Thermograph Evaluation of Masticatory and Cervical Muscles After Physiotherapeutic Treatment in Tmd Subjects
- Conditions
- Temporomandibular Joint Dysfunction
- Interventions
- Other: Manual Therapy TreatmentDevice: Placebo Ultrasound
- Registration Number
- NCT02822469
- Lead Sponsor
- Daniela Ap. Biasotto-Gonzalez
- Brief Summary
Background: Different therapeutic approaches have been proposed for the treatment of TMD. Myofascial and joint techniques, exercises, intraoral devices, thermal, electro and phototherapy applications, are among the most common. The combination of local treatments and adjacent structures such as the cervical region have also been studied in this area. It is believed that the anatomic proximity, neuronal interconnections and convergent afferents from the trigeminal and cervical areas can lead the understanding of the relationship of these structures. In order to assess the effects of these different forms of treatment studies have used different resources such as diagnostic imaging and biological signals, in order to complement the clinical diagnosis. Infrared thermography has been one of the resource assessment in the literature and it is interesting and stands out from other methods because it is functional, non-invasive and inexpensive.
Purpose: To evaluate the thermograms concerning the masseter and anterior temporal muscles, severity, pain, range of mandibular motion and neck disability in TMD patients, before and after physical therapy applied to the cervical and thoracic regions.
Methods: This is a randomized, placebo-controlled study, designed to evaluate the effects of indirect treatment on the thermography of the masticatory muscles, severity, pain, range of motion and neck disability in individuals with TMD. These will be randomized and allocated into two groups: GA (intervention) and GB (placebo) and assessed as: Diagnostic Criteria for Temporomandibular Research Disorders (RDC/TMD), Fonseca´s Anamnesic Index (FAI), Thermography, EVA, IDD-CF, Pachymetry and Neck Disability Index (NDI).
Statistical analysis: The temperature of the orofacial region, acquired through thermography is considered the primary endpoint and as a secondary endpoint will be the evaluation of the severity according to FAI, pain by VAS and IDD-CF, the range of mandibular motion by pachymetry and neck disability by NDI.
Statistical analysis: The normality of the data will be verified using the Kolmogorov-Smirnov test, which will be expressed as mean and standard deviation and/or median and interquartile range. Repeated measures analysis of variance of two factors, post hoc Bonferroni will be used for inter and intra-group comparisons. The significance level of p≤0.05 is set.
- Detailed Description
This is a randomized, placebo-controlled, study designed to evaluate the thermograms concerning the masseter and anterior temporal muscles, severity, pain, range of mandibular motion and neck disability in TMD patients, before and after physical therapy applied to the cervical and thoracic regions.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 30
- Age between 18 and 45 years;
- presence of pain in the facial region in the last 6 months;
- diagnosis of myofascial pain (I) and/or disc displacement (IIa and IIb) determined by the DRC/TMD; Moderate DTM Record carrier or determined by Fonseca Anamnesic Index.
- A history of trauma/cervical surgery and/or craniofacial;
- Neurological disorders;
- cervical disc disease;
- degenerative diseases of the spine;
- systemic diseases;
- diagnosis of fibromyalgia;
- prior treatments for TMD for the last 3 months;
- orthodontic treatment/orthopedic in progress;
- continuous use of analgesics, anti-inflammatories, anxiolytics and/or antidepressants;
- BMI> 25 kg / m2;
- pregnancy.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Manual Therapy Treatment Group Manual Therapy Treatment Severe and Moderate TMD patients who filled the inclusion criteria who will receive the Manual Therapy Treatment Placebo Ultrasound Treatment Group Placebo Ultrasound Severe and Moderate TMD patients who filled the inclusion criteria who will receive the Placebo Treatment.
- Primary Outcome Measures
Name Time Method Changes in Skin Temperature Baseline and 4 weeks Measured by the Infrared thermographic digital camera
- Secondary Outcome Measures
Name Time Method Changes in TMD severity Baseline and 4 weeks Measured by Fonseca´s Anamnesic Index
Changes in Referred Pain Baseline and 4 weeks Measured by Visual Analogic Scale
Changes in Neck disability Baseline and 4 weeks Measured by the Neck Disability Index
Changes in Pain incapacity Baseline and 4 weeks Measured by the IDD-CF
Changes in Movement Range of Motion (Opening) Baseline and 4 weeks Measured using a pachymeter (mean values of 3 opening measures)
Trial Locations
- Locations (1)
University of Nove de Julho
🇧🇷Sao Paulo, São Paulo, Brazil