Clinical trial NCT06606041: Comparison of the Efficacy of Dry Needling, Ischemic Compression, and Cross Taping on Masseter Myofascial Pain
Official title: Comparison of the Efficacy of Dry Needling, Ischemic Compression, and Cross Taping on Masseter Myofascial Pain: A Randomized Clinical Trial
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Temporomandibular Joint Disorders
Myofascial Pain
Lead sponsor: University of Coimbra
Sponsor class: OTHER
First posted: 2024-09-20
Enrollment: 60
Sex: FEMALE
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Multicenter, Randomized parallel clinical trial comparing Dry Needling, Ischemic Compression, and Cross Tapes
Primary purpose: TREATMENT

Brief summary: The goal of this clinical trial is to learn whether Dry Needling, Ischemic Compression, and Cross Tapes work to treat myofascial pain in masseter muscles in adults. It will also learn about the safety of this treatment. The main questions it aims to answer are:

* Do Dry Needling, Ischemic Compression, and Cross Tapes relieve masseter muscle pain?
* Which of these treatments provides the best relief from masseter muscle pain? Researchers will compare these three treatments to see which is best for treating masseter muscle pain.

Participants will:

Treated with Dry Needling or Ischemic Compression or Cross Tapes only once Visit the clinic one week, three months, and six months after treatment.

Detailed description: The taut band represents the most commonly observed muscular disorder, where myofascial trigger points may arise, causing referred pain in another location. Therapeutic strategies applied for its treatment include dry needling, ischemic compression, and cross-taping.

Objectives: To compare the effectiveness of these treatment methods in reducing or alleviating the intensity of pain in the masseter.

In this multicenter randomized clinical trial, the study sample underwent a clinical examination according to the Diagnostic Criteria for Temporomandibular Disorders to diagnose the presence of orofacial myofascial pain with taut bands in the masseter. Participants were randomly allocated to three groups based on the treatment methods.

Eligibility criteria: Inclusion Criteria:

* Patients with myofascial pain diagnosed according Diagnostic Criteria for Temporomandibular Disorders (DC-TMD).

Exclusion Criteria:

* Pregnant women
* Other TMD-spectrum pathologies
* Anticoagulated and antiaggregated individuals
* Diabetes
* Blood disorders
* Fibromyalgia
* Autoimmune diseases in acute stages
* Neurological diseases
* Malignant tumor pathologies
* Patients with aichthyophobia
* Concomitant medication (opioids, antidepressants, myorelaxants)

Primary outcomes:
measure: Pain intensity
timeFrame: At baseline, immediately after the intervention, 1 week, and 1 month after treatment
Secondary outcomes:
Other outcomes:
Locations:
city: Coimbra
country: Portugal
facility: Faculty of Medicine, Institute of Occlusion and Orofacial Pain, University of Coimbra
city: Salamanca
country: Spain
facility: Faculty of Medicine of the University of Salamanca
Study officials:
affiliation: Faculty of Medicine, Institute of Occlusion and Orofacial Pain, University of Coimbra
name: Maria João Rodrigues, PhD
role: STUDY_CHAIR
References: