Early Self-Physiotherapy Combined with Conservative Therapy Improves Quality of Life in Myofascial Pain: a Single-Blinded Randomized Controlled Trial

Iqra  Saleem; Abid Ashar; Muhammad  Imtiaz; Aqsa  Saleem; Yumna  Elahi; Maria  Noor

doi:10.51253/pafmj.v76iSUPPL-10.13503

Authors

Iqra Saleem Department of Oral and Maxillofacial Surgery, Fatima Memorial Hospital, Lahore Pakistan
Abid Ashar Department of Oral and Maxillofacial Surgery, Fatima Memorial Hospital, Lahore Pakistan
Muhammad Imtiaz Department of Oral and Maxillofacial Surgery, Fatima Memorial Hospital, Lahore Pakistan
Aqsa Saleem Department of Oral and Maxillofacial Surgery, Fatima Memorial Hospital, Lahore Pakistan
Yumna Elahi Department of Oral and Maxillofacial Surgery, Fatima Memorial Hospital, Lahore Pakistan
Maria Noor Department of Oral and Maxillofacial Surgery, Fatima Memorial Hospital, Lahore Pakistan

DOI:

https://doi.org/10.51253/pafmj.v76iSUPPL-10.13503

Keywords:

Conservative Therapy, Myofascial Pain, Quality of Life, Self-Physiotherapy, Temporomandibular Disorders

Abstract

Objective: To compare the mean scores of quality of life in myofascial pain patients treated with conservative therapy alone versus conservative therapy with early self-physiotherapy.

Study Design: Single-blinded randomized controlled trial. Trial number (ISRCTN12874881).

Place and Duration of Study: Fatima Memorial Hospital, Lahore, Pakistan, from Jul 2021 to Aug 2022.

Methodology: A total of 62 patients diagnosed with myofascial pain DC-TMD Group 1(Diagnostic Criteria for Temporomandibular Disorders Group) were randomly allocated using a lottery method into two groups: Group A (conservative therapy only) and Group B (conservative therapy with early self-physiotherapy). Written informed consent was taken. The QOL was assessed using a validated QOL index before and after four weeks of therapy.

Results: A total of 62 participants were included in this study. Pre-intervention mean score in Group A was 2.53 ± 0.65, which improved to 2.06 ± 0.74 post-intervention. Similarly, Group B showed an improvement from 2.28 ± 0.74 pre-intervention to 1.48 ± 0.75 post-intervention. Both the groups had statistically significant difference pre and post interventions as p value <0.001. There was statistically significant difference seen among the study group at pre intervention as p value =0.003 while after intervention there was not statistically significant difference seen as p-value 0.165Conclusion: Early self-physiotherapy combined with conservative therapy significantly improves the QOL in patients with myofascial pain.

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