Dynamics of parameters of autonomic nervous system functioning and psychoemotional status as a criterion for the effectiveness of the physical therapy program for patients with bruxism
DOI:
https://doi.org/10.32782/2077-6594/2024.3/12Keywords:
physical therapy, rehabilitation in stomatology, maxillofacial diseases, bruxismAbstract
Purpose: evaluation of the effectiveness of the physical therapy program on the functioning parameters of the autonomic nervous system and psycho-emotional status in patients with bruxism. Materials and methods. The control group consisted of 32 people without burdened dental status. The comparison group consisted of 61 people with bruxism, which was corrected with individual relaxing splints. The main group consisted of 65 people with bruxism, in whom, in addition to splints, a physical therapy program was applied – therapeutic exercises, massage, post-isometric relaxation, kinesiological taping, transcutaneous electromyostimulation; autorelaxation sessions; patient education. The effectiveness of the program was evaluated by Hospital Anxiety and Depression Scale, Pittsburgh Sleep Quality Index, 24-hour heart rate variability monitoring, SF-36. Results. The introduction of physical therapy revealed an improvement in the condition of patients according to the indicators of the psycho-emotional state (Hospital Anxiety and Depression Scale), sleep quality (Pittsburgh Sleep Quality Index), reduction of autonomic dysfunction due to suppression of excessive activity of its sympathetic division (24-hourly monitoring of heart rate variability), improvement of quality of life (SF-36) (р < 0,05). In patients who used only individual caps, only an improvement in the quality of sleep and certain components of the quality of life (pain and social functioning) was determined. Conclusions. In the rehabilitation of patients with bruxism, it is advisable to include measures taking into account and correcting not only local dental, but also general somatic consequences of bruxism, which will improve their quality of life.
References
Goldstein G, DeSantis L, Goodacre C. Bruxism: Best Evidence Consensus Statement. J Prosthodont. 2021; 30 (S1): 91–101. DOI:10.1111/jopr.13308.
Manfredini D, Ahlberg J, Lobbezoo F. Bruxism definition: Past, present, and future – What should a prosthodontist know? J Prosthet Dent. 2022; 128 (5): 905–912. DOI:10.1016/j.prosdent.2021.01.026
Matusz K, Maciejewska-Szaniec Z, Gredes T. et al. Common therapeutic approaches in sleep and awake bruxism – an overview. Neurol Neurochir Pol. 2022; 56 (6): 455–463. DOI:10.5603/PJNNS.a2022.0073.
Bertazzo-Silveira E, Kruger CM, Porto De Toledo I. et al. Association between sleep bruxism and alcohol, caffeine, tobacco, and drug abuse: a systematic review. J Am Dent Assoc. 2016; 147 (11): 859–66. DOI: 10.1016/j.adaj.2016.06.014.
Jung W, Lee KE, Suh BJ. Influence of psychological factors on the prognosis of temporomandibular disorders pain. J Dent Sci. 2021; 16 (1): 349–355. DOI: 10.1016/j.jds.2020.02.007.
Knibbe W, Lobbezoo F, Voorendonk EM, Visscher CM, de Jongh A. Prevalence of painful temporomandibular disorders, awake bruxism and sleep bruxism among patients with severe post-traumatic stress disorder. J Oral Rehabil. 2022; 49 (11): 1031–1040. DOI: 10.1111/joor.13367.
Manfredini D, Lobbezoo F. Sleep bruxism and temporomandibular disorders: A scoping review of the literature. J Dent. 2021; 111: 103711. DOI:10.1016/j.jdent.2021.103711.
Al-Jewair T, Shibeika D, Ohrbach R. Temporomandibular Disorders and Their Association with Sleep Disorders in Adults: A Systematic Review. J Oral Facial Pain Headache. 2021; 35 (1): 41–53. DOI: 10.11607/ofph.2780.
Lei Q, Lin D, Liu Y, Lin K, Huang W, Wu D. Neuromuscular and occlusion analysis to evaluate the efficacy of three splints on patients with bruxism. BMC Oral Health. 2023; 23 (1): 325. DOI: 10.1186/s12903-023-03044-5.
Vavrina J, Vavrina J. Bruxismus: Einteilung, Diagnostik und Behandlung [Bruxism: Classification, Diagnostics and Treatment]. Praxis (Bern 1994). 2020; 109 (12): 973–978. DOI: 10.1024/1661-8157/a003517.
Jung W, Lee KE, Suh BJ. Influence of psychological factors on the prognosis of temporomandibular disorders pain. J Dent Sci. 2021; 16 (1): 349–355. DOI: 10.1016/j.jds.2020.02.007.
Amorim CSM, Espirito Santo AS, Sommer M, Marques AP. Effect of Physical Therapy in Bruxism Treatment: A Systematic Review. J Manipulative Physiol Ther. 2018; 41 (5): 389–404. DOI: 10.1016/j.jmpt.2017.10.014.
Аравіцька МГ, Шеремета ЛМ, Данильченко СІ, Довгань ОВ. Ефективність засобів фізичної терапії у корекції функціонального статусу скронево-нижньощелепного суглоба при артрозі. Український журнал медицини, біології та спорту. 2021; 6 (34): 188–193. DOI: 10.26693/jmbs06.06.188.
Саєнко ОВ, Аравіцька МГ. Динаміка постіммобілізаційних функціональних обмежень орофаціальної зони у пацієнтів після перелому нижньої щелепи під впливом реабілітаційних засобів. Art of Medicine. 2023; 4 (28): 115–120. DOI: 10.21802/artm.2023.4.28.115.
Саєнко ОВ, Аравіцька МГ. Оцінювання ефективності програми реабілітації хворих із дисфункцією скронево-нижньощелепного суглоба у постіммобілізаційному періоді після переломів нижньої щелепи за показниками кінезіофобії та якості життя. Health & Education. 2023; 4: 220–225. DOI: 10.32782/health-2023.4.31.
