Clinical trial NCT06023264: Evaluate the Effect of Dry Needling on the Temporomandibular Joint in Subjects Who Have Suffered a Whiplash as a Result of a Traffic Accident
Official title: Randomized, Open Clinical Trial to Evaluate the Effect of Dry Needling on the Temporomandibular Joint in Subjects Who Have Suffered a Whiplash as a Result of a Traffic Accident
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Whiplash
Temporomandibular Joint Pain
Dry Needling Technique
Lead sponsor: Instituto de Investigación Sanitaria de la Fundación Jiménez Díaz
Sponsor class: OTHER
Collaborators: name: University of Alcala
First posted: 2023-09-05
Enrollment: 50
Sex: ALL
Minimum age (years): 18
Maximum age (years): 45
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The transportation industry is growing rapidly and the most popular mode is overland by road. Traffic accidents are the most direct and serious risk to the lives of Western people. A large number of traffic accidents occur on the roads each year, especially those caused by motor vehicles on motorways and urban ring roads, often resulting in massive loss of life. According to the World Health Organization (WHO), 1.35 million people die each year worldwide.

Whiplash is the most common injury in motor vehicle collisions, affecting 83% of injured people.

The temporomandibular joint (TMJ) is one of the most complex joints in the human body, since in addition to performing functions in dental occlusion, it does so in the neuromuscular system.

Due to the relationship of the neck with the mandible, the main objective of the study is to determine if there is an improvement in pain and functional limitation in general by applying the dry needling technique in the temporomandibular joint musculature.


Eligibility criteria: Inclusion Criteria:

* Having suffered a traffic accident
* Having suffered a subsequent collision
* Having been diagnosed with whiplash in the hospital ''Fundación Jiménez Díaz (FJD)´´ emergency room in the first 72 hours after the collision.
* Age between 18-45 years, to avoid osteoarthritis and other degenerative problems.
* Minimum 3 in temporomandibular joint (TMJ) according to Visual Analog Scale (VAS)
* Consent to participate

Exclusion Criteria:

* Temporomandibular joint (TMJ) or craniofacial surgeries
* Spinal surgery
* Direct trauma in temporomandibular joint (TMJ) or prior to the accident
* Botox, silicones or any type of cosmetic surgery in the facial region.
* Problems of migraines and tension headaches (pre-accident)
* Any degenerative musculoskeletal disease (fibromyalgia, rheumatoid arthritis, osteoarthritis)
* Fear of needles
* Any neurological disorder (trigeminal neuralgia, epilepsy)
* Pregnancy
* Uncontrolled vascular or metabolic problems

Primary outcomes:
measure: Age
timeFrame: Visit 1 (First day of treatment)
measure: Gender
timeFrame: Visit 1 (First day of treatment)
measure: Weight
timeFrame: Visit 1 (First day of treatment)
measure: Height
timeFrame: Visit 1 (First day of treatment)
measure: Mouth opening
timeFrame: Visit 1(First day of treatment) and Visit 2 (One week after visit 1)
measure: Jaw pain
timeFrame: Visit 1(First day of treatment) and Visit 2 (One week after visit 1)
measure: Headache
timeFrame: Visit 1(First day of treatment) and Visit 2 (One week after visit 1)
measure: Joint clicking
timeFrame: Visit 1(First day of treatment) and Visit 2 (One week after visit 1)
measure: Pressure masseter, pterygoid, and temporalis
timeFrame: Visit 1 (First day of treatment)
measure: Pain masseter, pterygoid, and temporalis
timeFrame: Visit 1(First day of treatment) and Visit 2 (One week after visit 1)
Secondary outcomes:
Other outcomes:
Locations:
city: Madrid
country: Spain
facility: Universidad de Alcalá de Henares
city: Madrid
country: Spain
facility: Patricia Recio Ramos
Study officials:
References: