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  4. Efficacy of cranial electrotherapy stimulation in patients with burning mouth syndrome: a randomized, controlled, double-blind pilot study

Efficacy of cranial electrotherapy stimulation in patients with burning mouth syndrome: a randomized, controlled, double-blind pilot study

Frontiers in Neurology, 2024 · DOI: 10.3389/fneur.2024.1343093 · Published: February 14, 2024

Alternative MedicineNeurologyPain Management

Simple Explanation

This study investigates whether cranial electrotherapy stimulation (CES) can help people with burning mouth syndrome (BMS), a condition causing a burning feeling in the mouth. The study compares CES to a sham (fake) stimulation to see if the real treatment is more effective. Participants received either active CES or sham CES for 60 minutes daily, along with local transcutaneous electrical nerve stimulation (TENS) of the tongue for 3 minutes, over four weeks. Researchers tracked pain levels, sleep quality, and psychological well-being. The study found that both the real and sham CES groups reported less pain and better sleep, but the active CES was not significantly better than the sham. This suggests that the improvements might be due to a placebo effect rather than the CES itself.

Study Duration
4 weeks (28 days)
Participants
22 patients with Burning Mouth Syndrome
Evidence Level
Level 1: Randomized, double-blind, sham-controlled pilot study

Key Findings

  • 1
    Both active and sham CES groups showed a significant decrease in pain intensity over the study period.
  • 2
    A significant decrease in somatic symptoms and an improvement in sleep quality were observed in both groups.
  • 3
    Active CES was not superior to sham stimulation in reducing pain, anxiety, or depression in patients with BMS.

Research Summary

This study evaluated the efficacy of cranial electrotherapy stimulation (CES) combined with transcutaneous electrical nerve stimulation (TENS) for burning mouth syndrome (BMS). The study found that both active and sham CES resulted in decreased pain and improved sleep quality, but there was no significant difference between the groups. The authors conclude that while CES is a safe and easily applicable option, its effectiveness for BMS was not proven superior to sham stimulation in this study, possibly due to the small sample size or short treatment duration.

Practical Implications

Clinical Practice

CES may not be an effective treatment for BMS, and further studies are needed to explore its potential benefits.

Future Research

Larger, longer-term studies are required to determine the true efficacy of CES for BMS, considering factors like stimulation parameters and patient selection.

Patient Expectations

Manage patient expectations regarding the potential benefits of CES for BMS, as the placebo effect may play a significant role.

Study Limitations

  • 1
    Small sample size
  • 2
    Short double-blinded treatment period
  • 3
    Lack of a non-intervention control group

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