Efficacy Of Different Types Of Physiotherapy Approaches In Temporomandibular Disorders
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 59
- 试验地点
- 2
- 主要终点
- Pain Severity Assessment
研究概览
简要总结
The aim of this study is to investigate the efficacy of different types of physiotherapy approaches in cases with cervical myofascial painful TMD.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 30 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
结局指标
主要结局
Pain Severity Assessment
时间窗: Change from baseline TMJ pain and intensity of head pain, TMJ noise and jaw locking score at week 4.
To evaluate the general pain severity of the patients, the Visual Analog Scale (VAS), which is the Visual Pain Scale of Turkish, was used. Patients were asked to mark their general pain separately on a 10 cm scale. According to this, "0" indicates that there is no pain, and "10" indicates the most severe pain. The distance between the marked point and the beginning of the line was recorded in centimeters
Jaw Movements Assessment
时间窗: Change from baseline MMO and lateral deviation score at week 4.
Maximum mouth opening (MMO) and lateral deviation were measured with a caliper.
Quality of Life Assesment
时间窗: Change from baseline quality of life score at week 4
Short Form-36 questionnaire contains the physical and mental component, which is evaluated, is close to 100, indicating an increase in health-related quality of life. The means SF-36 score ranging from 0 (worst) to 100 (best).
Temporomandibular Disorder Severity
时间窗: Change from baseline temporomandibular disorder severity score at week 4
The TMD severity in participation is defined by the Craniomandibular Index (CMI) which was developed to provide a standardized measure to the severity of problems in mandibular movement, muscle, and joint tenderness and TMJ noise for use in epidemiological and clinical outcome studies. The instrument was designed to have clearly defined objective criteria, simple clinical methods, and ease in scoring; it is divided into the Palpation Index (PI) and the Dysfunction Index (DI). The means of the subscales were averaged to produce a CMI score ranging from 0 (best) to 1 (worst)
Pressure Pain Threshold Assessment
时间窗: Change from baseline pressure pain threshold score in neck and mastication muscles at week 4.
Pressure Pain Threshold (PPT) of an individual's mastication and cervical muscle was measured with an algometer (JTECH Medical Industries, CommanderTMAlgometer), and the applied pressure was increased to 1 cm2/ kg per second. PPT measurements were repeated three times and the average was used for analysis in every participant.
Neck Movements Assessment
时间窗: Change from baseline cervical rotations and craniovertebral angle score at week 4.
Cervical rotations and the craniovertebral angle between C7 and tragus were measured by a goniometer.
次要结局
- Psychological Status Assesment(Change from baseline psychological status score at week 4.)
- Neck Disability Assesment(Change from baseline neck disability score at week 4.)
研究者
Abdurrahman Tanhan
research assistant
Bitlis Eren University