Ultrasounds Evaluation of Asymptomatic Perimandibular Muscles Treated With Dry Needling
Morphological Changes in Asymptomatic Perimandibular Muscles After Dry Needling Assessed With Rehabilitative Ultrasound Imaging
1 other identifier
interventional
17
1 country
1
Brief Summary
The articular disc of temporomandibular joint and three muscles of the cervico-facial region (temporal, masseter, sternocleidomastoid) are evaluated by means of sonographic images to observe and measure their dimensions' changes after a dry needling intervention. The participants are asymptomatic subjects and will be randomly divided in 2 groups: half of them are treated on the right side of the face, while the other half on the left side. Our hypothesis is that ultrasonography can reveal changes in the structures measured on the treated side.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jan 2020
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 6, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 20, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
February 20, 2020
CompletedFirst Submitted
Initial submission to the registry
October 1, 2020
CompletedFirst Posted
Study publicly available on registry
October 8, 2020
CompletedOctober 14, 2020
October 1, 2020
2 months
October 1, 2020
October 12, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (8)
mean of temporomandibular joint disc thickness
the distance between the opposing surfaces of the disc (cm)
Baseline (before the treatment), immediately after the treatment, one month after the treatment
mean of temporal muscle thickness
the distance between the opposing borders of the muscle, along the transverse axis of the muscle (cm)
Baseline (before the treatment), immediately after the treatment, one month after the treatment
mean of masseter muscle thickness
the distance between the superficial and the deep border of the muscle (cm)
Baseline (before the treatment), immediately after the treatment, one month after the treatment
mean of masseter muscle width
the distance between the opposing extremities of the muscle along the transverse axis of the muscle (cm)
Baseline (before the treatment), immediately after the treatment, one month after the treatment
mean of masseter muscle cross-sectional area
the area of the muscle in transversal plan measured after drawing the outline of the muscle in an image obtained with the panoramic view function (cm2)
Baseline (before the treatment), immediately after the treatment, one month after the treatment
mean of sternocleidomastoid muscle thickness
the distance between the superficial and the deep border of the muscle (cm)
Baseline (before the treatment), immediately after the treatment, one month after the treatment
mean of sternocleidomastoid muscle width
the distance between the opposing extremities of the muscle along the transverse axis of the muscle (cm)
Baseline (before the treatment), immediately after the treatment, one month after the treatment
mean of sternocleidomastoid muscle cross-sectional area
the area of the muscle in transversal plan measured after drawing the outline of the muscle in an image obtained with the panoramic view function (cm2)
Baseline (before the treatment), immediately after the treatment, one month after the treatment
Secondary Outcomes (1)
mean of maximum mouth opening
Baseline (before the treatment), one month after the treatment
Study Arms (2)
dry needling group
EXPERIMENTALDry needling treatment on right or left side of the face (depending on randomization)
control group
NO INTERVENTIONNo treatment on left or right side of the face (depending on randomization)
Interventions
The use of filiform needles to stimulate muscles and connective tissues. The needle is inserted in a direction perpendicular to the skin, a local twitch response is looked for and, once found, the needle is kept in the muscle without moving for 10 seconds. No substances are injected.
Eligibility Criteria
You may qualify if:
- Age major then 18 years
- Must be asymptomatic in the face/head region at the time of the visit and in the previous 6 months.
You may not qualify if:
- Pregnancy
- medical history of systemic disease
- current pharmacological therapy
- history of recurrent headache and/or neck pain
- presence of orofacial pain or temporomandibular symptoms assessed with the DC/TMD (Diagnostic Criteria for TemporoMandibular Disorders)
- current use of a bite during sleep
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Poliambulatorio Physio Powerlead
- Universidad Francisco de Vitoriacollaborator
Study Sites (1)
Universidad Francisco de Vitoria
Pozuelo de AlarcĂ³n, Madrid, 28223, Spain
Related Publications (24)
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: 24482784BACKGROUNDde-Pedro-Herraez M, Mesa-Jimenez J, Fernandez-de-Las-Penas C, de-la-Hoz-Aizpurua JL. Myogenic temporomandibular disorders: Clinical systemic comorbidities in a female population sample. Med Oral Patol Oral Cir Bucal. 2016 Nov 1;21(6):e784-792. doi: 10.4317/medoral.21249.
PMID: 27694784BACKGROUNDRies LG, Alves MC, Berzin F. Asymmetric activation of temporalis, masseter, and sternocleidomastoid muscles in temporomandibular disorder patients. Cranio. 2008 Jan;26(1):59-64. doi: 10.1179/crn.2008.008.
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PMID: 21485754BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Alice Botticchio, PT, OMPT
Poliambulatorio PhysioPower, Brescia, Italy
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal investigator
Study Record Dates
First Submitted
October 1, 2020
First Posted
October 8, 2020
Study Start
January 6, 2020
Primary Completion
February 20, 2020
Study Completion
February 20, 2020
Last Updated
October 14, 2020
Record last verified: 2020-10
Data Sharing
- IPD Sharing
- Will not share
We are not intentioned to share the participant data as our outcomes are subjectively evaluated by the use of ultrasonography. We don't believe it will be helpful for other researches as the results will be interpreted by our assessors.