Efficacy of Physiotherapy in Patients With Temporomandibular Disorders.
Condition: Temporomandibular Dysfunction (TMD)
MeSH terms: Temporomandibular Joint Disorders; Temporomandibular Joint Dysfunction Syndrome
Study type: Interventional

Summary: 
      Objective: To evaluate the efficacy of a manual therapy protocol composed of articulatory and
      myofascial techniques in patients with temporomandibular dysfunction (TMD).

      Methods: Randomized and controlled clinical study of patients presenting TMD. The subjects
      will be divided into 2 groups: 1) manual therapy group; 2) control group. There will be 4
      treatment sessions during 4 weeks, with evaluations before and after the study, which
      include: severity of dysfunction (Helkimo Index), quality of life (Short Form 36 Health
      Survey), pressure pain threshold (algometer) ), cervical mobility (goniometer), mouth opening
      (caliper), pain intensity (Visual Analogue Scale) and cervical disability (Neck Disability
      Index).
    

Detailed description: 
      Introduction. Temporomandibular dysfunction (TMD) is the set of clinical manifestations that
      affect this joint, the masticatory muscles and the structures associated with and involved in
      TMJ movements. This dysfunction represents a subclassification of musculoskeletal disorders,
      and presents with different symptoms and signs that include pain in the jaw joint or in the
      tissues that surround it, generalized myofascial pain, crackling or crackling joint noise
      associated with the movement, decrease in joint range, functional limitation, and deviation
      to the opening of the jaw.

      Objective. The main objective of this study is to compare the efficacy of a myofascial soft
      tissue treatment versus a control group in people diagnosed with TMD of myofascial origin.

      Material and methods

      Sample. Subjects with dagnosis of TMD according to the diagnostic criteria for the
      investigation of temporomandibular disorders.

      Study design. Randomized clinical trial with 2 groups: Group 1. Manual therapy protocol of
      SOFT TISSUES; Group 2. Regular treatment control.

      Evaluations. Clinical interview with anthropometric data and characteristics of the
      pathology.

      There will be 3 evaluations: at the beginning of the study, at the end of the treatment (at 4
      weeks) and at 8 weeks as part of the follow-up period.

      In addition, it includes the following evaluation instruments:

        -  Visual Analog Scale (EVA)

        -  Algometry of the masseter, temporal and ECOM muscles.

        -  Oral opening range.

        -  Range of cervical joint movement.

        -  Quality of life questionnaire related to oral health OHIP-14.

        -  Quality of life questionnaire SF-36.

        -  Index of clinical dysfunction of Helkimo.

        -  Cervical disability index.
    

Intervention name(s): Manual therapy; Regular treatment control.
Intervention type(s): Other; Other
Intervention description(s): protocol of soft tissues techniques; Regular treatment control.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary purpose: Treatment