AI Article Synopsis
- The study aims to examine the effects of botulinum toxin-A and occlusal appliances on craniocervical posture in adults experiencing myofascial pain related to bruxism.
- A total of 60 patients participated, but statistical analysis showed no significant changes in head posture or kyphosis angle after treatment.
- The findings suggest that treating bruxism pain may not improve craniofacial posture, indicating a need for alternative therapies to achieve better posture.
Article Abstract
Background: Despite numerous clinical studies on bruxism management, critical evaluation parameters, including the impact of bruxism pain on quality of life and secondary issues like changes in craniocervical posture, are often disregarded.
Research Question: Evaluate the effect of two treatments on the craniocervical posture of adult patients with myofascial pain.
Methods: This parallel randomized clinical trial included 60 patients with myofascial pain due to probable bruxism that fulfilled the study requirements. A computer-generated random sequence was used to allocate treatments: botulinum toxin-A or occlusal appliance. Follow-up time was 3 and 6 months. Kyphosis angle (α) and head posture measurement by cervical radiograph were assessed using two-way repeated measures ANOVA (alpha = 0.05).
Results: Sixty patients were randomized (mean age 30 ± 7.6) and 6 were excluded from the analysis (did not attend follow-up). No statistically significant difference was observed for the head posture measure (p = 0.98) and kyphosis angle (p = 0.74). Mild pain was reported by one patient after botulinum toxin-A application.
Significance: Results indicate that craniofacial posture does not seem to be influenced by the treatment of pain in bruxers. If a better posture is desired, this should probably be targeted with other therapies.
Trial Registration: Clinical Trials NCT03456154.
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| http://dx.doi.org/10.1016/j.jbmt.2024.10.032 | DOI Listing |
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Article Synopsis
- The study aims to examine the effects of botulinum toxin-A and occlusal appliances on craniocervical posture in adults experiencing myofascial pain related to bruxism.
- A total of 60 patients participated, but statistical analysis showed no significant changes in head posture or kyphosis angle after treatment.
- The findings suggest that treating bruxism pain may not improve craniofacial posture, indicating a need for alternative therapies to achieve better posture.
The Predictive Value and Influencing Factors of Craniocervical Flexion Test for Patients with Chronic Non-Specific Neck Pain: A Case Control Study.
J Pain Res
November 2024
Department of Rehabilitation Medicine, The First Affiliated Hospital of Nanjing Medical University/Jiangsu Province Hospital, Nanjing, 210029, People's Republic of China.
Purpose: This study aims to examine the predictive value of Craniocervical Flexion Test (CCFT) scores in individuals with chronic non-specific neck pain (CNNP) and to identify factors that may affect CCFT scores.
Methods: This case-control study included 73 patients with CNNP and 127 healthy controls. We assessed baseline information such as demographics, duration and frequency of CNNP onset, Neck Disability Index (NDI), and Visual Analog Scale (VAS) scores.
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