Effect of the Method Pilates in Women With Temporomandibular Disorders

NCT02292355 | Completed

• 1 other identifier: URioGrande
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Introduction: the influence of temporomandibular disorders (TMD) related to postural changes are yet no consensus, but it is believed that the imbalances of a system can influence another. Several techniques have been used to treat TMD and its associated problems, however there is a paucity of studies evaluating the effects of global treatments, such as Pilates, in individuals with TMD literature. Objective: To evaluate changes in the level of pain, the severity of TMD, the EMG activity of masticatory muscles and posture of young women undergoing training in Pilates, as well as correlating postural changes, pain level, severity of TMD and EMG activity of masticatory muscles. A randomized clinical trial with blinded assessors will be held. 40 patients divided randomly into two groups will be assessed, the control group (CG) who receive conventional treatment with occlusal splint and intervention group (IG), which in addition to conventional treatment will undergo Pilates sessions. Both groups will be formed for women aged 18 to 35 years with TMD and pain. The IG will receive treatment with the Pilates Method for 15 weeks with frequency of twice weekly and use occlusal splint as directed by the dentist. The CG will make use of occlusal splint alone. At the beginning and end of the 15 weeks the individuals are evaluated to verify the presence of TMD, TMD severity, pain, EMG evaluation of masticatory muscles and body posture. Data will be analyzed statistically.

Conditions

Pain; Temporomandibular Joint Disorders

Keywords

Temporomandibular Joint Disorders; posture; pain; clinical trial; Pilates

Outcome Measures

Primary Outcomes (1)

• Pain Intensity Measure

  Pain intensity will be assessed using visual analog scale (VAS), which consists of a 10-cm horizontal line in which "0" means "No pain" and "10" means "The worst pain I can imagine".

  15 weeks

Secondary Outcomes (3)

• Severity of TMD

  15 weeks

• EMG activity of masticatory muscles

  15 weeks

• Posture

  15 weeks

Study Arms (2)

Pilates

EXPERIMENTAL

Intervention group will undergo Pilates sessions in addition to conventional treatment with occlusal splint

Other: Pilates

Occlusal splint

NO INTERVENTION

Control group who receive conventional treatment with occlusal splint

Interventions

Pilates OTHER

The intervention group will perform Pilates exercises for 15 weeks with frequency of twice weekly

Also known as: Pilates exercises, Pilates method

Pilates

Eligibility Criteria

• Age: 18 Years - 35 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Women between 18 and 35 years old;
• Possess temporomandibular disorder diagnosed by the Research Diagnostic Criteria for Temporomandibular Disorders (RDC / TMD) and classified into categories of severity of functional limitation through the Mandibular Function Impairment Questionnaire MFIQ
• Owning a complaint of pain in the TMJ region, classified as greater than 2.5 (moderate to high) by the Visual Analog Scale.

You may not qualify if:

• Have greater than 35 kg / m2 body mass index (BMI);
• Diagnosis of other disorders of the stomatognathic system;
• Have a history of any surgical procedure on the face, teeth and spine in the last six months;
• Possess severe pathologies of the spine (fractures, inflammatory diseases or tumors);
• Provide framework for intellectual disability or inability to give consistent information;
• Being in treatment for TMD, be it physical therapy, medical or dental care throughout the study period.
• Being practicing Pilates in the last six months;
• Being pregnant;
• Make use of dental prosthesis or appliance;
• Have a history of trauma to the face and temporomandibular joint in the last six months;
• Having presented temporomandibular joint dislocation in the last six months;
• Possess dental flaws between canines and molars.
• Provide cross bite, overbite or open bite;
• Presenting undershot or overshot jaw;
• Present vestibular disorders that may interfere with the balance

Sponsors & Collaborators

• Federal University of Rio Grande do Sul: lead

Study Sites (1)

Universidade Federal do Rio Grande do Sul

Porto Alegre, Rio Grande do Sul, 90690-200, Brazil

Location

MeSH Terms

Conditions

Pain; Temporomandibular Joint Disorders

Interventions

Exercise Movement Techniques

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Physical Therapy Modalities; Therapeutics

Study Officials

• Jefferson F Loss, Phd

  Federal University of Rio Grande do Sul

  STUDY DIRECTOR

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: Doctor

Study Record Dates

• First Submitted: November 6, 2014
• First Posted: November 17, 2014
• Study Start: March 1, 2015
• Primary Completion: January 16, 2017
• Study Completion: June 1, 2017
• Last Updated: June 23, 2017

Record last verified: 2017-06

Locations

BR (1)