맞춤형 전도성 실리콘 전극 SSP와 전형적인 SSP적용이 근육성 턱관절 장애의 긴장성 두통과 턱관절 기능에 미치는 영향: 무작위 대조군 임상시험 연구설계, 이중눈가림법 (Effects of Conventional versus Customized Conductive Silicone Electrode Silver Spike Point Therapy on Tension-Type Headache and Temporomandibular Joint Function in Myogenous Temporomandibular Disorde)

서지정보

· 발행기관 : 대한통합의학회
· 수록지 정보 : 대한통합의학회지 / 13권 / 2호 / 23 ~ 33페이지
· 저자명 : 이병학, 문현주, 배원식

초록

Purpose : The purpose of this study was to investigate and compare the therapeutic efficacy of silver spike point (SSP) therapy using a newly developed, customized conductive silicone electrode with that of the conventional SSP therapy utilizing a standard suction electrode, focusing on improvements in tension-type headache relief and temporomandibular joint function in individuals diagnosed with myogenous temporomandibular disorders (TMD).
Methods : Thirty participants diagnosed with TMD were randomly assigned to two groups of 15 individuals each; the experimental group, which received SSP therapy four weeks using a conductive silicone electrode, and the control group, which received the conventional SSP therapy for the same period. To ensure double-blinding, an individual not involved in this study conducted both the intervention and the assessments. Both groups underwent interventions twice a week for 20 minutes per session over a period of four weeks, totaling eight sessions. The outcome were measured using the headache disability index, graded chronic pain scale 2.0, jaw functional limitation scale-20, maximum mouth opening, and patient health questionnaire-9. The degrees of stiffness of the masseter and temporalis muscles were measured using the MyotonPRO device before and after the intervention.
Results : Both groups demonstrated statistically significant improvements (p<.05) in headache disability, chronic pain perception, jaw functional limitation, and depressive symptoms. The experimental group showed a signific-ant increase in maximum mouth opening an a significant decrease in resting stiffness of the masseter and temporalis muscles post intervention. However, no significant differences between the two groups following the intervention.
Conclusion : SSP therapy using a customized conductive silicone electrode appears to manage symptoms of myogenous TMD more effectively than conventional SSP therapy through more targeted reduction of muscle tension, potentially improving clinical outcomes in the treatment of tension-type headaches and TMD.

영어초록

Purpose : The purpose of this study was to investigate and compare the therapeutic efficacy of silver spike point (SSP) therapy using a newly developed, customized conductive silicone electrode with that of the conventional SSP therapy utilizing a standard suction electrode, focusing on improvements in tension-type headache relief and temporomandibular joint function in individuals diagnosed with myogenous temporomandibular disorders (TMD).
Methods : Thirty participants diagnosed with TMD were randomly assigned to two groups of 15 individuals each; the experimental group, which received SSP therapy four weeks using a conductive silicone electrode, and the control group, which received the conventional SSP therapy for the same period. To ensure double-blinding, an individual not involved in this study conducted both the intervention and the assessments. Both groups underwent interventions twice a week for 20 minutes per session over a period of four weeks, totaling eight sessions. The outcome were measured using the headache disability index, graded chronic pain scale 2.0, jaw functional limitation scale-20, maximum mouth opening, and patient health questionnaire-9. The degrees of stiffness of the masseter and temporalis muscles were measured using the MyotonPRO device before and after the intervention.
Results : Both groups demonstrated statistically significant improvements (p<.05) in headache disability, chronic pain perception, jaw functional limitation, and depressive symptoms. The experimental group showed a signific-ant increase in maximum mouth opening an a significant decrease in resting stiffness of the masseter and temporalis muscles post intervention. However, no significant differences between the two groups following the intervention.
Conclusion : SSP therapy using a customized conductive silicone electrode appears to manage symptoms of myogenous TMD more effectively than conventional SSP therapy through more targeted reduction of muscle tension, potentially improving clinical outcomes in the treatment of tension-type headaches and TMD.

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