Manual Therapy and Exercises Applied to Cervical Spine in Patients With Temporomandibular Disorders

Not Applicable

Withdrawn

• Conditions: Temporomandibular Joint Dysfunction Syndrome
• Interventions: Other: Manual therapy; Device: Pressure biofeedback device

• Registration Number: NCT01954511
• Lead Sponsor: Universidade Federal de Sao Carlos

Brief Summary

The objective of this study was to investigate the effect of a manual therapy and exercise program, focused on the rehabilitation of cervical function, on clinical signs and mandibular function in subjects with TMD.

Detailed Description

Temporomandibular disorder (TMD) is a general term that refers to disorders associated with the temporomandibular joint (TMJ) and the masticatory muscles. Among the main symptoms are pre-auricular pain (in the region of the TMJ) and/or pain in the masticatory muscles.

It's usual to observe that subjects with TMD also present cervical alteration. Beside this, cervical postural alterations produced by muscle tension can influence mandibular position.

The intervention protocol was based on manual therapy, stabilization exercises and stretching.

The technique are:.

1. Upper cervical flexion mobilization;

2. C5 central posterior-anterior mobilization;

3. Stabilization exercise: Cranio-cervical flexor stabilization exercise

4. Stretching of muscles: upper trapezius, scalenes, semispinalis capitis; splenius capitis, sternocleidomastoid

Study Timeline

• Study Start: 2012-07
• Primary Completion: 2012-12
• Study Completion: 2012-12
• Study First Submitted: 2013-09-17
• Study First Submitted QC: 2013-09-26
• Study First Posted: 2013-10-01
• Status Verified: 2019-09
• Last Update Submitted: 2019-09-25
• Last Update Posted: 2019-09-27

Recruitment & Eligibility

• Status: WITHDRAWN
• Sex: Female
• Target Recruitment: Not specified

Inclusion Criteria

• Patients diagnosed with myogenic or mixed temporomandibular disorders

Exclusion Criteria

• Patients diagnosed with arthrogenic or discogenic temporomandibular disorders

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Manual therapy	Pressure biofeedback device	Upper cervical flexion mobilization, C5 central posterior-anterior mobilization, Pressure biofeedback device
Manual therapy	Manual therapy	Upper cervical flexion mobilization, C5 central posterior-anterior mobilization, Pressure biofeedback device

Primary Outcome Measures

Name	Time	Method
Changing in maximum mouth opening pain free	Before and 5 days follow-up intervetion	The clinical signs was based on Research Diagnostic Criteria protocol and it was measured maximum mouth opening pain free using a caliper ((Somet, 150mm, Inox, Czechoslovakia)

Secondary Outcome Measures

Name	Time	Method
Changing of Pain	Before and 5 days follow-up intervetion	To evaluate pain it was applied a scale from Research Diagnostic Criteria protocol, that consists of a line scored from 0 to 10, where 0 represents no pain and 10 the worst pain that the subject has experienced, allowing it to check the number that features their pain at the moment.