Kinesiotaping and Stretching on SKM and Upper Trapezius Muscle in TMD Patients
Condition: TMJ Disc Disorder; Myofascial Pain
MeSH terms: Myofascial Pain Syndromes
Study type: Interventional

Summary: 
      Purpose: This study determined the effects of Kinesiotaping and Stretching on pain, cervical
      joint range of motion and functional status in patients with myofascial pain due to
      temporomandibular joint disorder.

      Methods: 33 patients with myofascial pain due to temporomandibular joint disorder were
      included in the study. The patients were divided into three groups by simple randomization
      (Kinesiotaping group, Stretching group and Control group). Patients in the Kinesiotaping and
      Stretching groups received application for their Upper Trapezius and Sternocleidomastoid
      muscles twice a week for two weeks by the same physiotherapist. No application was made to
      the Control group. Cervical joint range of motion, muscle strength and pain were evaluated.
      Additionally, algometry tests and functional evaluation were performed. The tests were
      performed in the Kinesiotaping and Stretching groups before the applications and at the end
      of week 1 and week 2, on the other hand Control group evaluated before the application and at
      the end of week 2.
    

Detailed description: 
      This study is my master's thesis that I conducted in 2018. Our prospective clinical study was
      approved by the Non-Interventional Ethics Committee. The study was conducted at Dentistry
      Prosthetic Odontotherapy Outpatient Clinic between February 2018 and April 2018. Volunteering
      33 patients between the ages of 18 to 60 years and who applied clinics and were diagnosed
      with myofascial pain due to TMJ disorder according to Research Diagnostic Criteria for
      Temporomandibular Disorders (RDC/TMD) classification were included in the study. The patients
      were divided into groups using simple randomization method. There are 11 patients in groups.
      Blinding was ensured by patients and dentist were unaware the type of physiotherapy treatment
      application. Patient evaluation was repeated 3 times: before the treatment, at the end of
      week 1, and at the end of week 2 of the treatment.

      In our study, the effects of conservative treatment options used in 'treatment of TMD on
      'disease symptoms were examined compared with the control group. A 2-week follow-up was
      foreseen for the acute impact outcomes of the study.
    

Intervention name(s): Kinesiotaping Group; Stretching Group; Control Group
Intervention type(s): Other; Other; Other
Intervention description(s): In the Kinesiotaping Group patients had muscle technique-inhibition method. An 'I' shaped tape was used for both SCM and upper trapezius. The tension of the tape was adjusted between 20 and 25% and the application was performed in the longest position of the muscle. The inhibition technique was applied from the insertion to the origin of the muscle. The tape was applied to cover the trigger points where pain was felt. For upper trapezius, the muscle was taped in the opposite direction on the cervical region in lateral flexion, slight flexion, shoulder depression and using the muscle technique with the I tape. For SCM muscle, the tape was applied on the muscle in the opposite direction on the cervical region with positioning in lateral flexion, extension and ipsilateral rotation using the muscle technique with I tape Taping was applied every 3 days and totally in 4 cycles.; In our application, 3 cycles of 20 seconds of stretches were applied to upper trapezius and SCM muscle. The patient was stretched in a relaxed and supported position and physiotherapist positioned the patient passively for stretching. For the SCM muscle, stretching was achieved in the positions of contralateral lateral flexion, ipsilateral rotation and extension. For upper trapezius, stretching was performed in flexion and lateral flexion. Stretching was performed every 3 days in 4 cycles in total.; Control Group patients, after the assessment by the dentist, the treatment method approved by the dentist was performed. The assessment was performed before treatment, at the end of week 1 and at the end of week 2.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary purpose: Treatment
Keywords: Temporomandibular pain; Kinesiotape; Stretching