Background: Every age group is affected by myofascial pain syndrome (MPS),
a regional pain illness that is typified by the presence of trigger points (TrPs) in
the muscles or fascia. A distinct local and referred pain that is in line with the
patient's presenting pain symptoms is produced when manual pressure is applied
over an MPS. MPS can be treated with a variety of physiotherapy techniques.
There are conflicting findings about the effectiveness of temporomandibular
mobilization and low-level laser treatment (LLLT) in treating MPS, as evidenced
by earlier research. For the treatment of MPS, there is also no comparison between
LLLT and temporomandibular mobilization. The study sought to determine the
effectiveness of temporomandibular joint mobilization and LLLT in treating MPS.
Results: Both methods are effective in reducing the degree of discomfort
and increasing the maximum mouth opening in MPS patients.
Conclusion: TMJ joint mobilization, LLLT, and physical therapy therapies
demonstrated notable clinical improvements in reducing discomfort and
maximizing mouth opening in people with MPS.
1. Urits I, Charipova K, Gress K, et al.
Treatment and management of
myofascial pain syndrome.Best Pract
ResClinAnaesthesiol.2020;34(3):427-
448. doi:10.1016/j.bpa.2020.08.003
2. Borg-Stein J, Iaccarino MA.
Myofascial pain syndrome
treatments. Phys Med Rehabil Clin N
Am. 2014;25(2):357-374.
doi:10.1016/j.pmr.2014.01.012
3. Kuć J, Szarejko KD, Gołębiewska M.
Evaluation of Soft Tissue Mobilization
in Patients with Temporomandibular
Disorder-Myofascial Pain with
Referral. Int J Environ Res Public
Health. 2020;17(24):9576.
doi:10.3390/ijerph17249576
4. Waide FL, Bade DM, Lovasko J,
Montana J. Clinical management of a
patient following temporomandibular
joint arthroscopy. Phys Ther.
1992;72(5):355-364.
doi:10.1093/ptj/72.5.355
5. Fatima J, Kaul R, Jain P, Saha S,
Halder S, Sarkar S. Clinical
Measurement of Maximum Mouth
opening in Children of Kolkata and Its
Relation with Different Facial Types.
J Clin Diagn Res. 2016;10(8):ZC01-
ZC5.
doi:10.7860/JCDR/2016/21232.8217
6. Ayyildiz S, Emir F, Sahin C.
Evaluation of Low-Level Laser
Therapy in TMD Patients. Case Rep
Dent. 2015:424213.
doi:10.1155/2015/424213
7. Kuć J, Szarejko KD, Aleksandrowicz
K, Gołębiewska M. The role of soft
tissue mobilization in reducing
orofacial and general complaints in a
patient with Kimmerle anomaly and
temporomandibular joint disorder: A
case report. Cranio. 2021;39(1):74-87.
doi:10.1080/08869634.2018.1560616
8. Borg-Stein J, Iaccarino MA.
Myofascialpain syndrome
treatments. Phys Med Rehabil Clin N
Am. 2014;25(2):357-374.
doi:10.1016/j.pmr.2014.01.012
9. Mortazavi H, Javadzadeh A,
Delavarian Z, Zare Mahmoodabadi R.
Myofascial Pain Dysfunction
Syndrome (MPDS). Iranian Journal of
Otorhinolaryngology 2010;22(4):131-
136. doi: 10.22038/ijorl.2010.368.
10. Osiewicz M, Manfredini D, Biesiada G,
et al. Prevalence of FunctionDependent Temporomandibular Joint
and Masticatory Muscle Pain, and
Predictors of Temporomandibular
Disorders among Patients with Lyme
Disease.J Clin Med. 2019;8(7):929.
doi:10.3390/jcm8070929.