Comparison of Masticatory Muscle Energy Technique versus Rocabado exercises for Temporomandibular Dysfunction in Chronic Neck Pain Patients.
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 421
- 试验地点
- 1
- 主要终点
- Jaw functional limitation scale and ROM of the jaw (MMO), Neck disability index, Cervical Posture angles, Cervical ROM, Neck flexor endurance, PHQ-9 , GAD-7
研究概览
简要总结
Temporomandibular disorders (TMD) consist of a group of disorders affecting the temporomandibular joint (TMJ), the masticatory muscles, or both. TMD is a major public health problem affecting a significant part of the population.
Chronic neck pain patients develop changes in craniofacial muscles over the years which can remain asymptomatic till the provoking factor appears.
According to the previous studies from India on prevalence, there are many asymptomatic individuals with TMD. The burden on health care will reduce If we target those people before they become symptomatic. In this study, we want to find the prevalence of TMD in chronic neck pain patients as there are no studies available in India where TMD prevalence has been found in chronic neck pain patients. According to the literature a multidisciplinary or interdisciplinary treatment approach is recommended for better results and improvement in patients with musculoskeletal disorders, especially TMD and neck disorders which have multifactorial etiologies.
In phase two, we want to compare two techniques. The Masticatory Muscle energy technique is one of the soft tissue mobilization techniques, which targets the muscles of mastication such as temporalis, masseter, lateral, and medial pterygoid.
The second intervention includes Rocabado’s exercise which consists of an exercise program that addresses the postural relationship with the head to neck, neck to shoulders, and lower jaw to upper jaw. There is a paucity of literature on the effectiveness of Rocabados exercises. The effect of MET and Rocabados exercises was compared with other interventions but there are no studies where MET and Rocabados exercises are compared. Hence in this study, these two interventions will be compared to see their effectiveness on Neck and TMJ dysfunction.
研究设计
- 研究类型
- Interventional
- 分配方式
- Other
- 盲法
- Participant Blinded
入排标准
- 年龄范围
- 20.00 Year(s) 至 50.00 Year(s)（—）
- 性别
- All
入选标准
- •Phase1-Subjects from both genders with neck pain felt posteriorly between the inferior margin of occiput and T1 with a duration of more than two months with Numerical Rating Scale (NRS) score for pain from 3 to
- •Phase2-Patient who have positive TMD dysfunction on HCDI ( Helkimo clinical dysfunction index)and FAI ( Fonseca’s anamnestic index) with chronic neck pain in the age group of 20 to 50 years.
排除标准
- •Subjects with history of cervical or facial trauma or surgery, diagnoses of cervical myelopathy, congenital or acquired anomalies involving the spine and pelvis such as scoliosis,any systemic arthritis, recurrent middle ear infections over the last 5 years or any hearing impairment requiring the use of a hearing aid, patients with vestibular dysfunction, such as vertigo, any disorder of the central nervous system and pregnancy or breast-feeding will be excluded from this study.
- •Subjects have/had dental/orthodontic treatment within the past seven days.
- •Head loaders and Mathadi workers with severe neck pain.
- •Chronic tobacco chewer and smoker.
结局指标
主要结局
Jaw functional limitation scale and ROM of the jaw (MMO), Neck disability index, Cervical Posture angles, Cervical ROM, Neck flexor endurance, PHQ-9 , GAD-7
时间窗: Assessment will be done at the beginning of the study period and will repeat on the 2nd week and last day of the study period.
次要结局
- PHQ-9, GAD-7(2years)