Electromyographic Evaluation of the Efficacy of Manual Therapy in Temporomandibular Joint Dysfunction.

NCT05420896 | Completed

• 1 other identifier: BahçesehırÜniversitesi
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

Individuals with temporomandibular joint dysfunction (TMD) may experience changes in muscle activation as a result of symptoms such as pain and limitation of movement. The aim of this study is to examine the efficacy of manual therapy electromyographically in patients with TMD.

Conditions

Temporomandibular Joint Dysfunction

Keywords

temporomandibular joint dysfunction; manual therapy; EMG; maximal mouth opening

Outcome Measures

Primary Outcomes (1)

• Visual Analogue Scale (VAS)

  A Visual Analogue Scale (VAS) is one of the pain rating scales used for the first time in 1921 by Hayes and Patterson. It is often used in epidemiologic and clinical research to measure the intensity or frequency of various symptoms.

  Change from initial assessment to 4 weeks after initial assessment.

Secondary Outcomes (6)

• Electromyography (EMG)

  Change from initial assessment to 4 weeks after initial assessment.

• Pain Pressure Threshold (PPT)

  Change from initial assessment to 4 weeks after initial assessment.

• Maximum Mouth Opening (MMO)

  Change from initial assessment to 4 weeks after initial assessment.

• TAMPA

  Change from initial assessment to 4 weeks after initial assessment.

• Functional Limitation Scale of the Jaw-8

  Change from initial assessment to 4 weeks after initial assessment.

Study Arms (2)

Manual therapy

ACTIVE COMPARATOR

Upper cervical spine mobilization Posterior-anterior mobilization of the fifth cervical vertebra Suboccipital inhibition Suboccipital mobilization Trigger point application to my masseter, temporal and sternocleidomastoid muscles Intraoral and extraoral myofascial release Intraoral sphenopalatine ganglion technique TMJ mobilization Massage for chewing muscles The 45-minute treatment program, which includes applications including the techniques above, will be applied to the patients randomly assigned to the study group once a week for a total of 4 weeks.The changes in muscle activity of the masseter and anterior temporalis bilaterally will be recorded with EMG.

Other: Manual Therapy

Control group

NO INTERVENTION

Patients assigned to the control group randomly will be re-evaluated 4 weeks after their initial evaluation. No intervention will be applied during this period. After 4 weeks, when the patients are re-evaluated, they will be directed to the appropriate treatment.

Interventions

Manual Therapy OTHER

Upper cervical spine mobilization Posterior-anterior mobilization of the fifth cervical vertebra Suboccipital inhibition Suboccipital mobilization Trigger point application to my masseter, temporal and sternocleidomastoid muscles Intraoral and extraoral myofascial release Intraoral sphenopalatine ganglion technique TMJ mobilization Massage for chewing muscles The 45-minute treatment program, which includes applications including the techniques above, will be applied to the patients randomly assigned to the study group once a week for a total of 4 weeks.The changes in muscle activity of the masseter and anterior temporalis bilaterally will be recorded with EMG.

Manual therapy

Eligibility Criteria

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

You may qualify if:

• No cognitive impairment
• Diagnosed with temporomandibular joint(TMJ) dysfunction of myofascial origin,
• Volunteers aged 18-65

You may not qualify if:

• Malignancy and fracture of the cervical region and/or TMJ
• Active infection
• Patients actively receiving cervical and/or TMJ-related therapy

Sponsors & Collaborators

• Bahçeşehir University: lead

Study Sites (1)

Bahçeşehir University

Istanbul, Europe, 34353, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Temporomandibular Joint Disorders

Interventions

Musculoskeletal Manipulations

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Officials

• Kumru Ateş, PhC

  Bahçeşehir University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD-C

Study Record Dates

• First Submitted: June 13, 2022
• First Posted: June 15, 2022
• Study Start: June 10, 2021
• Primary Completion: September 5, 2022
• Study Completion: November 10, 2022
• Last Updated: February 21, 2023

Record last verified: 2023-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)