Patient Education and Self-Care for the Management of Jaw Pain upon Awakening: A Randomized Controlled Clinical Trial Comparing the Effectiveness of Adding Pharmacologic Treatment with Cyclobenzaprine or Tizanidine

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dc.contributor.authorAlencar, Francisco Guedes Pereira Junior de
dc.contributor.authorSabino Viana, Patricia Gabriela [UNESP]
dc.contributor.authorZamperini, Camila Andrade [UNESP]
dc.contributor.authorBecker, Anne Buss
dc.contributor.institutionMarquette Univ
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionFranciscano Univ Ctr
dc.date.accessioned2014-12-03T13:10:49Z
dc.date.available2014-12-03T13:10:49Z
dc.date.issued2014-03-01
dc.description.abstractAims: To compare the effectiveness of adding cyclobenzaprine, tizanidine, or placebo to patient education and a self-care management program for patients with myofascial pain and specifically presenting with jaw pain upon awakening. Methods: Forty-five patients with a diagnosis of myofascial pain based on the guidelines of the American Academy of Orofacial Pain participated in this 3-week study. The subjects were randomly assigned into one of three groups: placebo group, TZA group (tizanidine 4 mg), or CYC group (cyclobenzaprine 10 mg). Patients were evaluated for changes in pain intensity, frequency, and duration by using the modified Severity Symptoms Index and changes in sleep quality with the use of the Pittsburgh Sleep Quality Index. Data were analyzed by ANOVA and post-hoc or nonparametric statistical tests as appropriate. Results: All three groups had a reduction in pain symptoms and improvement of sleep quality based on a comparison of pretreatment and treatment scores. However, no significant differences among the groups were observed at the posttreatment evaluation. Conclusion: The use of tizanidine or cyclobenzaprine in addition to self-care management and patient education was not more effective than placebo for the management of patients with myofascial jaw pain upon awakening.en
dc.description.affiliationMarquette Univ, Sch Dent, Gen Dent Sci Dept, TMD & Orofacial Pain, Milwaukee, WI 53201 USA
dc.description.affiliationUNESP Univ Estadual Paulista, Araraquara Dent Sch, Dept Dent Mat & Prosthodont, Araraquara, SP, Brazil
dc.description.affiliationFranciscano Univ Ctr, Santa Maria, RS, Brazil
dc.description.affiliationUnespUNESP Univ Estadual Paulista, Araraquara Dent Sch, Dept Dent Mat & Prosthodont, Araraquara, SP, Brazil
dc.description.sponsorshipPIBIC
dc.description.sponsorshipPROAP
dc.format.extent119-127
dc.identifierhttp://dx.doi.org/10.11607/ofph.963
dc.identifier.citationJournal of Oral & Facial Pain and Headache. Hanover Park: Quintessence Publishing Co Inc, v. 28, n. 2, p. 119-127, 2014.
dc.identifier.issn2333-0384
dc.identifier.urihttp://hdl.handle.net/11449/112547
dc.identifier.wosWOS:000335635800003
dc.language.isoeng
dc.publisherQuintessence Publishing Co Inc
dc.relation.ispartofJournal Of Oral & Facial Pain And Headache
dc.relation.ispartofjcr1.538
dc.relation.ispartofsjr1,142
dc.rights.accessRightsAcesso restrito
dc.sourceWeb of Science
dc.subjectcyclobenzaprineen
dc.subjectmyofascial painen
dc.subjectore facial painen
dc.subjectsleepen
dc.subjecttizanidineen
dc.titlePatient Education and Self-Care for the Management of Jaw Pain upon Awakening: A Randomized Controlled Clinical Trial Comparing the Effectiveness of Adding Pharmacologic Treatment with Cyclobenzaprine or Tizanidineen
dc.typeArtigo
dcterms.rightsHolderQuintessence Publishing Co Inc
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Odontologia, Araraquarapt

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