EFFECT OF LOW SHOCK WAVE VERSUS LOW LEVEL LASER ON TEMPOROMANDIBULAR JOINT DISORDERS | ||
| International Journal of Physical Therapy - AlSalam University | ||
| Volume 3, Issue 3, July 2025, Pages 38-48 PDF (546.09 K) | ||
| Document Type: Clinical Practice Guideline | ||
| DOI: 10.21608/ijtau.2025.452044 | ||
| Authors | ||
| Aya Ahmed Mosaad* 1; Wadida H. El Sayed* 2; Omnia Mohamed Abd Elaziz* 2; Mai Raouf Rageh* 2 | ||
| 1basic science department , faculty of physical therapy , Cairo university , Cairo , Egypt | ||
| 2Cairo University | ||
| Abstract | ||
| Abstract Background: Temporomandibular disorders (TMDs) are characterized by musculoskeletal dysfunction affecting the jaw joint and associated structures. Although both low-intensity extracorporeal shock wave therapy(LI-ESWT), and low-level laser therapy (LLLT) have shown clinical benefits, the evidence comparing their effectiveness remains conflicting and inconclusive Objectives: to evaluate the effect of LI-ESWT versus LLLT on jaw function in TMJ disorders. Methods: Sixty-six patients (both genders), aged between 20 and 40 years, were diagnosed with unilateral TMD and presenting with jaw function limitations were included. Jaw function was assessed using the Jaw Functional Limitation Scale (JFLS). Patients were randomly assigned into three homogeneous groups. Group A received conventional physiotherapy, including ultrasound, TENS, heat therapy, and specific exercises targeting painful masticatory muscles. Group B received the same physiotherapy as Group A in addition to LI-ESWT, while Group C received the same physiotherapy as Group A along with LLLT. Results There were no significant differences among the three groups in mean age, weight, height, BMI, or sex distribution (p > 0.05). However, significant differences in JFLS scores were found between the control group and both experimental groups (B: p = 0.004, C: p = 0.012) in favor of the experimental groups, with no significant difference between experimental groups B and C (p = 0.990) Conclusion: LI-ESWT showed numerically greater improvement, both interventions demonstrated comparable efficacy on the Jaw Functional Limitation Scale. Keywords: Low-intensity extracorporeal shock wave therapy, Low-level laser therapy, Temporomandibular joint disorders, Jaw function limitation scale, Randomized controlled trial | ||
| Keywords | ||
| Low-intensity extracorporeal shock wave therapy; Low-level laser therapy; Temporomandibular joint disorders; Jaw function limitation scale; Randomized controlled trial | ||
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