The Effects of Trigger Point Treatment in Temporomandibular Joint Dysfunction

NCT04122352 | Completed

• 1 other identifier: 2019/81
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study to investigate the effectiveness of trigger point treatments (ischemic compression) on pain intensity, chronic pain severity, range of motion(ROM), pain pressure threshold (PPT) and functionality on patient with temporomandibular joint dysfunction.(TMD)

Conditions

Temporomandibular Joint Dysfunction

Keywords

temporomandibular joint; trigger points; myofascial pain syndrome

Outcome Measures

Primary Outcomes (1)

• Visual Analog Scale (VAS)

  Pain intensity was assessed using the VAS; each patient was asked the pain during the rest, activity and at night (on a 0-10 numerical pain rating scale with zero corresponding to no pain and 10 corresponding to terrible pain). The rest, activity and night pain in activity were assessed by VAS at before and after 1 week of treatment, before and after 2 weeks of treatment, before and after 4 weeks of treatment.

  The rest, activity and night pain in activity were assessed by VAS at before and after 1 week of treatment, before and after 2 weeks of treatment, before and after 4 weeks of treatment.

Secondary Outcomes (4)

• Graded Chronic Pain Scale version 2 (GCPS v2)

  Chronic pain severity was assessed by GCPS v2 at before and after 4 weeks of treatment.

• Jaw Range of Motions (ROM)

  ROM were assessed by a ruler at before and after 1 week of treatment, before and after 2 week of treatment, before and after 4 week of treatment.

• Jaw Functional Limitation Scale-8 (JFLS-8)

  The functionality was assessed by JFLS-8 at before and after 4 weeks of treatment.

• Pain Pressure Threshold (PPT)

  PPT was evaluated by a digital algometer at before and after 1 week of treatment, before and after 2 weeks of treatment, before and after 4 weeks of treatment.

Study Arms (2)

Exercises + ischemic compression group

EXPERIMENTAL

volunteer patients with temporomandibular joint dysfunction with trigger points

Other: Ischemic compression; Other: Exercises (Rocabodo's 6x6 exercises and posture exercises)

Exercises group

OTHER

volunteer patients with temporomandibular joint dysfunction with trigger points

Other: Exercises (Rocabodo's 6x6 exercises and posture exercises)

Interventions

Ischemic compression OTHER

Ischemic compression was performed 3 times ; after the initial evaluation, after the first week evaulation and after the second week evaulations.

Exercises + ischemic compression group

Exercises (Rocabodo's 6x6 exercises and posture exercises) OTHER

Rocabodo's 6x6 exercises exercise was shown to be administered for 4 weeks. After the first week evaluation, posture exercises are added to the exercise programs of the patients.

Exercises + ischemic compression group; Exercises group

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Diagnosis of TMD according to the criteria of DC / TMD (Diagnostic Criteria for Temporomandibular Disorders)
• Detection of trigger point during palpation of masticatory muscles
• Volunteer to participate in the study

You may not qualify if:

• To have undergone TMJ or cervical surgery and have been treated from these regions in the last 3 months
• Presence of rheumatic disease including TMJ
• Patients with TMJ instability or fractures
• Cases with cognitive impairment
• Presence of chronic pain such as trigeminal neuralgia
• Cases who do not regularly participate in treatment are excluded from the study.

Sponsors & Collaborators

• Istanbul University - Cerrahpasa: lead

Study Sites (1)

Istanbul Aydin University

Istanbul, Bakırköy / Florya, 34153, Turkey (Türkiye)

Location

Related Publications (6)

• Shaffer SM, Brismee JM, Sizer PS, Courtney CA. Temporomandibular disorders. Part 1: anatomy and examination/diagnosis. J Man Manip Ther. 2014 Feb;22(1):2-12. doi: 10.1179/2042618613Y.0000000060.

  PMID: 24976743 RESULT

• McNeely ML, Armijo Olivo S, Magee DJ. A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Phys Ther. 2006 May;86(5):710-25.

  PMID: 16649894 RESULT

• Mulet M, Decker KL, Look JO, Lenton PA, Schiffman EL. A randomized clinical trial assessing the efficacy of adding 6 x 6 exercises to self-care for the treatment of masticatory myofascial pain. J Orofac Pain. 2007 Fall;21(4):318-28.

  PMID: 18018993 RESULT

• Cagnie B, Dewitte V, Coppieters I, Van Oosterwijck J, Cools A, Danneels L. Effect of ischemic compression on trigger points in the neck and shoulder muscles in office workers: a cohort study. J Manipulative Physiol Ther. 2013 Oct;36(8):482-9. doi: 10.1016/j.jmpt.2013.07.001. Epub 2013 Aug 28.

  PMID: 23993756 RESULT

• Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, List T, Svensson P, Gonzalez Y, Lobbezoo F, Michelotti A, Brooks SL, Ceusters W, Drangsholt M, Ettlin D, Gaul C, Goldberg LJ, Haythornthwaite JA, Hollender L, Jensen R, John MT, De Laat A, de Leeuw R, Maixner W, van der Meulen M, Murray GM, Nixdorf DR, Palla S, Petersson A, Pionchon P, Smith B, Visscher CM, Zakrzewska J, Dworkin SF; International RDC/TMD Consortium Network, International association for Dental Research; Orofacial Pain Special Interest Group, International Association for the Study of Pain. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Groupdagger. J Oral Facial Pain Headache. 2014 Winter;28(1):6-27. doi: 10.11607/jop.1151.

  PMID: 24482784 RESULT

• Shaffer SM, Brismee JM, Sizer PS, Courtney CA. Temporomandibular disorders. Part 2: conservative management. J Man Manip Ther. 2014 Feb;22(1):13-23. doi: 10.1179/2042618613Y.0000000061.

  PMID: 24976744 RESULT

MeSH Terms

Conditions

Temporomandibular Joint Disorders; Myofascial Pain Syndromes

Interventions

Acupressure; Exercise

Condition Hierarchy (Ancestors)

Craniomandibular Disorders; Mandibular Diseases; Jaw Diseases; Musculoskeletal Diseases; Joint Diseases; Muscular Diseases; Stomatognathic Diseases

Intervention Hierarchy (Ancestors)

Therapy, Soft Tissue; Musculoskeletal Manipulations; Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Olcay Şakar, Prof. Dr.

  Istanbul University

  PRINCIPAL INVESTIGATOR

• Hanifegül Taşkıran, Prof. Dr.

  IstanbulAydın

  PRINCIPAL INVESTIGATOR

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: Associate Prof. Dr, PhD

Model Details: Individuals included in the study were randomized into two groups ; Group 1 : Exercises + ischemic compression Group 2 : Exercises Rocabado's 6x6 jaw exercises are shown to be applied to both groups for 4 weeks. After 1 week, posture exercises are added to the exercise programs of the patients. In addition to the exercises, Group 1 is given a total of 4 sessions of trigger point treatment after the initial evaluation, 1 week later, 2 weeks later and 4 weeks later.

Study Record Dates

• First Submitted: October 1, 2019
• First Posted: October 10, 2019
• Study Start: July 7, 2019
• Primary Completion: December 7, 2019
• Study Completion: March 15, 2020
• Last Updated: April 28, 2020

Record last verified: 2020-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)