Evidence map›Paper›PMID 35546396›Full record

Trial reportBMC musculoskeletal disorders2022

Assessment of the masseter stiffness in patients during conservative therapy for masticatory muscle disorders with shear wave elastography.

Anna Olchowy, Piotr Seweryn, Cyprian Olchowy, Mieszko Wieckiewicz

Registry-linked trialOpen access · goldAbstract readClinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03844854 (The Evaluation of the Usefulness of Shear Wave Sonoelastography in the Diagnosis and Monitoring of the Management of Masseter Muscles Disorders in the Course of Temporomandibular Disorders), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03844854 naunknown statusnot on this map

The Evaluation of the Usefulness of Shear Wave Sonoelastography in the Diagnosis and Monitoring of the Management of Masseter Muscles Disorders in the Course of Temporomandibular Disorders

TypeinterventionalSponsorWroclaw Medical UniversityRan2019 to 2021Enrolled150ConditionsTemporomandibular DisordersArmsStabilization occlusal splint and manual therapy
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Anna OlchowyDepartment of Experimental Dentistry, Wroclaw Medical University, 50-425, Wroclaw, Poland.
Piotr SewerynDepartment of Experimental Dentistry, Wroclaw Medical University, 50-425, Wroclaw, Poland.
Cyprian OlchowyDepartment of Oral Surgery, Wroclaw Medical University, 50-425, Wroclaw, Poland.
Mieszko WieckiewiczDepartment of Experimental Dentistry, Wroclaw Medical University, 50-425, Wroclaw, Poland. m.wieckiewicz@onet.pl.
Wroclaw Medical University · PL

Funding

Narodowe Centrum Nauki 2017/27/N/NZ5/02690
6 · The paper itself

Abstract

backgroundThe complex structure of the stomatognathic system plays a vital role in chewing, digestion, speaking, breathing, facial expression and swallowing. Its complexity is the primary reason for creating multidisciplinary teams to manage temporomandibular disorders (TMD). We aimed to assess the masseter stiffness in patients undergoing conservative therapy for masticatory muscle disorders and evaluate the efficacy of manual therapy and stabilization occlusal splint in the treatment of masticatory muscle disorders.

methodsThis uncontrolled prospective cohort study included 35 patients with masticatory muscle disorders. The study lasted for eight weeks. The patients were treated with manual therapy and stabilization occlusal splint and evaluated using shear wave elastography of the masseter muscles and patient-reported outcome measures (PROMs) to assess pain, anxiety, quality of sleep, satisfaction with life and perceived stress.

resultsAfter the treatment, the stiffness of both masseter muscles decreased significantly (by 4.21 kPa). The patients reported a significant reduction in pain. At baseline, the median scores ranged from 5 to 8; after treatment, they ranged from 0 to 1 (p < 0.0001). The patients also reported significant improvement in terms of all patient-reported outcome measures. The reduction in stiffness corresponded to the improvement in pain and PROMs, as shown by correlations which were insignificant for all measures.

conclusionsConservative therapy of masticatory muscle disorders involving manual therapy and stabilization occlusal splint is effective. It reduces the masseter stiffness as objectively shown in shear wave elastography and improves subjective PROMs scores, including numerical pain assessment and selected questionnaires. Shear wave elastography has the potential for broad application in clinical practice to monitor masticatory muscle disorders treatment effects due to its objectivity and non-invasive character. Further research is recommended on larger patient populations and longer follow-up.

trial registrationThe study was registered at clinicaltrials.gov ( NCT03844854 ). First posted date: 19/02/2019.

Indexed as

Elasticity Imaging TechniquesMasseter MuscleConservative TreatmentHumansMasticatory MusclesPainProspective StudiesMassageMasseterMasticatory muscle disordersOcclusal splintShear wave elastographyTemporomandibular disorders

Identifiers

PMID35546396
PMCPMC9092725
OpenAlexW4280524015

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.