Physiotherapy on the Airway of Bruxist Children

NCT01178229 | Completed Phase 1

• 1 other identifier: via aerea 01
• Study Type: interventional
• Target: 26
• Locations: 1 country
• Sites: 1

Brief Summary

Objective: to evaluate the effects of physiotherapy on the anteroposterior airway size in a group of bruxist children Question: Is a physiotherapeutic technique aiming at changing the head posture, effective to increase the anteroposterior dimensions of the upper airway in bruxist children? Hypothesis: The bruxist children treated with physiotherapy will present higher airway dimensions Design: randomized clinical trial with allocation and blinding of the examiners. Participants: 3 to 6 year old children with complete primary dentition, dental and skeletal class I occlusion. The participants were classified as bruxist according to the minimal criteria of the ICSD for bruxism. The children were randomized in an experimental (n=13) and a control (n=13) group. Intervention: A physiotherapeutic intervention using the Awareness through movement technique was applied to the children of the experimental group once a week, until 10 sessions were completed. Outcome measures: anteroposterior measurements of the nasopharynx, oropharynx and hypopharynx taken in a lateral cephalogram with standardized techniques.

Conditions

Sleep Bruxism; Airway Remodeling; Physical Therapy Modalities

Keywords

Sleep bruxism; Airway remodeling; Physical therapy modalities; Child preschool.

Outcome Measures

Primary Outcomes (9)

• ad1

  ad1: Distance between the posterior nasal spine (PNS) and basion (Ba) along the line which intersects the anterior and posterior pharyngeal wall.

  After 10 sessions of physiotherapy

• ad2

  ad2: Distance between the anterior and posterior pharyngeal wall traced perpendicular to the plane sella (S) Ba plane and passing through PNS.

  After the 10 sessions of physiotherapy

• Angle ad1-ad2

  Angle ad1-ad2: angle formed by ad1 and ad2.

  After 10 sessions of physiotherapy

• OAW1

  OAW1: the distance between the points where the functional occlusal plane intersects the anterior and posterior pharyngeal walls.

  After 10 sessions of physiotherapy

• OAW2

  OAW2: the distance between points where a line passing through hyoid (hy) and C2 i intersects the anterior and posterior pharyngeal walls.

  After 10 sessions of physiotherapy

• OAW3

  OAW3: the distance between the points where a line passing through hy and C4 i intersects the anterior and posterior pharyngeal walls.

  After 10 sessions of physiotherapy

• Angle OAW2-OAW3

  Angle OAW2-OAW3: angle formed by OAW2 and OAW3.

  After 10 sessions of physiotherapy

• SPPS

  SPPS: anteroposterior dimension of the pharynx measured between the posterior pharyngeal wall and the dorsum of the soft palate on a line parallel to the Frankfort horizontal (FH) plane that runs through the middle of a line from PNS to the distal extreme of the soft palate (P).

  After 10 sessions of physiotherapy

• IPS

  IPS: anteroposterior dimension of the pharynx measured between the posterior pharyngeal wall and the dorsum of the tongue on a line parallel to the FH plane that runs through C2i

  after 10 sessions of physiotherapy

Study Arms (2)

Physiotherapy

EXPERIMENTAL

group of bruxist children that received physiotherapy to change the head posture

Other: Physiotherapy

Control

NO INTERVENTION

Group of bruxist children that did not receive treatment

Interventions

Physiotherapy OTHER

The physiotherapeutic intervention was based on the Awareness through Movement technique. Ten sessions were planed. Each session lasted three hours. The children of the experimental group and their parents were guided by two physiotherapist and the sessions took place in a room rounded by mirrors. Each session developed as follows: presentation to the parents of the somatic awareness technique for each day; movements, games, motor tales and exercises performed by the children; in each session, a guide book with cartoons was given to the children and their parents to reinforce the exercises at home to keep a long-term result. All the children assisted together to all the sessions and the instructions and instruments given to the children and their parents were the same for all of them.

Also known as: Awareness through movement

Physiotherapy

Eligibility Criteria

• Age: 3 Years - 6 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• All the children accomplished the minimal criteria of the International Classification of Sleep Disorders (ICSD) for sleep bruxism.
• High anxiety level according to the Conners' Parents' Rating Scales.
• Three to six year old.

You may not qualify if:

• Skeletal malocclusions confirmed with cephalometric x-rays
• Dental malocclusions confirmed with dental casts.
• The reports of respiratory diseases.
• Presence of mouth breathing.
• Functional alterations in the body posture, due to any illness

Sponsors & Collaborators

• CES University: lead

Study Sites (1)

CES Sabaneta Physiotheray Center

Sabaneta, Antioquia, Colombia

Location

MeSH Terms

Conditions

Sleep Bruxism; Airway Remodeling

Interventions

Physical Therapy Modalities

Condition Hierarchy (Ancestors)

Bruxism; Tooth Diseases; Stomatognathic Diseases; Parasomnias; Sleep Wake Disorders; Nervous System Diseases; Mental Disorders; Pathological Conditions, Anatomical; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Therapeutics; Rehabilitation

Study Officials

• Claudia Restrepo, DDS

  Director CES-LPH Research Group

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: August 5, 2010
• First Posted: August 10, 2010
• Study Start: January 1, 2006
• Primary Completion: June 1, 2007
• Study Completion: November 1, 2007
• Last Updated: August 10, 2010

Record last verified: 2006-07

Locations

CO (1)