Clinical trial NCT04294602: Efficacy Of Different Types Of Physiotherapy Approaches In Temporomandibular Disorders
Official title: Efficacy Of Different Types Of Physiotherapy Approaches In Temporomandibular Disorders
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Temporomandibular Disorder
Keywords: Temporomandibular disorders
Exercise
Low-level laser therapy
Lead sponsor: Bitlis Eren University
Sponsor class: OTHER
Collaborators: name: Marmara University
First posted: 2020-03-04
Enrollment: 59
Sex: ALL
Minimum age (years): 18
Maximum age (years): 30
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Randomized Controlled Study
Primary purpose: TREATMENT

Brief summary: The aim of this study is to investigate the efficacy of different types of physiotherapy approaches in cases with cervical myofascial painful TMD.

Detailed description: 59 persons with TMD diagnosed by the dentist and with cervical myofascial pain, aged 18-30 years will be randomly allocated, 3 groups. The participants were randomly allocated only exercise group (EG) (n=20), low-level laser therapy plus exercise group (LLLT) (n=17) and manual pressure release plus exercise group (MPR) (n=22). The cases were evaluated and treated by the same physiotherapist for 4 weeks (12 sessions).

Pain, pain pressure threshold, temporomandibular joint (TMJ) mobility and disability, forward head posture, head rotation, neck disability, psychological status and quality of life were evaluated. Evaluations were repeated before and after treatment.

Eligibility criteria: Inclusion Criteria:

* Cases who have 3 or more symptoms related to TMJ problems
* cases who have trigger points in cervical and masticatory muscles
* cases who TMD detected by the dentist,
* being between the ages of 18-30,
* volunteer to participate in the study

Exclusion Criteria:

* Patients with a positive history of trauma in the face and neck area and neurological disorders
* patients undergoing TMJ or cervical region surgery in the last 3 months,
* patients who used dental orthotics within 1 month,
* patients who have TMJ instability,
* patients who have cervical and upper thoracic region,
* patients who have active infection and chronic pain, such as trigeminal neuralgia

Primary outcomes:
measure: Pressure Pain Threshold Assessment
timeFrame: Change from baseline pressure pain threshold score in neck and mastication muscles at week 4.
measure: Pain Severity Assessment
timeFrame: Change from baseline TMJ pain and intensity of head pain, TMJ noise and jaw locking score at week 4.
measure: Jaw Movements Assessment
timeFrame: Change from baseline MMO and lateral deviation score at week 4.
measure: Neck Movements Assessment
timeFrame: Change from baseline cervical rotations and craniovertebral angle score at week 4.
measure: Temporomandibular Disorder Severity
timeFrame: Change from baseline temporomandibular disorder severity score at week 4
measure: Quality of Life Assesment
timeFrame: Change from baseline quality of life score at week 4
Secondary outcomes:
measure: Neck Disability Assesment
timeFrame: Change from baseline neck disability score at week 4.
measure: Psychological Status Assesment
timeFrame: Change from baseline psychological status score at week 4.
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Marmara University
state: Maltepe
Study officials:
affiliation: Bitlis Eren University
name: Abdurrahman TANHAN, MSc
role: PRINCIPAL_INVESTIGATOR
References: