The effects of ULF–TENS stimulation on gnathology: the state of the art

  title={The effects of ULF–TENS stimulation on gnathology: the state of the art},
  author={Nicolae Chipaila and Fabrizio Sgolastra and Alessandro Spadaro and Davide Pietropaoli and Chiara Masci and Ruggero Cattaneo and Annalisa Monaco},
  pages={118 - 130}
AIMS The aim of this study was to evaluate the state of the art in the current literature regarding the effect of ultra low frequency-transcutaneous electrical nerve stimulation (ULF-TENS) on patients with temporomandibular disorders (TMD. [] Key Method No randomized controlled trials on the investigated topic were found. Only eight papers regarding controlled clinical trials (CCT) were selected according to the search strategy selection criteria. RESULTS According to the available literature and the…

Effects of magnetostimulation on muscle activity and pain in edentulous adults with temporomandibular disorders.

Combination therapy using magnetic stimulation reduced intensity of pain in patients with TMD and decreased values of the Helkimo indices.

Ultra-low frequency transcutaneous electric nerve stimulation does not affect the centric relation registration

The ULF-TENS did not influence the condyle total displacement, regardless of CR recording technique used (p > 0.05), and BM showed an improvement in repeatability after ULF -TENS, although the variance was less variation at the X-axis.

Comparison of the effects of transcutaneous electrical nerve stimulation, low level laser, and placebo treatment on temporomandibular joint disorders: a single-blind randomized controlled trial

Clinical use of TENS and LLL treatment for TMD is suggested by quantitatively presenting the effect size of each treatment.

A Device Improves Signs and Symptoms of TMD

The ELIBA device is able to significantly reduce TMD-associated myogenous pain and to promote the enhancement of sEMG/KNG values and can be considered as a new device, potentially useful for head-neck pain relief in patients suffering from chronic TMD.

Modern therapeutic management of temporomandibular disorders: A review

The effective temporomandibular disorders (TMD) therapeutic management can be performed only if the causal factors are accurately detected and the management of psychological and behavioral factors must be considered and approached simultaneously with physical factors to accelerate the return to normal functioning of TMD patients with chronic pain.

Effect of Exercise Therapy on Pain Alleviation and Improvement of Range of Movement after Tempo romandibular Joint Arthrocentesis

Immediate Physical exercise after arthrocentesis has a significant effect on the range of mouth opening and pain decrease and does decrease pain.

Central Sensitization-Based Classification for Temporomandibular Disorders: A Pathogenetic Hypothesis

An alternative classification of TMD based on the presence of Central Sensitization and on individual response to sensory ULFTENS is proposed, which may help to differentiate therapy and aetiology.

Ultra-Low Frequency Transcutaneous Electrical Nerve Stimulation on Pain Modulation in a Rat Model with Myogenous Temporomandibular Dysfunction

There were significant improvements in maximum jaw-opening distance and EPN prevalence after ULF-TENS in animals with MMP, suggesting that ULF -TENS may represent a novel and applicable therapeutic approach for improvement of orofacial pain induced by MMP.

Standard Correction of Vision Worsens EMG Activity of Pericranial Muscles in Chronic TMD Subjects

These results suggest that subjects who are affected by both temporomandibular (TMD) disorders and refractive disorders present with altered control of pericranial musculature tone and higher open-eye electromyographic (EMG) values.



Effect of tens on the activation pattern of the masticatory muscles in TMD patients

It is concluded that a single TENS application is effective in pain reduction and promotes betterments in the activation pattern of the masticatory muscles in individuals with TMD.

Effect of conventional TENS on pain and electromyographic activity of masticatory muscles in TMD patients.

It is possible to conclude that a single TENS application is effective in pain reduction, however, it does not act homogeneously on the features of the electric activity of the muscles evaluated.


Comparing Transcutaneous electrical nerve stimulation and laser therapy in patients with chronic TMD of muscular origin concluded that both therapies are effective as part of TMD management and a cumulative effect may be responsible for the improvement.

Effects of transcutaneous electrical nervous stimulation on electromyographic and kinesiographic activity of patients with temporomandibular disorders: a placebo-controlled study.

Establishment of a Temporomandibular Physiological State with Neuromuscular Orthosis Treatment Affects Reduction of TMD Symptoms in 313 Patients

It is evident that taking patients from a less to a more physiological state is an effective means for reducing or eliminating TMD symptoms, especially those related to pain, most notably, headaches.

Management of mouth opening in patients with temporomandibular disorders through low-level laser therapy and transcutaneous electrical neural stimulation.

Comparing the two methods, LLLT was more effective than TENS applications, and both methods are effective to improve mouth opening.

Transcutaneous electrical nerve stimulation: basic science mechanisms and clinical effectiveness.

  • K. SlukaD. Walsh
  • Medicine, Psychology
    The journal of pain : official journal of the American Pain Society
  • 2003
TENS is a noninvasive modality that is easy to apply with relatively few contraindications, however, the clinical efficacy of TENS will remain equivocal until the publication of sufficient numbers of high quality, randomized, controlled clinical trials.

Electromyographic Evidence of Reduced Muscle Activity When ULF-TENS Is Applied to the Vth and VIIth Cranial Nerves

It is concluded that ULF-TENS has an activity-reducing effect on the resting EMG levels of both hyperactive and relaxed muscles, and while the > 2.0 microvolt cutoff is useful for identifying patients that are hyperactive at rest, it does not identify complete relaxation of masticatory muscles.

Osteopathic manipulative treatment (OMT) effects on mandibular kinetics: kinesiographic study.

The results of this study suggest that OMT can induce changes in the stomatognathic dynamics, offering a valid support in the clinical approach to TMD.

Comparison of three treatment options for painful temporomandibular joint clicking.

Anterior positioning splint therapy appears to be the best treatment method for reduction of pain and joint sounds in patients with TMD, compared with the other two methods studied.