (1975). Electrical surface stimulation for control of acute post-operative pain and prevention of ileus.Surgical Forum, 26 474–476.Google Scholar
  9. Lampe, G. N. (1978). Introduction to the use of transcutaneous electrical nerve stimulation devices.Physical Therapy, 58(12), 1450–1454.Google Scholar
  10. Laskin, D. M. (1969). Etiology of the pain-dysfunction syndrome.Journal of the American Dental Association, 79(1), 147–153.Google Scholar
  11. Melzack, R. (1975). The McGill Pain Questionnaire: major properties and scoring methods.Pain 1(3). 277–299.Google Scholar
  12. Moss, R. A., Garrett, J., & Chiodo, J. F. (1982). Temporomandibular joint dysfunction and myofascial pain dysfunction syndromes: Parameters, etiology, and treatment.Psychological Bulletin, 92(2), 331–346.Google Scholar
  13. Moulton, R. E. (1955). Psychiatric considerations in maxillofacial pain.Journal of the American Dental Association, 51 408–416.Google Scholar
  14. Okeson, J. P., Moody, P. M., Kemper, J. T., & Haley, J. V. (1983). Evaluation of occlusal splint therapy and relaxation procedures in patients with temporomandibular disorder.Journal of the American Dental Association, 107(3), 420–424.Google Scholar
  15. Parloff, M. (1986). Placebo controls in psychotherapy research: a Sine Qua Non or a placebo for research problems?Journal of Consulting and Clinical Psychology, 54(1), 79–87.Google Scholar
  16. Reitan, R., and Davison, L. A. (Eds.). (1974).Clinical Neuropsychology: Current Status and Applications. New York: John Wiley and Sons.Google Scholar
  17. Rosenberg, M., Curtis, L., and Bourke, D. L. (1978). Transcutaneous electrical nerve stimulation for the relief of postoperative pain.Pain, 5 129–133.Google Scholar
  18. Rugh, J. D. (1983). The future in dentistry: Temporomandibular disorders.Journal of the American Dental Association, 106(5), 609–610.Google Scholar
  19. Rugh, J., & Solberg, W. K. (1976). Psychological implications in temporomandibular pain and dysfunction.Oral Science Review, 7 3–30.Google Scholar
  20. Schuster, G., Infante, M. (1980). Pain relief after low back surgery: the efficacy of transcutaneous electrical nerve stimulation.Pain, 8 299–302.Google Scholar
  21. Sola, A. (1984). Treatment of myofascial pain syndromes. In C. Bendetti, R. Chapman, & G. Morrica (Eds.),Advances in Pain Research and Therapy (Vol. 7, pp. 467–485). New York: Raven Press.Google Scholar
  22. Yemm, R. (1976). Neurophysiological studies of temporomandibular joint dysfunction.Oral Science Review, 7 31–53.Google Scholar

Copyright information

© Plenum Publishing Corporation 1986

Authors and Affiliations

  • D. J. Crockett
    • 1
  • M. E. Foreman
    • 1
  • L. Alden
    • 1
  • B. Blasberg
    • 1
  1. 1.Department of PsychologyUBC Health Sciences Center HospitalVancouverCanada

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