Effect of Manual Therapy on Jaw Movement and Function in Patients With Bruxism

NCT03753529 | Unknown

• 1 other identifier: P.T.REC/012/001936
• Study Type: interventional
• Target: 120
• Locations: 0 countries
• Sites: N/A

Brief Summary

Hypothesis

1. 1.There will be no significant statistical effect of Trigger Point Pressure release and Deep striking massage on pain level in patients with bruxism.
2. 2.There will be no significant statistical effect of Trigger Point Pressure release and Deep striking massage on Range of Motion in patients with bruxism.
3. 3.There will be no significant statistical effect of Trigger Point Pressure release and Deep striking massage on Sleep Quality Index in patients with bruxism.
4. 4.There will be no significant statistical effect of Trigger Point Pressure release and Deep striking massage on proprioception awareness in patients with bruxism.
5. 5.There will be no significant statistical effect of Trigger Point Pressure release and Deep striking massage on Stress in patients with bruxism.
6. 6.There will be no significant statistical effect of Trigger Point Pressure release and Deep striking massage on Anxiety in patients with bruxism.
7. 7.There will be no significant statistical effect of Trigger Point Pressure release and Deep striking massage on Temporomandibular (TMJ) function in patients with bruxism.
8. 8.There will be no significant statistical effect of Trigger Point Pressure release and Deep striking massage on Oral Health Impact Profile in patients with bruxism.

Conditions

Bruxism; TMJ Pain

Outcome Measures

Primary Outcomes (2)

• changes of Trigger point pressure pain threshold

  To compare pressure pain threshold (PPT) values for selected muscles (temporalis, masseter, digastric and lateral pterygoid) in patients with bruxism before and after treatment using Pressure Algometer.

  Pre- and post-treatment (twelve treatment sessions within one month, three sessions per week).

• Changes of mandibular range of motion at month of treatment

  Vernier caliper used to measure opening, lateral movements, protraction and retraction.

  Pre- and post-treatment (twelve treatment sessions within one month, three sessions per week).

Secondary Outcomes (6)

• Changes of proprioception awareness

  Pre- and post-treatment (twelve treatment sessions within one month, three sessions per week).

• Stress

  Pre- and post-treatment (twelve treatment sessions within one month, three sessions per week).

• Anxiety

  Pre- and post-treatment (twelve treatment sessions within one month, three sessions per week).

• Changes of quality of sleep at month of treatment

  Pre- and post-treatment (twelve treatment sessions within one month, three sessions per week).

• Temporomandibular (TMJ) function

  Pre- and post-treatment (twelve treatment sessions within one month, three sessions per week).

Study Arms (3)

deep friction massage group

EXPERIMENTAL

Other: Deep friction massage

pressure release group

EXPERIMENTAL

Other: Pressure release

control group

EXPERIMENTAL

Other: control group

Interventions

Deep friction massage OTHER

Submitted to three session weekly 30-minute sessions of therapy will performed by the administration of sliding and kneading maneuvers of the masseter and temporalis muscles, bilaterally,lateral pterygoid and digastric over four consecutive weeks (total:12 sessions) Sliding consisted of a unidirectional movement in which part of the therapist's hand (mainly the fingertips) will used, moving from the proximal to the distal portion of the face with constant, progressive pressure compatible with the status of each tissue. The degree of pressure varied depending on the level of pain, sensitivity and tension in each individual. Kneading consisted of a gripping maneuver of a muscle group or portion of a muscle.Then follow-up with a passive stretch to the muscle. This will repeated for three to five times for three sessions per week for 4 weeks.

deep friction massage group

Pressure release OTHER

First, using a pincer grasp moved throughout the fibers of the pterygoid, masseter, digastric and temporalis muscles to palpate the muscle aiming to locate a trigger point . A common location is detected according to Simon and Travell book. Once located on the trigger point, apply an IC by gradually applying pressure to the trigger point with your thumb. Keep in communication with the patient, checking to ensure that in staying within the limits of his pain tolerance. Hold this technique for approximately 20 seconds to 1 minute, patient tells you that pain has diminished, or until feels the muscle fibers begin to relax under your pressure. Once feel this release, gradually release pressure. All identified trigger points were treated. Then follow-up with a passive stretch to the muscle. This will repeated for three to five times for three sessions per week for 4 weeks.

Also known as: Ischemic pressure and ischemic compression (IC)

pressure release group

control group OTHER

Stretching and transcutaneous electrical nerve stimulation

Also known as: Stretching and transcutaneous electrical nerve stimulation

control group

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• The volunteers diagnosed with bruxism based on the criteria of the American Academy of Sleep Medicine
• Positive self-report of awake bruxism.
• Self-report of muscle fatigue or tenderness on awakening.
• Sleeping partner reports of grinding sounds during the night in the last 6 months, or awake clenching.

You may not qualify if:

• Severe psychological disorder and/or the use of antipsychotic psychotropic drugs(with the exception of anxiety and depression).
• Using medications that influence sleep or motor behavior.
• Direct trauma or past surgery in the orofacial region.
• On physical, speech, dental, or psychological therapy at the time of study entry.
• Currently undergoing physical therapy for TMD.
• Neurological or central nervous system and/or peripheral nervous system disorders or history of neuromuscular disease.
• The presence of prosthesis or extensive prosthetic restorations and the presence of gross malocclusion.
• More than two missing teeth, except third molars;
• Systemic and/or degenerative diseases.

Sponsors & Collaborators

• Cairo University: lead

MeSH Terms

Conditions

Bruxism

Interventions

Continuous Positive Airway Pressure; Acupressure; Control Groups; Transcutaneous Electric Nerve Stimulation

Condition Hierarchy (Ancestors)

Tooth Diseases; Stomatognathic Diseases; Habits; Behavior

Intervention Hierarchy (Ancestors)

Positive-Pressure Respiration; Respiration, Artificial; Airway Management; Therapeutics; Respiratory Therapy; Therapy, Soft Tissue; Musculoskeletal Manipulations; Complementary Therapies; Physical Therapy Modalities; Rehabilitation; Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods; Electric Stimulation Therapy; Analgesia; Anesthesia and Analgesia

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: lecture of biomechanics

Study Record Dates

• First Submitted: November 2, 2018
• First Posted: November 27, 2018
• Study Start: January 1, 2019
• Primary Completion: January 1, 2020
• Study Completion: May 1, 2020
• Last Updated: November 27, 2018

Record last verified: 2018-11