Abstract
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.
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This article is based on a thesis submitted in partial fulfillment of the requirement for a master's degree from the University of British Columbia by the second author. This research was facilitated by National Health and Welfare Grant NAHS 30-9625 and provincial government Youth Employment Program project #1225-01 made to Drs. Crockett and Alden, respectively. The authors would like to thank J. Dory, D.D.S., M.Sc. and B. Lundgren, B.P.T. for their help in completing this project. The authors also would like to thank S. Edwards and J. Snyder for their assistance in the preparation of this paper.
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Crockett, D.J., Foreman, M.E., Alden, L. et al. A comparison of treatment modes in the management of myofascial pain dysfunction syndrome. Biofeedback and Self-Regulation 11, 279–291 (1986). https://doi.org/10.1007/BF01000164
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DOI: https://doi.org/10.1007/BF01000164