Roshchin Evgeny Mikhailovich (Sdi Dent Clinic
Candidate of Medical Sciences, Chief Physician, Orthopedic dentist, orthodontist
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Introduction: Bruxism is a common disease characterized by involuntary clenching of teeth and excessive activity of the chewing muscles. Despite the availability of traditional treatments, many patients do not achieve stable remission. Biofeedback (biofeedback) is a promising method of non-drug rehabilitation of patients with bruxism, which allows to modify pathological stereotypes of neuromuscular activity. The aim of the study was to evaluate the clinical and neurophysiological effectiveness of various BOS modalities in the comprehensive rehabilitation of patients with bruxism. Methods: The study included 120 patients with a confirmed diagnosis of bruxism. The participants were randomized into 3 groups: (1) electromyographic BOS on the activity of the masticatory muscles; (2) BOS-training of diaphragmatic breathing; (3) BOS-training of the alpha rhythm of the EEG. The treatment protocol included 12 sessions over 4 weeks in combination with home relaxation practice. Clinical and neurophysiological assessment was performed before and after treatment. Results: In all groups, there was a significant decrease in the index of episodes of bruxism (by 50-70%), normalization of the bioelectric activity of the masticatory muscles in 60-80% of patients, reduction of pain and fatigue of the masticatory muscles by 3-4 points according to VAS. The greatest effectiveness is shown for a combination of EMG-BOS and BOS-alpha rhythm training. Discussion: BOS therapy makes it possible to effectively modify the central and peripheral pathogenetic links of bruxism. The use of BOS increases the effectiveness of rehabilitation and ensures stable control of symptoms. The developed protocols of personalized BOS therapy have a high potential for implementation in a wide clinical practice.
Keywords:bruxism, biofeedback, electromyography, diaphragmatic breathing, EEG alpha rhythm, rehabilitation, neuromuscular regulation
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Citation link:
Roshchin E. M. BIOFEEDBACK IN THE REHABILITATION OF PATIENTS WITH BRUXISM: NEUROPHYSIOLOGICAL AND CLINICAL ASPECTS // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2024. -№11/2. -С. 202-207 DOI 10.37882/2223-2966.2024.11-2.26 |
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