The Use of Manual Muscle Relaxation Techniques in the Treatment of Temporomandibular Joint Disorders

Not Applicable

Completed

• Conditions: Temporomandibular Disorder; Temporomandibular Joint Disorders
• Interventions: Procedure: Post-isometric muscle relaxation technique; Procedure: Myofascial release technique

• Registration Number: NCT05091996
• Lead Sponsor: Jagiellonian University

Brief Summary

The aim of the study was to compare the degree of relaxation of the anterior part of the temporal muscles and the masseter muscles achieved with the use of post-isometric relaxation and myofascial release methods in patients requiring prosthetic treatment due to temporomandibular joint disorders (TMD) with a dominant muscular component.

The study included 60 patients, both sexes, aged between 19 and 40. The patients who met the inclusion criteria were alternately assigned to one of the two study groups: I group consisted of the patients received post-isometric relaxation treatment (PIR), II group - patients received myofascial release treatment (MFR). Each group consisted of 30 subjects. The series of ten treatments were performed in both groups. The comparative assessment was carried out based on the data obtained from the physical examination, physiotherapeutic examination of the masticatory system, surface electromyography (sEMG) of anterior temporal and masseter muscles and the data on the intensity of spontaneous masticatory muscle pain assessed using the Visual Analogue Scale (VAS).

Detailed Description

Not available

Study Timeline

• Study Start: 2016-06
• Primary Completion: 2018-12
• Study Completion: 2018-12
• Study First Submitted: 2021-09-28
• Status Verified: 2021-10
• Study First Submitted QC: 2021-10-11
• Last Update Submitted: 2021-10-11
• Study First Posted: 2021-10-25
• Last Update Posted: 2021-10-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• diagnosed functional disorders of the masticatory system with the accompanying excessive tension of the masseter muscles,
• no clinical signs of displacement of the disc with a blockage in the temporomandibular joint,
• spontaneous pain in the masticatory muscles, lasting at least one month before treatment,
• good general health of the patient,
• full dental arches
• written consent to participate in the study

Exclusion Criteria

• occurrence of a face or head injury during participation in the research project,
• open wounds in the area where the therapy was carried out,
• sudden illness of the patient preventing participation in the study,
• the will to terminate participation in the study

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Post-isometric muscle relaxation group	Post-isometric muscle relaxation technique	The post-isometric relaxation techniques were administered to the mandibular adductors and muscles responsible for lateral movements of the mandible.
Myofascial release group	Myofascial release technique	The myofascial release procedure was performed successively in the area of the anterior parts of the temporal muscles, the superficial parts of the masseter muscles and the sternocleidomastoid muscles.

Primary Outcome Measures

Name	Time	Method
Change From Baseline Electrical Activity of the Anterior Part of the Temporal and Masseter Muscles at 10, and 14 days	Change From Baseline Electrical Activity of the Muscles at 10, and 14 days; Triple measurement: immediately before supportive treatment, after the last of the 10 relaxation treatments and on the 4th day after the end of therapy	The electrical activity of the anterior part of the temporal and masseter muscles was assessed by surface electromyography (sEMG). The assessment was performed using a two-channel device - NeuroTrac MyoPlus 4 (Verity Medical Ltd.) and surface electrodes (Noraxon inc.). Examination of the same muscles on the right and left sides of the body was performed at the same time. The muscle tone of the anterior part of the temporal muscles was assessed first, followed by the masseter muscles. The parameter describing the degree of electrical activity of the muscle was the mean value of the thirty-second sEMG measurement.
Change From Baseline in Muscle Pain Scores on the Visual Analog Scale at 10, and 14 days	Change From Baseline in Muscle Pain Scores on the Visual Analog Scale at 10, and 14 days; Triple measurement: immediately before supportive treatment, after the last of the 10 relaxation treatments and on the 4th day after the end of therapy	Assessment of the intensity of spontaneous pain in the masticatory muscles The intensity of spontaneous pain in the masticatory muscles was assessed on the basis of a 10-point visual analogue scale(VAS).This scale included 11 pain grades- from 0 to 10,where 0 was no pain at all, 5 was moderate pain, and 10 was the strongest pain imaginable.