Progressive Muscle Relaxation According to Jacobson in Treatment of the Patients With Temporomandibular Joint Disorders

NCT03622684 | Completed

• 1 other identifier: KBET/192/B/2013
• Study Type: interventional
• Target: 100
• Locations: 0 countries
• Sites: N/A

Brief Summary

Temporomandibular joint disorders are ranked third among the most common stomatological diseases after dental caries and periodontal problems. Type of dysfunction is determined by environmental, genetic and psycho-emotional factors. It has been observed that increasing level of stress leads to the increase of harmful parafunctional habits in the stomatognathic system whose long-term effect prevents the ability of the organism to compensate and adapt the function, which contributes to the pain within the masticatory system. Nowadays applied methods in treatment of temporomandibular joint disorders are still under investigation. However, they have not been developed effectively yet. Satisfactory methods of masticatory muscle relaxation (with the exception for drug treatment) are only related to mental patients. Significant impact factor and psycho-emotional stress in the etiology of dysfunction indicate the need of the routine approach in the treatment of patients with temporomandibular joint disorders to be changed. The attempt to cooperate with a psychologist may facilitate the effectiveness of traditional rehabilitation of patients with dysfunction.

Conditions

TEMPOROMANDIBULAR JOINT DYSFUNCTION SYNDROME

Keywords

TMJ- temporomandibular joint-disorder; Muscle relaxation; Psychoemotional factor; Stress

Outcome Measures

Primary Outcomes (1)

• Number of patients with assesment of psycho emotional factor and stress

  Analyses based on a survey questionnaire in the development of their own - scoring scale

  2 years

Secondary Outcomes (2)

• Incidence of CIB values in both groups before and after treatments relaxation assessed by specialized statistical package "R" i386

  1 Month

• Incidence of OBC values in both groups before and after treatments relaxation assessed by specialized statistical package "R" i386

  1 Month

Study Arms (1)

Muscle relaxation according to Jacobson

EXPERIMENTAL

. Does the use of the method of progressive relaxation according to Jacobson will be beneficial to reduce pain and improve the functioning of the stomatognathic system being evaluated in clinical trials?

Behavioral: Muscle relaxation according to Jacobson

Interventions

Muscle relaxation according to Jacobson BEHAVIORAL

Muscle relaxation according to Jacobson

Eligibility Criteria

• Age: 20 Years - 35 Years
• Gender Eligibility Details: The study included 100 patients of both sexes, aged from 20 to 35 years who were diagnosed with pain due to temporomandibular joint disorders accompanied with high muscle tension of masticatory muscles.
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• good general health
• painful form of temporomandibular joint disorders- masticatory muscles pain with high muscle tension
• pain lasting for at least 3 weeks prior to admission
• patients with full arches without previous orthodontic treatment.

You may not qualify if:

• joint component of functional disorders (pain in the temporomandibular joints, acoustic symptoms)
• deterioration of the posture resulting from relaxation training (aggravation of muscular pain, worsening of mental state)
• unstable musculoskeletal system (frequent painful muscle spasms), tetanus, other diseases that prevent the patient from continuing the study (fever)
• the lack of the patient's informed consent.

Sponsors & Collaborators

• Jagiellonian University: lead

Related Publications (10)

• Alvarez-Arenal A, Junquera LM, Fernandez JP, Gonzalez I, Olay S. Effect of occlusal splint and transcutaneous electric nerve stimulation on the signs and symptoms of temporomandibular disorders in patients with bruxism. J Oral Rehabil. 2002 Sep;29(9):858-63. doi: 10.1046/j.1365-2842.2002.00923.x.

  PMID: 12366541 BACKGROUND

• Almoznino G, Zini A, Zakuto A, Sharav Y, Haviv Y, Hadad A, Chweidan H, Yarom N, Benoliel R. Oral Health-Related Quality of Life in Patients with Temporomandibular Disorders. J Oral Facial Pain Headache. 2015 Summer;29(3):231-41. doi: 10.11607/ofph.1413.

  PMID: 26244431 BACKGROUND

• Costa YM, Porporatti AL, Stuginski-Barbosa J, Bonjardim LR, Conti PC. Additional effect of occlusal splints on the improvement of psychological aspects in temporomandibular disorder subjects: A randomized controlled trial. Arch Oral Biol. 2015 May;60(5):738-44. doi: 10.1016/j.archoralbio.2015.02.005. Epub 2015 Feb 20.

  PMID: 25768709 BACKGROUND

• Jacobson E. Interview with Edmund Jacobson. Biofeedback Self Regul. 1978 Sep;3(3):287-300. doi: 10.1007/BF00999297. No abstract available.

  PMID: 728486 BACKGROUND

• Golombek U. [Progressive muscle relaxation (PMR) according to Jacobson in a department of psychiatry and psychotherapy - empirical results]. Psychiatr Prax. 2001 Nov;28(8):402-4. doi: 10.1055/s-2001-18615. German.

  PMID: 11721228 BACKGROUND

• Wilk C, Turkoski B. Progressive muscle relaxation in cardiac rehabilitation: a pilot study. Rehabil Nurs. 2001 Nov-Dec;26(6):238-42; discussion 243. doi: 10.1002/j.2048-7940.2001.tb01963.x.

  PMID: 12035725 BACKGROUND

• Grossi ML, Goldberg MB, Locker D, Tenenbaum HC. Irritable bowel syndrome patients versus responding and nonresponding temporomandibular disorder patients: a neuropsychologic profile comparative study. Int J Prosthodont. 2008 May-Jun;21(3):201-9.

  PMID: 18548956 BACKGROUND

• Takemura T, Takahashi T, Fukuda M, Ohnuki T, Asunuma T, Masuda Y, Kondoh H, Kanbayashi T, Shimizu T. A psychological study on patients with masticatory muscle disorder and sleep bruxism. Cranio. 2006 Jul;24(3):191-6. doi: 10.1179/crn.2006.031.

  PMID: 16933460 BACKGROUND

• van Selms MK, Lobbezoo F, Visscher CM, Naeije M. Myofascial temporomandibular disorder pain, parafunctions and psychological stress. J Oral Rehabil. 2008 Jan;35(1):45-52. doi: 10.1111/j.1365-2842.2007.01795.x.

  PMID: 18190360 BACKGROUND

• Hutchings DF, Reinking RH. Tension headaches: what form of therapy is most effective? Biofeedback Self Regul. 1976 Jun;1(2):183-90. doi: 10.1007/BF00998585.

  PMID: 791381 BACKGROUND

Related Links

• Incidence of temporomandibular disorders - parafunctions and dysfunctions in dental students - the comparative studies
• Influence of Selected Psychoemotional Factors on the Prevalence of Bruxism

MeSH Terms

Conditions

Temporomandibular Joint Dysfunction Syndrome; Temporomandibular Joint Disorders

Condition Hierarchy (Ancestors)

Craniomandibular Disorders; Mandibular Diseases; Jaw Diseases; Musculoskeletal Diseases; Joint Diseases; Muscular Diseases; Myofascial Pain Syndromes; Stomatognathic Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Doctor of medical sciences, assistant, research worker, principal investigator of Jagiellonian University, Medical College, Prosthodontic Department, Room of Functional Disorders of Masticatory System, Poland, Krakow

Study Record Dates

• First Submitted: November 21, 2017
• First Posted: August 9, 2018
• Study Start: March 20, 2014
• Primary Completion: May 20, 2015
• Study Completion: June 20, 2016
• Last Updated: August 9, 2018

Record last verified: 2018-08