Comparison Between Sensory and Motor Transcutaneous Electrical Nervous Stimulation on Electromyographic and Kinesiographic Activity of Patients With Temporomandibular Disorder: a Controlled Clinical Trial

Study Overview
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Brief Summary
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Background The purpose of the present controlled clinical trial was to assess the effect of a single 60 min application of transcutaneous electrical nervous stimulation (TENS) at sensory stimulation threshold (STS), compared to the application of motor stimulation threshold (MTS) as well as to untreatment, on the surface electromyographic (sEMG) and kinesiographic activity of patients with temporomandibular disorder (TMD). Methods Sixty female subjects, selected according to the inclusion/exclusion criteria, suffering from unilateral TMD in remission were assigned to MTS, STS or untreatment. Pre- and post-treatment differences in the sEMG activity of temporalis anterior (TA), masseter (MM), digastric (DA) and sternocleidomastoid muscles (SCM), as well in the interocclusal distance (ID), within group were tested using the Wilcoxon test, while differences among groups were assessed by Kruskal-Wallis test; the level of significance was set at p ≤ 0.01.

Official Title
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Comparison Between Sensory and Motor Transcutaneous Electrical Nervous Stimulation on Electromyographic and Kinesiographic Activity of Patients With Temporomandibular Disorder: a Controlled Clinical Trial

Conditions
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Temporomandibular Disorders

Intervention / Treatment
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* Device: Transcutaneous electrical nerve stimulation
* Device: Placebo transcutaneous electrical nerve stimulation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: age less than 30 years; female gender right-handed (7-10 points in Edinburgh inventory); presence of complete permanent dentition, with the exception of the third molars; normal occlusion; diagnosis of unilateral arthrogenous TMD on the Research Diagnostic Criteria for TMD (RDC/TMD), Axis I, groups II and III Exclusion Criteria: having pacemaker or other electrical devices previous experience of TENS or biofeedback systemic diseases history of local or general trauma neurological or psychiatric disorders muscular diseases cervical pain bruxism diagnosed by the presence of parafunctional facets and/or anamnesis of parafunctional tooth clenching and/or grinding pregnancy assumption of anti-inflammatory, analgesic, antidepressant or myorelaxant drugs fixed or removable prostheses fixed restorations that affected the occlusal surfaces previous or concurrent orthodontic or orthognathic treatment

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 30 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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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: MTS<br>Motor threshold of stimulation | Device: Transcutaneous electrical nerve stimulation<br> <br> |
| Active Comparator: STS<br>Sensorial threshold of stimulation | Device: Transcutaneous electrical nerve stimulation<br> <br> |
| Sham Comparator: Placebo<br> | Device: Placebo transcutaneous electrical nerve stimulation<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| sEMG values |  | 60 min |