Manual Therapy Effectivity and Exercises in Musicians

NCT04977349 | Completed DMC

• 1 other identifier: CEIM/HU/2020/40
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 2

Brief Summary

Orofacial pain is one of the most common dysfunctions among wind musicians, a population with a high incidence of temporomandibular disorder (TMD). Regarding the treatment of TMD, the efficacy of manual therapy and therapeutic exercise has been studied, but there is a lack of high quality research supporting its implementation. There is, however, an agreement on the need of combining the treatment of the temporomandibular joint and the cervical spine, due to their close biomechanical relation. Aims of the study: To analyse the efficacy of an evidence-based manual therapy protocol alone or in combination with an exercise program on the treatment of orofacial pain during musical practice on wind musicians. Furthermore, this study aims at observing whether if said treatment is more effective in the short, medium, or long term, and which variables are the most influenced.

Conditions

Orofacial Pain

Keywords

Orofacial pain; Wind musicians; Manual Therapy; Exercise program

Outcome Measures

Primary Outcomes (4)

• Orofacial pain

  Visual Analogic Scale.The pain VAS is a unidimensional measure of pain intensity, which has been widely used in diverse adult populations. The VAS is a straight horizontal line of fixed length, usually 100 mm. The ends are defined as the extreme limits of the parameter to be measured from 0 (no pain) to 10 (maximum pain). All the subjects will showed their pain level.

  Change from baseline at 2 months

• Pressure Pain Threshold

  An algometer Wagner FPI 10-WA will be used to determine the Pressure Pain Threshold in trigger points.

  Change from baseline at 2 months

• Range of Temporo mandibular Movement

  A vernier caliper will be used to measure mandibular movements. A vernier caliper is a validated tool to measure the opening, protusion, laterotrusion and overjet movements of the temporo mandibular joint

  Change from baseline at 2 months

• cervical range of movement (CROM)

  The instruments used to assess CROM will be a CROM goniometer. The CROM goniometer is a validated tool to measure the flexion, extension, rotation and tilt movements of the cervical spine.

  Change from baseline at 2 months

Study Arms (2)

Wind Musicians

EXPERIMENTAL

Isometric exercises for: cranial protrusion, mouth opening, laterality cervical movement and cervical coordination by laser assesment. And the manual therapy from the Active Comparator group.

Other: Manual Therapy; Other: Exercise program

Wind musicians

ACTIVE COMPARATOR

This group will be treated by manual therapy: suboccipital inhibition, myofascial extracavitary treatment in (superior trapezius fibers, Sternocleidomastoid (ECOM), masseter and temporalis) and intracavitary muscles (medialis and lateral pterygoid muscles).

Other: Manual Therapy; Other: Exercise program

Interventions

Manual Therapy OTHER

This group will be treated by manual therapy: suboccipital inhibition, myofascial extracavitary treatment in (superior trapezius fibers, ECOM, masseter and temporalis) and intracavitary muscles (medialis and lateral pterygoid muscles).

Wind Musicians; Wind musicians

Exercise program OTHER

Isometric exercises for: cranial protrusion, mouth opening, laterality cervical movement and cervical coordination by laser assessment. And the manual therapy from the Active Comparator group.

Wind Musicians; Wind musicians

Eligibility Criteria

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

You may qualify if:

• Metal or wood wind musicians
• Orofacial pain during the practice in the last 30 days.
• More than 20 hours by week in the practice.
• Between 18-65 years old.

You may not qualify if:

• Neurological diseases.
• Analgesics previous treatments.
• Any trauma or bone fractures in skull or cervical spine.
• Any surgical intervention in cervical spine, orofacial region or temporo-mandibular joint.

Sponsors & Collaborators

• Prof. Dr. Daniel Pecos Martín: lead

Study Sites (2)

Overall Study Officials

Alcalá de Henares, Madrid, 28807, Spain

Location

Nursing and Physiotherapy Faculty

Alcalá de Henares, Madrid, 28871, Spain

Location

MeSH Terms

Conditions

Facial Pain

Interventions

Musculoskeletal Manipulations; Resistance Training

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation; Exercise Therapy; Aftercare; Continuity of Patient Care; Patient Care; Physical Conditioning, Human; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Vice-dean of Physiotherapy

Study Record Dates

• First Submitted: December 1, 2020
• First Posted: July 26, 2021
• Study Start: September 1, 2021
• Primary Completion: February 10, 2026
• Study Completion: April 10, 2026
• Last Updated: May 1, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

ES (2)