Effect of Diclofenac Gel Phonophoresis on Temporomandibular Joint Disorders: A Prospective Quasi-Experimental Study
| Author | Marcos Edgar Fernandez-Cuadros | en |
| Author | Luz Otilia Casique Bocanegra | en |
| Author | Maria Jesus Albaladejo-Florin | en |
| Author | Sandra Alava-Rabasa | en |
| Author | Olga Susana Perez-Moro | en |
| Orcid | Marcos Edgar Fernandez-Cuadros [0000-0001-6153-9075] | en |
| Orcid | Luz Otilia Casique Bocanegra [0000-0002-3231-5846] | en |
| Orcid | Maria Jesus Albaladejo-Florin [0000-0002-4561-8037] | en |
| Orcid | Sandra Alava-Rabasa [0000-0003-3199-4194] | en |
| Orcid | Olga Susana Perez-Moro [0000-0002-6218-4381] | en |
| Issued Date | 2020-06-30 | en |
| Abstract | Background: Temporomandibular disorders (TMD) are a group of pathologies that affect the masticatory muscles, the temporomandibular joint, and related structures and affect more than 25% of the general population. Objectives: This study aimed to demonstrate the effect of ultrasounds (US) plus diclofenac gel 10% (phonophoresis) as a physical therapy available for the management of TMD based on pain amelioration and function recovery. Methods: Prospective quasi-experimental one-group before-after study. Outcome measures consist: (1) pain measured by Visual Analog scale (VAS); and (2) mouth opening by measuring lip to lip distance and interincisal distance in millimeters (mm); evaluated at the beginning/end of treatment. Twenty sessions (1 session per day) of continuous Ultrasound to intensity of 1 W/cm2/1 MHz/5 minutes over the affected joint, with Ultrasound gel (5 mL) and 10% diclofenac gel (5 mL) in a proportion of 1:1 as transducer medium. Results: A total of 50 consecutive patients were analyzed. Phonophoresis protocol was able to improve all outcome measures with a statistical difference. Pain evaluated by VAS was 6.67 ± 0.82 and decreased to 3.48 ± 0.8 points (P = 0.0000). Mouth opening by mean of lip-to-lip distance was 50 ± 8.23 mm that improved to 56 ± 6.2 mm (P = 0.0000) and by mean of interincisal distance was 37.9 ± 7.02 mm and increased to 44 ± 5.5 mm (P = 0.0000). Conclusions: Diclofenac phonophoresis is an effective physical therapy for the management of TMD, evaluated by pain improvement and function recovery. | en |
| DOI | https://doi.org/10.5812/mejrh.102928 | en |
| Keyword | Ultrasound, Phonophoresis | en |
| Keyword | Diclofenac | en |
| Keyword | Temporomandibular Disorders | en |
| Publisher | Brieflands | en |
| Title | Effect of Diclofenac Gel Phonophoresis on Temporomandibular Joint Disorders: A Prospective Quasi-Experimental Study | en |
| Type | Research Article | en |
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