Clinical trial NCT05420896: Electromyographic Evaluation of the Efficacy of Manual Therapy in Temporomandibular Joint Dysfunction.
Official title: Electromyographic Evaluation of the Efficacy of Manual Therapy in Temporomandibular Joint
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Temporomandibular Joint Dysfunction
Keywords: temporomandibular joint dysfunction
manual therapy
EMG
maximal mouth opening
Lead sponsor: Bahçeşehir University
Sponsor class: OTHER
First posted: 2022-06-15
Enrollment: 34
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Individuals with temporomandibular joint dysfunction (TMD) may experience changes in muscle activation as a result of symptoms such as pain and limitation of movement. The aim of this study is to examine the efficacy of manual therapy electromyographically in patients with TMD.

Detailed description: TMD is a common condition in the community. It may occur due to factors such as trauma, stress, occlusal disorders. Symptoms include pain, limitation in mouth opening, joint voice, postural and psychosocial disorders. TMD/RDC diagnostic criteria are used in the classification of TMD, and accordingly, it is stated that it may originate from the joint, disc and chewing muscles. In the treatment, conservative treatments such as patient education, manual therapy and exercises are applied first.

Manual therapy is an effective physiotherapy method on pain and muscle dysfunctions in musculoskeletal problems. In our study, electromyographic changes of masticatory muscles will be examined by applying manual treatment to the masticatory muscles and cervical region in myofascial TMD patients according to TMD/RC.

Eligibility criteria: Inclusion Criteria:

* No cognitive impairment
* Diagnosed with temporomandibular joint(TMJ) dysfunction of myofascial origin,
* Volunteers aged 18-65

Exclusion Criteria:

* Malignancy and fracture of the cervical region and/or TMJ
* Active infection
* Patients actively receiving cervical and/or TMJ-related therapy

Primary outcomes:
measure: Visual Analogue Scale (VAS)
timeFrame: Change from initial assessment to 4 weeks after initial assessment.
Secondary outcomes:
measure: Electromyography (EMG)
timeFrame: Change from initial assessment to 4 weeks after initial assessment.
measure: Pain Pressure Threshold (PPT)
timeFrame: Change from initial assessment to 4 weeks after initial assessment.
measure: Maximum Mouth Opening (MMO)
timeFrame: Change from initial assessment to 4 weeks after initial assessment.
measure: TAMPA
timeFrame: Change from initial assessment to 4 weeks after initial assessment.
measure: Functional Limitation Scale of the Jaw-8
timeFrame: Change from initial assessment to 4 weeks after initial assessment.
measure: Hospital Anxiety Depression Scale (HADS)
timeFrame: Change from initial assessment to 4 weeks after initial assessment.
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Bahçeşehir University
state: Europe
Study officials:
affiliation: Bahçeşehir University
name: Kumru Ateş, PhC
role: PRINCIPAL_INVESTIGATOR
References: