Effect of Manual Therapy on Jaw Movement and Function in Patients With Bruxism
试验速览
- 阶段
- 不适用
- 入组人数
- 120
- 主要终点
- changes of Trigger point pressure pain threshold
研究概览
简要总结
Hypothesis
- There will be no significant statistical effect of Trigger Point Pressure release and Deep striking massage on pain level in patients with bruxism.
- There will be no significant statistical effect of Trigger Point Pressure release and Deep striking massage on Range of Motion in patients with bruxism.
- There will be no significant statistical effect of Trigger Point Pressure release and Deep striking massage on Sleep Quality Index in patients with bruxism.
- There will be no significant statistical effect of Trigger Point Pressure release and Deep striking massage on proprioception awareness in patients with bruxism.
- There will be no significant statistical effect of Trigger Point Pressure release and Deep striking massage on Stress in patients with bruxism.
- There will be no significant statistical effect of Trigger Point Pressure release and Deep striking massage on Anxiety in patients with bruxism.
- There will be no significant statistical effect of Trigger Point Pressure release and Deep striking massage on Temporomandibular (TMJ) function in patients with bruxism.
- There will be no significant statistical effect of Trigger Point Pressure release and Deep striking massage on Oral Health Impact Profile in patients with bruxism.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 40 Years(Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •The volunteers diagnosed with bruxism based on the criteria of the American Academy of Sleep Medicine
- •Positive self-report of awake bruxism.
- •Self-report of muscle fatigue or tenderness on awakening.
- •Sleeping partner reports of grinding sounds during the night in the last 6 months, or awake clenching.
排除标准
- •Severe psychological disorder and/or the use of antipsychotic psychotropic drugs(with the exception of anxiety and depression).
- •Using medications that influence sleep or motor behavior.
- •Direct trauma or past surgery in the orofacial region.
- •On physical, speech, dental, or psychological therapy at the time of study entry.
- •Currently undergoing physical therapy for TMD.
- •Neurological or central nervous system and/or peripheral nervous system disorders or history of neuromuscular disease.
- •The presence of prosthesis or extensive prosthetic restorations and the presence of gross malocclusion.
- •More than two missing teeth, except third molars;
- •Systemic and/or degenerative diseases.
研究组 & 干预措施
control group
干预措施: control group (Other)
deep friction massage group
干预措施: Deep friction massage (Other)
pressure release group
干预措施: Pressure release (Other)
结局指标
主要结局
changes of Trigger point pressure pain threshold
时间窗: Pre- and post-treatment (twelve treatment sessions within one month, three sessions per week).
To compare pressure pain threshold (PPT) values for selected muscles (temporalis, masseter, digastric and lateral pterygoid) in patients with bruxism before and after treatment using Pressure Algometer.
Changes of mandibular range of motion at month of treatment
时间窗: Pre- and post-treatment (twelve treatment sessions within one month, three sessions per week).
Vernier caliper used to measure opening, lateral movements, protraction and retraction.
次要结局
- Temporomandibular (TMJ) function(Pre- and post-treatment (twelve treatment sessions within one month, three sessions per week).)
- Changes of proprioception awareness(Pre- and post-treatment (twelve treatment sessions within one month, three sessions per week).)
- Stress(Pre- and post-treatment (twelve treatment sessions within one month, three sessions per week).)
- Anxiety(Pre- and post-treatment (twelve treatment sessions within one month, three sessions per week).)
- Changes of quality of sleep at month of treatment(Pre- and post-treatment (twelve treatment sessions within one month, three sessions per week).)
- Changes in Oral Health Impact Profile.(Pre- and post-treatment (twelve treatment sessions within one month, three sessions per week).)
研究者
HAhmed
lecture of biomechanics
Cairo University
