Effect of Massage Therapy and Occlusal Splint Therapy on the Electromyographic Activity and Mandibular Range of Motion in Individuals With Temporomandibular Disorder

NCT01874041 | Completed DMC

• 1 other identifier: U1111-1144-0809
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 1

Brief Summary

The objectives of this study were to investigate the effects of massage therapy and occlusal splint therapy in the electromyographic activity and mandibular range of motion (ROM) in individuals with temporomandibular disorder (TMD) and compare the results with those obtained in a group of individuals without this disorder. Twenty-eight volunteers with TMD were randomly distributed into two groups, massage therapy and occlusal splint. Both treatments lasted 4 weeks. Fourteen individuals without TMD were consecutively allocated to the control group. The Fonseca's anamnestic index was used to characterize TMD and allocate the volunteers to either the intervention groups or control group. The electromyographic activity and Mandibular ROM was evaluated before and after treatment using a digital caliper. Two-way analysis of variance with the Bonferroni test was used for inter and intragroup comparisons (level of significance was set to 5%). Cohen's d was used to calculate the effect size.

Conditions

Temporomandibular Disorder

Keywords

Physical Therapy Modalities; Facial Pain; Orthodontic Appliances

Outcome Measures

Primary Outcomes (1)

• Mandibular range of motion

  Mandibular range of motion(maximum active mouth opening, and right and left lateral excursion) was evaluated by a blinded examiner on two occasions (before and after treatment) using a digital caliper.

  1 year

Secondary Outcomes (1)

• Electromyographic activity

  1 year

Study Arms (3)

Massage group

EXPERIMENTAL

The massage group was submitted to three weekly 30-minute sessions of massage of the muscles of mastication over four consecutive weeks.

Other: Massage

The occlusal splint group

EXPERIMENTAL

The occlusal splint group was submitted to treatment with an occlusal splint for four weeks.

Other: Occlusal splint

Control group

NO INTERVENTION

The control group was not submitted to any form of intervention and was evaluated on two occasions, with a four-week interval between evaluations.

Interventions

Massage OTHER

Massage group

Occlusal splint OTHER

The occlusal splint group

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• male and female volunteers
• aged 18 to 40 years

You may not qualify if:

• occurrence of missing teeth
• current use of orthodontic appliance
• history of systemic or joint disease
• current use of analgesic, anti-inflammatory agent or muscle relaxant and currently undergoing physical therapy.

Sponsors & Collaborators

• University of Nove de Julho: lead

Study Sites (1)

University of Nove de Julho

São Paulo, São Paulo, 01504-001, Brazil

Location

Related Publications (1)

• Gomes CA, El Hage Y, Amaral AP, Politti F, Biasotto-Gonzalez DA. Effects of massage therapy and occlusal splint therapy on electromyographic activity and the intensity of signs and symptoms in individuals with temporomandibular disorder and sleep bruxism: a randomized clinical trial. Chiropr Man Therap. 2014 Dec 15;22(1):43. doi: 10.1186/s12998-014-0043-6. eCollection 2014.

  PMID: 25512839 DERIVED

Related Links

• Related Info

MeSH Terms

Conditions

Temporomandibular Joint Disorders; Facial Pain

Interventions

Massage; Occlusal Splints

Condition Hierarchy (Ancestors)

Craniomandibular Disorders; Mandibular Diseases; Jaw Diseases; Musculoskeletal Diseases; Joint Diseases; Muscular Diseases; Stomatognathic Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Therapy, Soft Tissue; Musculoskeletal Manipulations; Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation; Orthotic Devices; Orthopedic Equipment; Surgical Equipment; Equipment and Supplies

Study Officials

• Cid Gomes, MSc

  University of Nove de Julho

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MSc

Study Record Dates

• First Submitted: June 6, 2013
• First Posted: June 10, 2013
• Study Start: January 1, 2010
• Primary Completion: January 1, 2011
• Study Completion: December 1, 2012
• Last Updated: August 19, 2014

Record last verified: 2014-08

Locations

BR (1)