Effect of Treatment of Temporomandibular Joint in Patients With Chronic Migraine and Temporomandibular Disorders

Study Overview
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Brief Summary
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The aim of this study is to determine whether treatment of temporomandibular joint is more effective than usual care in patients with chronic migraine and temporomandibular disorders to reduce pain.

Detailed Description
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The aim of this study is to determine whether treatment of temporomandibular joint added to the control group treatment and drug therapy patient base is more effective than just using the control group treatment and drug therapy in patients with chronic migraine and temporomandibular disorders to reduce pain and improve the quality of life related to health of patients.

Official Title
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Effect of Treatment of Temporomandibular Joint in Patients With Chronic Migraine and Temporomandibular Disorders

Conditions
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Chronic Migraine, Temporomandibular Disorders

Intervention / Treatment
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* Other: Manual therapy
* Other: Home physical therapy
* Other: Manual therapy in cervical region
* Other: Home physical therapy in cervical region


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Chronic migraine (ICHD_III beta, 2013) Temporomandibular disorders (RDC/TMD) Exclusion Criteria: other neurological disease psychiatric diseases Physical therapy treatment in the last 6 months dental treatment in the last 6 months surgery or trauma in the orofacial region

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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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: INTERVENTION<br>Manual Therapy in temporomandibular joint and cervical region. Home physical therapy in temporomandibular joint and cervical region. | Other: Manual therapy<br>* 6 treatments: 2 treatments for week 1 treatment = 30 minutes<br>Other: Home physical therapy<br>* once a day: 15 minutes<br>|
| Active Comparator: CONTROL<br>Manual therapy in cervical region Home physical therapy in cervical region | Other: Manual therapy in cervical region<br>* 6 treatments: 2 treatments for week 1 treatment = 30 minutes<br>Other: Home physical therapy in cervical region<br>* once a day: 15 minutes<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Headache Impact Test (HIT-6) |  | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual Analogue Scale (VAS) |  | 3 months | 
| Quality of life (SF-36) |  | 3 months | 
| Sleep Quality | Pittsburgh Sleep Quality Index | 3 months | 
| Pain threshold pressure | Pressure algometer in masticatory muscle (area trigeminal) and control point in area extra-trigeminal | 3 months | 
| Pain catastrophizing scale (PCS) |  | 3 months | 
| Craniofacial Pain and Disability Inventory (CF-PDI) |  | 3 months | 
| Tampa scale of Kinesiophobia (TSK) |  | 3 months | 
| Tampa scale of Kinesiophobia of cranio-mandibular disorder (TSK-TCM) |  | 3 months | 
| Maximal Mouth Opening pain free |  | 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Chronic Migraine, Temporomandibular Disorders, Physical Therapy, Manual Therapy, Home physical Therapy