Distribution of Trigger Points in Patient Who Have Myofascial Pain Disorder

Study Overview
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Brief Summary
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Myofascial pain alone covers 45.3% of the diagnosis of TMJ. It is defined as palpation sensitivity and regional muscle pain. Clinically muscle pain connects to myofascial trigger points.These trigger points are hypersensitive points located in a tense band of the skeletal muscle, which can be described, causing provoked or spontaneous pain. They are divided into two as active and latent. Those who cause spontaneous pain are active, and those who provoke pain are considered latent.Spasm in the chewing muscles with myofascial pain reduces the patient's pain threshold and quality of life. Therefore, patients with spasm and TMJ pain in the masticatory muscles should be examined for head and neck muscles, the presence of myofascial trigger points should be determined and the head and neck muscles should be included in physical therapy. The aim of this study was to determine the presence of myofascial trigger points in patients presenting with pain in the masticatory muscles and TMJ region, and to determine the relationship between the presence of trigger point and the degree of pain.

Official Title
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Distribution of Trigger Points in Patient Who Have Myofascial Pain Disorder

Conditions
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Myofascial Pain

Intervention / Treatment
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* Other: bimanual palpation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Will be conducted in volunteers who applied to our clinic with complaint of TMJ Exclusion Criteria: Diagnosed rheumatoid diseases and fibromyalgia. Psychiatric drug users. Patients who use muscle relaxants. TME pathology

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Non-Trigger Point<br> | Other: bimanual palpation<br>* bimanual palpation....i..<br>|
| Trigger Point<br> | Other: bimanual palpation<br>* bimanual palpation....i..<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| masticatory and cervical muscles examination for determining trigger points | detecting the trigger point (yes or no), determining the number of trigger points and determining the region on the muscle | first day visit | 
| visual analog scale for pain (VAS) | scale to find pain amount , pain scores from 0 to 10 will be taken from patients and higher scores indicate worse pain,all of patient's mean pain score to be determined. | first day visit | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| prevalence of trigger points in facial pain disorder patients | to compare pain scores of patients with and without trigger point,the distribution of trigger points on the masticatory and cervical muscles | 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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trigger point,myofacial pain