Effects of Aerobic Exercise on Pain in Patients With Myogenous Temporomandibular Disorders and Suspicion of Central Sensitization: A Pilot Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- Change of baseline in Pain Pressure Threshold at 2 weeks, 1 month (final) and 3 months (post)
研究概览
简要总结
Temporomandibular disorders are common in the general population, the myogenic subtype being the most frequent. Central sensitization seems to be present in this pathology, with a decreased pain pressure threshold observed in both local and remote areas. The best evidence-based treatment consists in combining education, manual therapy and therapeutic exercise in both temporomandibular and cervical regions. Aerobic exercise showed to be effective in subjects with chronic pain and central sensitization, by inducing an hypoalgesic effect. However, there isn't investigation about the effects of aerobic exercise in subjects with myogenic temporomandibular disorders and central sensitization. Thus, the aim of the pilot study is to determine if adding aerobic exercise to an effective physical therapy programme is more effective than physical therapy alone to improve pain pressure threshold in subjects with myogenic temporomandibular disorders and suspicion of central sensitization.
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosis of a myogenic temporomandibular disorder (DC/TMD) by an odontologist.
- •A minimum score of 30 in the Central Sensitization Index
- •Positive FRT
排除标准
- •History of trauma, TMJ or cervical fracture the past three months
- •History of TMJ or cervical surgery
- •Systemic, rheumatic, metabolic, neurologic, psychiatric, pulmonary diseases or neoplastic malignant
- •History of cardiovascular diseases which contraindicate aerobic exercise
- •Current orthodontic treatment, splints for bruxism
- •Drug addiction, alcoholism
- •Pregnancy
- •Use of analgesic medication less than 48 hours before each data collection
- •Physical therapy treatment during the past three months
结局指标
主要结局
Change of baseline in Pain Pressure Threshold at 2 weeks, 1 month (final) and 3 months (post)
时间窗: Baseline - 2 weeks - 1 month (final) - 3 months
Bilateral measure with digital algometer: TMJ, masseter, temporal, SCOM, achilles Tendon
次要结局
- Change of baseline in Pain intensity at 2 weeks, 1 month (final) and 3 months (post)(Baseline - 2 weeks - 1 month (final) - 3 months posts)
- Change of baseline in Central Sensitization at 2 weeks, 1 month (final) and 3 months (post)(Baseline - 2 weeks - 1 month (final) - 3 months post)
- Change of baseline in Jaw function at 1 month (final) and 3 months (post)(Baseline - 1 month (final) - 3 months post)
- Change of baseline in Anxiety and depression at 1 month (final) and 3 months (post)(Baseline - 1 month (final) - 3 months posts)
- Change of baseline in Jaw range of motion al 1 month (final) and 3 months (post)(Baseline - 1 month (final) - 3 months posts)
- Change of baseline in Perceived change at 1 month (final) and 3 months (post)(Baseline - 1 month (final) - 3 months posts)
- Change of baseline in Cervical global ROM at 1 month (final) and 3 months (post)(Baseline - 1 month (final) - 3 months post)
- Change of baseline in Upper cervical ROM at 2 weeks, 1 month (final) and 3 months (post)(Baseline - 2 weeks - 1 month (final) - 3 months posts)
- Change of baseline in Sleep Quality at 1 month (final) and 3 months (post)(Baseline - 1 month (final) - 3 months posts)
- Change of baseline in Neck disability at 1 month (final) and 3 months (post)(Baseline - 1 month (final) - 3 months posts)
研究者
Flora Dantony
Physical therapy department
Universitat Internacional de Catalunya