Investigation of the Effects of Kinesio Taping and Manual Therapy in Patients With Bruxism
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Bruxism
- Sponsor
- Gazi University
- Enrollment
- 32
- Locations
- 1
- Primary Endpoint
- Pain Pressure Threshold of Temporalis Muscle
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
Bruxism is defined as a repetitive jaw-muscle activity characterized by tooth grinding or clenching accompanied with wearing of the teeth, and jaw muscle discomfort in the absence of a medical disorder . Bruxism has two distinct circadian manifestations: it can be nocturnal or diurnal. Hypertrophy of the masseter muscle is an objective sign of bruxism. Additionally, fatigue or stiffness in the masticatory muscles, pain in the temporomandibular joint or headaches are subjective signs of bruxism. According to literature, 85% to 90% of the general population experience episodes of bruxism during their lives. Thus, finding an effective treatment method for bruxism is crucial.The aim of this study is to investigate the effects of two different physiotherapy approaches on the masseter muscle thickness and stiffness in patients with Bruxism.
Detailed Description
There is no certain treatment for Bruxism. However, the most recent recommendation is to follow the Multiple-P approach prior to medical drug regimens and invasive procedures. Different methods used in the conservative management of Bruxism are known as the "multiple-P" approach, which consists of; physiotherapy, plates, pep talk, pills and psychology . Physiotherapy generally focuses on two objectives: decreasing the adverse effects of bruxism to the masticatory muscles and increasing self-awareness regarding this habit. These studies involve different intervention such as massage of the masticatory and cervical muscles, electrotherapy, therapeutic exercises, taping interventions or relaxation therapies . However, literature regarding which physiotherapy intervention is the most effective in bruxism is not clear. Therefore patients in this study were randomly divided into one of two groups; manual therapy or kinesio taping. All patients were assessed at baseline, received 4 weeks of treatment and were assessed following the 4 weeks.
Investigators
Gokhan Yazici
Principal Investigator
Gazi University
Eligibility Criteria
Inclusion Criteria
- •A Bruxism Diagnosis according to the criteria of the international classification for sleep disorders
- •Self-report of awake bruxism
Exclusion Criteria
- •Having more than 2 missing teeth
- •The presence of removable partial dentures
- •Having neurological, psychiatric or motor disorders
- •Having any ongoing dental or physical therapy
- •Active cancer
Outcomes
Primary Outcomes
Pain Pressure Threshold of Temporalis Muscle
Time Frame: Change from Baseline Pain Pressure Threshold of Temporalis Muscle at 4 weeks
Pain Pressure Threshold was determined using a digital algometer (Lafayette Manual Muscle Test System™, Model 01163, Lafayette Instrument Company, Indiana, USA) which consists of a padded disc attached to a microprocessor control unit that measures peak force (Newton). The Pain Pressure Threshold of the temporalis muscle was assessed via the algometer. During Pain Pressure Threshold assessment, the researcher positioned the algometer on the trigger points of the respective muscle and increase the amount of pressure applied until the participant verbally informed the researcher when the sensation of pressure became pain. The applied pressure was read from the digital screen after each assessment.
Pain Pressure Threshold of Trapezius Muscle
Time Frame: Change from Baseline Pain Pressure Threshold of Trapezius Muscle at 4 weeks
Pain Pressure Threshold was determined using a digital algometer (Lafayette Manual Muscle Test System™, Model 01163, Lafayette Instrument Company, Indiana, USA) which consists of a padded disc attached to a microprocessor control unit that measures peak force (Newton). The Pain Pressure Threshold of the trapezius muscle was assessed via the algometer. During Pain Pressure Threshold assessment, the researcher positioned the algometer on the trigger points of the respective muscle and increase the amount of pressure applied until the participant verbally informed the researcher when the sensation of pressure became pain. The applied pressure was read from the digital screen after each assessment.
Pain Pressure Threshold of Masseter Muscle
Time Frame: Change from Baseline Pain Pressure Threshold of Masseter Muscle at 4 weeks
Pain Pressure Threshold was determined using a digital algometer (Lafayette Manual Muscle Test System™, Model 01163, Lafayette Instrument Company, Indiana, USA) which consists of a padded disc attached to a microprocessor control unit that measures peak force (Newton). The Pain Pressure Threshold of the masseter muscle was assessed via the algometer. During Pain Pressure Threshold assessment, the researcher positioned the algometer on the trigger points of the respective muscle and increase the amount of pressure applied until the participant verbally informed the researcher when the sensation of pressure became pain. The applied pressure was read from the digital screen after each assessment.
Secondary Outcomes
- Sleep Quality(Change from Baseline Sleep Quality at 4 weeks)