Journal of Oral Science Research ›› 2018, Vol. 34 ›› Issue (3): 254-257.DOI: 10.13701/j.cnki.kqyxyj.2018.03.010

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Effects of Transcutaneous Electrical Nerve Stimulation on Patients with Painful Temporomandibular Disorders

CHEN Yi-Nan1,2, ZHOU Wei-Na1,2, YU Lin-Feng1,2, XI Xiao-Jing3, WANG Chen1,2, ZHANG Jing-Lu1,2*   

  1. 1. Jiangsu Key Laboratory of Oral Diseases, Nanjing Medical University; Department of Polyclinic, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing 210029, China;
    2. Orofacial Pain & TMD Research Unit, Institute of Stomatology, Nanjing Medical University, Nanjing 210029, China;
    3. Dental Department, BenQ Medical Center, Nanjing 210019, China
  • Received:2018-01-22 Online:2018-03-30 Published:2018-03-27

Abstract: Objective: To investigate the effect of transcutaneous electrical nerve stimulation (TENS) on somatosensory and jaw function in patients with unilateral temporomandibular joint (TMJ) pain. Methods: Twenty patients with unilateral TMJ pain and 20 healthy controls were assigned randomly and double-blinded into two groups to receive real and sham TENS (rTENS and sTENS) stimulation for 30 min in a randomized order. mechanical pain threshold (MPT), pressure pain threshold (PPT), opening range (OR) without pain and maximal OR were tested before (T1), immediately after (T2),and 30 min after treatment (T3). Results: PPTs and ORs of patients were lower than normal's (PPPT=0.034,Pno pain<0.001,Ppain<0.001). There were significant differences for MPT and PPT between painful and control sides in patients (PMPT<0.001, PPPT<0.001). MPTs, PPTs and ORs were significantly different between pre- and post-treatment (rTENS) (PMPT=0.003, PPPT<0.001, Pno pain<0.001, Ppain<0.001). Conclusion: TMJ pain patients demonstrated high sensitivity and limitation of jaw motion. TENS showed significant improvement in terms of somatosensory and motor function in patients with unilateral TMJ pain

Key words: Temporomandibular disorders, Transcutaneous electrical nerve stimulation, Pain, Quantitative sensory testing