Effect of Maitland Mobilization Versus Muscle Energy Technique in Patients with Temporomandibular Joint Dysfunction: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 45
- 试验地点
- 1
- 主要终点
- pain using the visual analogue scale (VAS)
研究概览
简要总结
Temporomandibular joint dysfunction (TMD) is a common musculoskeletal disorder characterized by jaw pain, restricted mouth opening, joint sounds, and functional limitations. Owing to its multifactorial etiology, conservative physiotherapy management—particularly manual therapy—is considered the first line of treatment. Maitland mobilization and Muscle Energy Technique (MET) are frequently used techniques, but evidence directly comparing their effectiveness in TMD is limited.
This randomized controlled trial aims to compare the effects of Maitland mobilization and MET on pain, maximal mouth opening, and functional disability in patients with TMD. A total of 45 participants (aged 19–60 years) diagnosed with TMD will be randomly allocated into three groups:
Group A: Maitland mobilization + TENS + exercises
Group B: MET + TENS + exercises
Group C: TENS + exercises
Intervention will be given for two weeks (6 sessions). Outcomes will be assessed pre- and post-intervention using the Visual Analogue Scale (VAS), Maximal Mouth Opening (MMO), and Fonseca Anamnestic Index (FAI).
Data will be analyzed using SPSS version 25.0 with appropriate parametric and non-parametric tests. The study aims to provide evidence-based guidance on the relative effectiveness of Maitland mobilization and MET in the physiotherapy management of temporomandibular joint dysfunction.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Outcome Assessor Blinded
入排标准
- 年龄范围
- 19.00 Year(s) 至 60.00 Year(s)（—）
- 性别
- All
入选标准
- •Both males and females with pain in the TMJ, reduced mouth opening for more than one month due to conditions like trismus, fibromyalgia, bruxism, patients having undergone maxillofacial surgeries after submaxillary space infection, post-operative cases of zygomatic arch fracture, or mandible fracture.
排除标准
- •Patients with Degenerative TMJ arthritis, malignant tumours of the face and jaw, a history of TMJ dislocation, hypermobile TMJ, and missing lower premolar or molar teeth.
结局指标
主要结局
pain using the visual analogue scale (VAS)
时间窗: before the treatment and reassessed after 2 weeks, i.e., 6 sessions
次要结局
- maximal mouth opening (MMO)(before the treatment and reassessed after 2 weeks, i.e., 6 sessions)
- Functional disability was measured by the Fonesca Anamnestic Index (FAI)(before the treatment and reassessed after 2 weeks, i.e., 6 sessions)
研究者
Dr Neeraj Athavale PT
School of Physiotherapy, Pune Bharati vidyapeeth (Deemed to be University)