Multidisciplinary Therapy in the Temporomandibular Joint Dysfunction in Patients With Fibromyalgia Syndrome
Condition: Temporomandibular Joint Dysfunction Syndrome
MeSH terms: Fibromyalgia; Myofascial Pain Syndromes; Joint Diseases; Temporomandibular Joint Disorders; Temporomandibular Joint Dysfunction Syndrome; Syndrome
Study type: Interventional

Summary: 
      The purpose of this study is to determine the efficacy of a multidisciplinary therapy with
      physical, manual and deontology therapies in the treatment of temporomandibular joint
      dysfunction in patients with fibromyalgia syndrome.
    

Detailed description: 
      Design: Randomized clinical trial. Objective: to compare the therapeutic effects of physical
      therapy, manual therapy and deontology therapy to improve pain, quality of life, physical
      function, quality of sleep, depression, anxiety, clinical severity, clinical improvement, and
      temporomandibular dysfunction in patients with fibromyalgia syndrome.

      Methods and measures: seventy patients will be randomly assigned to experimental or placebo
      control group. The experimental group will receive 30 sessions (twice a weeks) of physical
      therapy, manual therapy and deontology therapy. Pain intensity, impact of fibromyalgia
      symptoms, quality of sleep, depression, anxiety, clinical severity, clinical improvement and
      temporomandibular dysfunction will be collected in both groups al baseline, 15 weeks and 20
      weeks after 48-hr the last intervention in the experimental and placebo control groups, by an
      assessor blinded to the treatment allocation of the patients. Baseline demographic and
      clinical variables will be examined between both groups with independent Student t-test for
      continuous data and chi-square tests of independence for categorical data. Separate 2x3 model
      ANOVA with time (baseline, 15 weeks and 20 weeks) as the within-subjects factor, group
      (experimental, placebo control) will be determine the effects of the multidisciplinary
      treatment.
    

Intervention name(s): Multidisciplinary therapy; Placebo
Intervention type(s): Other; Other
Intervention description(s): Physical Therapy: Cervical traction, Cranium fore flexion 15 °, Open-close mouth dental contactless (10 mm), Opening movement with a small resistor (one finger on chin), Flexion of the head, without actually lifting, resisting in the front, Occipital extension, Cranium fore flexion 15 °, Cervical traction.
Myofascial Therapy: Induction suboccipital, compression - decompression of the temporomandibular joint, horizontal induction of the temporomandibular joint, deep fascia induction in the temporal region, deep induction of the masseter fascia, deep induction of the external pterygoid, and induction of intraoral pterygoid.
Deontology therapy: the patient are going to port a deprogramming occlusal splint every night, an average of 8 hours per day, for 15 weeks.
Allocation: Randomized
Intervention model: Single Group Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary purpose: Treatment
Keywords: Pain; Temporomandibular joint; Manual therapy; Physical therapy; Fibromyalgia Syndrome