Effectiveness of relief of masticatory muscle spasticity in patients with myofascial pain syndrome

Abstract

AIM. The aim of this work is to evaluate the effectiveness of relief of masticatory muscle spasticity in patients with myofascial pain syndrome by a combined treatment method – the use of injections of botulinum toxin type A in combination with kinesiotaping.MATERIALS AND METHODS. 36 people were examined in two stages – clinical and functional examination of the condition of the chewing muscles before the start of therapy, after 14 and 28 days.RESULTS. At all follow-up periods, positive dynamics was obtained in determining the volume of oral cavity opening in active and passive form, assessing the motor activity of the chewing muscles on the MAS scale, intensity and duration of pain potential and according to myotonometric, ultrasound and electromyographic methods. To relieve myofascial pain syndrome, it is advisable to use a differentiated, patient-oriented approach.CONCLUSIONS. Timely inclusion of botulinum therapy and kinesiotaping in the treatment plan is justified and appropriate, the choice of wait-and-see tactics can lead to the formation of persistent functional shifts, which further significantly complicates the relief of masticatory muscle spasticity in patients with myofascial pain syndrome.