Comparative Efficacy of Kinesiotaping and Stretching on Sternocleidomastoid and Upper Trapezius Muscles in Patients Suffering From Myofascial Pain Due to Temporomandibular Joint Disorder
Overview
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Istanbul Arel University
- Enrollment
- 33
- Locations
- 1
- Primary Endpoint
- Range of Motion
Overview
Brief Summary
Purpose: This study determined the effects of Kinesiotaping and Stretching on pain, cervical joint range of motion and functional status in patients with myofascial pain due to temporomandibular joint disorder.
Methods: 33 patients with myofascial pain due to temporomandibular joint disorder were included in the study. The patients were divided into three groups by simple randomization (Kinesiotaping group, Stretching group and Control group). Patients in the Kinesiotaping and Stretching groups received application for their Upper Trapezius and Sternocleidomastoid muscles twice a week for two weeks by the same physiotherapist. No application was made to the Control group. Cervical joint range of motion, muscle strength and pain were evaluated. Additionally, algometry tests and functional evaluation were performed. The tests were performed in the Kinesiotaping and Stretching groups before the applications and at the end of week 1 and week 2, on the other hand Control group evaluated before the application and at the end of week 2.
Detailed Description
This study is my master's thesis that I conducted in 2018. Our prospective clinical study was approved by the Non-Interventional Ethics Committee. The study was conducted at Dentistry Prosthetic Odontotherapy Outpatient Clinic between February 2018 and April 2018. Volunteering 33 patients between the ages of 18 to 60 years and who applied clinics and were diagnosed with myofascial pain due to TMJ disorder according to Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) classification were included in the study. The patients were divided into groups using simple randomization method. There are 11 patients in groups. Blinding was ensured by patients and dentist were unaware the type of physiotherapy treatment application. Patient evaluation was repeated 3 times: before the treatment, at the end of week 1, and at the end of week 2 of the treatment.
In our study, the effects of conservative treatment options used in 'treatment of TMD on 'disease symptoms were examined compared with the control group. A 2-week follow-up was foreseen for the acute impact outcomes of the study.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 60 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Age between 18 and 60 years
- •Myofascial pain according to RDC/TMD
- •Natural posterior occlusion and volunteering
- •Being informed and signing the consent to participate in the research.
Exclusion Criteria
- •Presence of dentofacial anomalies
- •Arthralgia
- •Disk displacement
- •General inflammatory connective tissue diseases (e.g. rheumatoid arthritis)
- •Psychiatric disease
- •Orofacial disease symptoms (neuralgia, migraine, etc.)
- •Local skin infection
- •Using regular analgesic
- •Fibromyalgia
- •History of TMJ-related surgery
Outcomes
Primary Outcomes
Range of Motion
Time Frame: 2 weeks
The range of motion of the cervical joint was assessed using a goniometer
Pain Intensity
Time Frame: 2 weeks
The subjective pain intensity of the patients was assessed with the Visual Analogue Scale. The Visual Analog Scale includes scoring between 0 and 10. The corresponding numbers from 0 to 10 were explained to the patients. It was explained that the absence of pain was 0, the most severe pain felt was 10, and moderate pain was 5. For the Upper Trapezius and SCM muscle, the patients were asked to mark their resting and functional pain from the scale.Additionally, pain during palpation of the upper trapezius and sternocleidomastoid muscle was assessed with algometry.
Research Diagnostic Criteria for Temporomandibular Disorders
Time Frame: 2 week
Klinik değerlendirme formunun içeriğinde ağrının nedeni ve ağrının tarafı, ağız açılma şekli ve açılma miktarı, eklem sesleri, eksantrik hareket miktarları ve hareket sırasındaki ağrı durumları, eklem sesleri ve kas ağrıları palpasyonla değerlendirildi. .
Mouth Opening Distance
Time Frame: 2 weeks
The mouth opening of the patients was measured in millimeters for the distance between anterior incisors of the upper and lower jaws.
Muscle Strength
Time Frame: 2 week
Cervical muscle strength was assessed manually
Secondary Outcomes
- The Patient Health Questionnaire(2 weeks)
- Jaw Functional Limitation Scale(2 weeks)
Investigators
Ozge Baykan Copuroglu
Prelector/ Physiotherapist
Istanbul Arel University