Effect of Cervical Manual Physical Therapy on Headache and Cervical Function in Subjects with Temporomandibular Disorders with Headache

Not Applicable

Completed

• Conditions: Diseases of the musculoskeletal system and connective tissue

• Registration Number: KCT0007803
• Lead Sponsor: Daejeon University

Brief Summary

After the interventions, the experimental group exhibited significant reductions in the cervical kyphotic angle, Korean Headache Impact Assessment score, neck pain intensity, temporomandibular joint pain pressure threshold, Neck Disability Index score, and Jaw Functional Limitation Scale level compared to controls (p < 0.01).

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Completion: 2021-09-30
• Last Update Posted: 24 October 2022

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 34

Inclusion Criteria

(1) headaches experienced after diagnosis of TMD, accompanied by one or more symptoms such as mouth-opening restriction, TMJ pain, and clicking sounds (TMJ noises); (2) score =50 points on the Headache Impact Assessment questionnaire; (3) ability to participate in the experiment (from 24 h before the assessment and during the intervention period) without using analgesics or muscle relaxants; (4) primary diagnosis of myofascial pain according to Axis I, categories Ia and Ib (i.e., myofascial pain with or without mouth-opening restriction) of the Research Diagnostic Criteria for TMD; (5) a pain intensity of =30 mm in the masseter muscle fascia on the 100-mm visual analog scale (VAS), according to the diagnostic criteria described by Simons et al.;16 (6) a history of pain for at least three months’ duration before the study; and (7) understanding the purpose of the study and provision of written informed consent.

Exclusion Criteria

(1) signs or symptoms of disc displacement, arthritis, or arthrosis of the TMJ according to Axes II and III of the Research Diagnostic Criteria for TMD; (2) a history of traumatic injury to the mandible or neck; (3) diagnosis of a systemic disease (rheumatoid arthritis, systemic iris lupus, or psoriasis arthritis); (4) fibromyalgia syndrome; (5) nervous system disorders, such as trigeminal neuralgia; (6) history of any form of treatment (physical therapy, splint therapy, acupuncture, and Botox treatment, among others) within three months preceding the study; (7) inability to stand upright for radiographic evaluation; and (8) congenital deformities of the head and neck areas.

Study & Design

• Study Type: Interventional Study
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
headache and cervical pain intensities, TMJ PPT, cervical kyphotic angle, Neck Disability Index (NDI), and Jaw Functional Limitation Scale score (JFLS)

Secondary Outcome Measures

Name	Time	Method
headache and cervical pain intensities, TMJ PPT, cervical kyphotic angle, Neck Disability Index (NDI), and Jaw Functional Limitation Scale score (JFLS)