Systematization of rehabilitation measures for patients with temporomandibular myofascial pain syndrome, depending on its severity

Objective. To systematize rehabilitation measures for patients with temporomandibular myofascial pain syndrome of mild, moderate and high severity.

Materials and methods. A survey of 86 people was conducted, randomized into 3 groups depending on the severity of temporomandibular myofascial pain syndrome. A clinical and electromyographic examination of the condition of the chewing muscles was performed during 3 months of follow-up against the background of active rehabilitation measures.

Results. It has been proved that for patients with temporomandibular myofascial pain syndrome of mild severity, it is sufficient to perform a complex of hardware myohymnastics, with moderate and high severity, the number and effectiveness of measures should be increased, since only the performance of isokinetic exercises is not effective enough. During the dispensary observation and analysis of the clinical situation, it is possible to switch from one dispensary group to another.

Conclusion. The clinician should remember that small episodes of soreness cannot be the basis for therapy, in some cases, observation is indicated. When the disease is regressed during a follow-up examination, the symptoms are often less pronounced. The appointment of treatment may be an example of overdiagnosis and the cause of a false positive result with various methods of influencing the functional activity of the chewing muscles.