{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T16:07:15Z","timestamp":1793203635146,"version":"4.5.0"},"reference-count":42,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2019,9,23]],"date-time":"2019-09-23T00:00:00Z","timestamp":1569196800000},"content-version":"vor","delay-in-days":1361,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Dent"],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Objective: The present comparative study was aimed to determine the effectiveness of Th US and TENS in the management of myofascial pain in TMD patients. Materials and Methods: The present randomized comparative study was on 90 patients who were further assigned in three different groups each having 30 patients; Group I was healthy control patients, Group II was receiving Th US therapy, and Group III was receiving TENS therapy. All the 90 patients were further evaluated for maximum inter incisor subjective evaluation regarding muscle pain, impediment to daily life, massage impression on visual analog scale (VAS) scale, and intensity and duration used in Th US massage. Results: The masseter muscle thickness in control group was 12.00 (standard deviation [SD] \u00b11.1) mm when compared with TMD patient of 13.00 (SD \u00b1 1.1) mm before treatment. Statistical significant findings on VAS score of muscle pain, impediment to daily life, and massage impression were observed in Th US. After treatment, the anechoic areas disappeared or were reduced in Th US group by 95.6% and in TENS by 74.4%. Conclusion: Th US appeared to be subjectively better which was related to VAS score of massage impression, muscle pain, and impediment to daily life after treatment as well as sonographically related to existence of anechoic areas.<\/jats:p>","DOI":"10.4103\/1305-7456.175680","type":"journal-article","created":{"date-parts":[[2016,2,4]],"date-time":"2016-02-04T06:58:08Z","timestamp":1454569088000},"page":"046-053","source":"Crossref","is-referenced-by-count":40,"title":["Management of myofascial pain by therapeutic ultrasound and transcutaneous electrical nerve stimulation: A comparative study"],"prefix":"10.1055","volume":"10","author":[{"given":"Shalu","family":"Rai","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine and Radiology, Institute of Dental Studies and Technologies, Modinagar, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikash","family":"Ranjan","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine and Radiology, Institute of Dental Studies and Technologies, Modinagar, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepankar","family":"Misra","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine and Radiology, Institute of Dental Studies and Technologies, Modinagar, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sapna","family":"Panjwani","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine and Radiology, Institute of Dental Studies and Technologies, Modinagar, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2019,9,23]]},"reference":[{"key":"key-10.4103\/1305-7456.175680-1","first-page":"492","volume-title":"Physiotherapeutic treatment for temporomandibular disorders (TMD)","author":"Grossi","year":"2004","journal-title":"Braz J Oral Sci"},{"key":"key-10.4103\/1305-7456.175680-2","doi-asserted-by":"crossref","unstructured":"Al-Ani Z, Gray RJ, Davies SJ, Sloan P, Glenny AM. Stabilization splint therapy for the treatment of temporomandibular myofascial pain: A systematic review. 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New Delhi: International electro medical co. Delhi."},{"key":"key-10.4103\/1305-7456.175680-10","first-page":"596","volume-title":"Transcutaneous nerve stimulation in a group of patients with rheumatic disease involving the temporomandibular joint","author":"M\u00f8ystad","year":"1990","journal-title":"J Prosthet Dent"},{"key":"key-10.4103\/1305-7456.175680-11","first-page":"307","volume-title":"Transcutaneous electrical stimulation as an adjunct in the management of myofascial pain-dysfunction syndrome","author":"Wessberg","year":"1981","journal-title":"J Prosthet Dent"},{"key":"key-10.4103\/1305-7456.175680-12","first-page":"1331","volume-title":"Therapeutic ultrasound in soft tissue lesions","author":"Speed","year":"2001","journal-title":"Rheumatology (Oxford)"},{"key":"key-10.4103\/1305-7456.175680-13","first-page":"47","volume-title":"Prospective utility of therapeutic ultrasound in dentistry-review with recent comprehensive update","author":"Rai","year":"2012","journal-title":"Adv Biomed Res","ISSN":"https:\/\/id.crossref.org\/issn\/2277-9175","issn-type":"print"},{"key":"key-10.4103\/1305-7456.175680-14","first-page":"106","volume-title":"Alleviation of myofascial pain with ultrasonic therapy","author":"Esposito","year":"1984","journal-title":"J Prosthet Dent"},{"key":"key-10.4103\/1305-7456.175680-15","first-page":"25","volume-title":"An evaluation of ultrasonic therapy for temporomandibular joint dysfunction","author":"Grieder","year":"1971","journal-title":"Oral Surg Oral Med Oral Pathol"},{"key":"key-10.4103\/1305-7456.175680-16","first-page":"337","volume-title":"Ultrasonographic features of the masseter muscle in female patients with temporomandibular disorder associated with myofascial pain","author":"Ariji","year":"2004","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod"},{"key":"key-10.4103\/1305-7456.175680-17","first-page":"797","volume-title":"Ultrasonographic evaluation of inflammatory changes in the masseter muscle","author":"Ariji","year":"1994","journal-title":"Oral Surg Oral Med Oral Pathol"},{"key":"key-10.4103\/1305-7456.175680-18","first-page":"327","volume-title":"Research diagnostic criteria","author":"Le","year":"1992","journal-title":"Craniomandib Disord"},{"key":"key-10.4103\/1305-7456.175680-19","first-page":"47","volume-title":"Clinical diagnostic criteria for TMD.New classification permits multiple diagnoses","author":"Truelove","year":"1992","journal-title":"J Am Dent Assoc"},{"key":"key-10.4103\/1305-7456.175680-20","first-page":"335","volume-title":"Examination and history data collection","author":"Widmer","year":"1992","journal-title":"Craniomandib Disord"},{"key":"key-10.4103\/1305-7456.175680-21","first-page":"46","volume-title":"Transcutaneous electrical nerve stimulation therapy in temporomandibular disorder: A clinical study","author":"Moger","year":"2011","journal-title":"J Indian Acad Oral Med Radiol","ISSN":"https:\/\/id.crossref.org\/issn\/0972-1363","issn-type":"print"},{"key":"key-10.4103\/1305-7456.175680-22","first-page":"114","volume-title":"The additional value of a home physical therapy regimen versus patient education only for the treatment of myofascial pain of the jaw muscles: Short-term results of a randomized clinical trial","author":"Michelotti","year":"2004","journal-title":"J Oral Facial Pain"},{"key":"key-10.4103\/1305-7456.175680-23","unstructured":"Okeson JP. 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