Myofascial Release Therapy for TMD Pain: A Randomized Trial

Not Applicable

Completed

• Conditions: Temporomandibular Joint Disorder; Myofascial Release; Low Back Pain

• Registration Number: NCT05673642
• Lead Sponsor: Istanbul Medipol University Hospital

Brief Summary

We aim to compare the effectiveness of MFR and exercise therapy on mobility and function by investigating the effectiveness of the Myofascial Release Technique (MFR), which we will apply to the muscles we choose related to the facial system connection in participants with temporomandibular dysfunction (TMD) and low back pain.

Detailed Description

We aim to compare the effectiveness of MFR and exercise therapy on mobility and function by investigating the effectiveness of the Myofascial Release Technique (MFR), which we will apply to the muscles we choose related to the facial system connection in participants with temporomandibular dysfunction (TMD) and low back pain.

Method and Material Working group (Group A): Myofascial release technique will be applied. A total of 10 sessions will be applied for 4 weeks, 3 times a week for the first 2 weeks, and 2 times a week for the next 2 weeks.

Exercise group (Group B): The stretching exercises that we planned to give to the exercise group were planned for the muscles to which we will apply myofascial technique.

• Control group (Group C): No application will be made to the control group. Evaluations will be made at the beginning of the study and at the end of 4 weeks. The evaluation parameters to be used are as follows; Oswestry Low Back Disability Survey, Algometer and Myotonometry.

Inclusion Criteria: Participants aged 18-50 years diagnosed with TMD,Persons with a score of 20% or more on the Oswestry waist index, and People with low back pain for more than 3 months,Persons with mechanical low back pain and lumbar disc herniation without neurological deficits will be included in the study.Persons with acute or chronic temporomandibular dysfunction will be included. Exclusion Criteria; Neurological problems,Presence of extruded and sequestered lumbar disc herniation,Cardiovascular symptoms and circulation problems,Infection,Fibromyalgia, Acute arthritis conditions,Those with spinal abnormalities,Fracture history, presence of dislocation / subluxation will be excluded

Study Timeline

• Study First Submitted: 2022-12-21
• Study First Submitted QC: 2022-12-21
• Study Start: 2022-12-23
• Study First Posted: 2023-01-06
• Primary Completion: 2023-01-25
• Study Completion: 2023-06-24
• Status Verified: 2025-06
• Last Update Submitted: 2025-06-19
• Last Update Posted: 2025-06-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 45

Inclusion Criteria

• Participants aged 18-50 years diagnosed with TMD
• Persons with a score of 20% or more on the Oswestry waist index, and
• People with low back pain for more than 3 months
• Persons with mechanical low back pain and lumbar disc herniation without neurological deficits will be included in the study.
• Persons with acute or chronic temporomandibular dysfunction will be included

Exclusion Criteria

• Neurological problems,
• Presence of extruded and sequestered lumbar disc herniation
• Cardiovascular symptoms and circulation problems,
• Infection,
• Fibromyalgia, Acute arthritis conditions
• Those with spinal abnormalities,
• Fracture history, presence of dislocation / subluxation will be excluded

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Algometer	5 minute	Pressure algometer will be used for temporomandibular joint pain. It will be applied to the lower masseter muscles and anterior temporalis muscles bilaterally on the lateral pole of the algometer and the average of three applications in each region will be taken.
Myotonometry	10 minute	It will be used to assess muscle tone differences. Myotonometry provides valid and reliable measurement of tissue stiffness. The measurement will be applied bilaterally to the masseter, temporalis, trapezius, erector spinal muscles, quadrates lumborum and TFL muscles.

Secondary Outcome Measures

Name	Time	Method
DC-TMD Evoluation	10 minute	The amount of mouth opening will be used to evaluate mandibular lateral shifts and mandibular protrusion.
Oswestry Low Back Disability Survey	10 minute	To be used to assess functional disability for the lower back

Trial Locations

Locations (1)

Istanbul Medipol University; 🇹🇷 Istanbul, Turkey