Effects of Soft Tissue Mobilization of Neck Muscles in Individuals With Myogenous Temporomandibular Disorders: Muscle Energy Technique and Strain-counterstrain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 20
- 试验地点
- 2
- 主要终点
- Tenderness sensitivity in neck and masticatory muscles
研究概览
简要总结
This is a prospective case series study.There were 20 individuals with chronic neck pain accompanied by myogenous temporomandibular disorders(mTMD) from Linkou and Taoyuan Chang Gung hospitals, and Chang-Gung university. The purpose of this study was, first, to investigate the effects of muscle energy technique (MET) or strain-counterstrain (SCS) applied on the tender or trigger points of neck muscles on improving pain and pressure pain sensitivity in neck and masticatory muscles, the maximal mouth-opening range of motion, chewing endurance, and head-neck-shoulder posture in patients with chronic neck pain accompanied by mTMD. Second, whether the significant effects could be reached within the four-week intervention duration.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Sequential
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 20 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged 20~65
- •Self-report neck pain ≥3 months (pain occurs between superior nuchal line and 1st level of thoracic spine)
- •At least one tender point at both Upper trapezius and Sternocleidomastoid muscles
- •Diagnosed as mTMD according to the Diagnostic Criteria for Temporomandibular Disorders(DC/TMD)
排除标准
- •Cognitive deficit
- •Malignancy, infection, cervical or orthognathic surgery, acute pain, and history of trauma in craniocervical region
- •Neurological problem or cervical radiculopathy/myelopathy
- •Cervical instability with positive rotational alar ligament stress test and transverse ligament stress test, jaw dislocation
- •Tooth implantation or extraction a week before study
- •Vertebrobasilar insufficiency
结局指标
主要结局
Tenderness sensitivity in neck and masticatory muscles
时间窗: 4 weeks
measure the pressure pain threshold with digital pressure algometer
Pain intensity in neck and masticatory muscles
时间窗: 4 weeks
ask participants the self-report pain intensity with the NPRS scale
次要结局
- Head-neck-shoulder posture(4 weeks)
- Maximal mouth-opening(4 weeks)
- Chewing endurance(4 weeks)
研究者
Lin Yang-Hua
Associate Professor
Chang Gung University