Effectiveness of Myofascial Release and Exercises Therapy in the Treatment of Temporomandibular Disorders: a Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 64
- 主要终点
- Intensity of pain (100-mm VAS)
研究概览
简要总结
Objectives: The aim of this research is to compare the effectiveness of myofascial release therapy and exercise therapy on pain, quality of sleep, anxiety, trigger points, and joint sounds in individuals with temporomandibular disorders and myofascial pain-dysfunction syndrome.
Material and Methods: A single-blind randomized clinical trial will be conducted in a university research clinic. Sixty-four subjects with temporomandibular disorders and myofascial pain-dysfunction syndrome will be randomly assigned to physical therapy group (myofascial release protocol and Rocabado exercise therapy) and control group (exercise therapy). Intensity of pain, quality of life, quality of sleep, anxiety, trigger points, and joint sounds will be collected at baseline, and forty-eight hours after the intervention phase.
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 (Outcomes Assessor)
入排标准
- 年龄范围
- 30 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Presence of myofascial pain with or without jaw opening limitation (Ia and Ib) according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC / TMD).
- •A chief complaint of acute pain (duration < 6 months) in the temporomandibular joint on at least one side.
- •The presence of joint clicking during jaw opening that was eliminated on protrusive opening.
- •Agreement to attend evening therapy sessions.
排除标准
- •Subjects with dental pain or tender muscles caused by systemic diseases.
- •Major psychological disorders.
- •A recent history of trauma in the face and neck area.
- •Subjects wearing full or partial dentures.
- •Edentulism.
- •Therapeutic co-interventions during treatment.
- •Indication for surgical treatment of temporomandibular joint.
结局指标
主要结局
Intensity of pain (100-mm VAS)
时间窗: Changes from baseline in intensity of pain at twelve weeks
A 100-mm VAS was used for determining pain intensity, ranging from 0 (no pain) to 100 (very severe pain).
次要结局
- Physical parameters of active and passive mouth opening(Changes from baseline in active and passive mouth opening at twelve weeks)
- Physical parameters of pain in masseter muscles(Changes from baseline in pain in temporalis muscles at twelve weeks)
- State and trait anxiety (state anxiety questionnaire and trait - STAI)(Changes from baseline in state and trait anxiety at twelve weeks)
- Physical parameters of pain in lateral pterygoid muscles(Changes from baseline in pain in lateral pterygoid muscles at twelve weeks)
- Quality of Sleep (Pittsburgh Sleep Quality Index - PSQI)(Changes from baseline in quality of sleep at twelve weeks)
- Physical parameters of pain in temporalis muscles(Changes from baseline in pain in temporalis muscles at twelve weeks)
- Physical parameters of lateral condyle pole and temporal tendon insertion pain(Changes from baseline in Lateral condyle pole and temporal tendon insertion pain at twelve weeks)
- Physical parameters of clicking sound when opening / close palpation(Changes from baseline in clicking sound when opening / close palpation at twelve weeks)
研究者
Adelaida María Castro-Sánchez
PhD (Lecturer)
Universidad de Almeria