Effect of Myofascial Release Therapy Applied to Selective Muscles on Mobility and Function in Patients With Temporomandibular Dysfunction: A Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 45
- Locations
- 2
- Primary Endpoint
- Algometer
Study Overview
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 Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Masking Description
This study was conducted as a single-blind randomized controlled trial, where participants were unaware of their group assignments. The care provider, investigator, and outcome assessor were also blinded to the group allocation to minimize assessment bias. The randomization process was conducted independently to ensure allocation concealment.
Eligibility Criteria
- Ages
- 18 Years to 50 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
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
Outcomes
Primary Outcomes
Algometer
Time Frame: 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
Time Frame: 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 Outcomes
- DC-TMD Evoluation(10 minute)
- Oswestry Low Back Disability Survey(10 minute)
Investigators
Ebru Senel T
PhD student.
Istanbul Medipol University Hospital