Kinesiotaping and Stretching on SKM and Upper Trapezius Muscle in TMD Patients

NCT05481268 | Completed

• 1 other identifier: IstanbulArelUTME
• Study Type: interventional
• Target: 33
• Locations: 1 country
• Sites: 1

Brief Summary

Purpose: This study determined the effects of Kinesiotaping and Stretching on pain, cervical joint range of motion and functional status in patients with myofascial pain due to temporomandibular joint disorder. Methods: 33 patients with myofascial pain due to temporomandibular joint disorder were included in the study. The patients were divided into three groups by simple randomization (Kinesiotaping group, Stretching group and Control group). Patients in the Kinesiotaping and Stretching groups received application for their Upper Trapezius and Sternocleidomastoid muscles twice a week for two weeks by the same physiotherapist. No application was made to the Control group. Cervical joint range of motion, muscle strength and pain were evaluated. Additionally, algometry tests and functional evaluation were performed. The tests were performed in the Kinesiotaping and Stretching groups before the applications and at the end of week 1 and week 2, on the other hand Control group evaluated before the application and at the end of week 2.

Conditions

TMJ Disc Disorder; Myofascial Pain

Keywords

Temporomandibular pain; Kinesiotape; Stretching

Outcome Measures

Primary Outcomes (5)

• Pain Intensity

  The subjective pain intensity of the patients was assessed with the Visual Analogue Scale. The Visual Analog Scale includes scoring between 0 and 10. The corresponding numbers from 0 to 10 were explained to the patients. It was explained that the absence of pain was 0, the most severe pain felt was 10, and moderate pain was 5. For the Upper Trapezius and SCM muscle, the patients were asked to mark their resting and functional pain from the scale.Additionally, pain during palpation of the upper trapezius and sternocleidomastoid muscle was assessed with algometry.

  2 weeks

• Range of Motion

  The range of motion of the cervical joint was assessed using a goniometer

  2 weeks

• Research Diagnostic Criteria for Temporomandibular Disorders

  Klinik değerlendirme formunun içeriğinde ağrının nedeni ve ağrının tarafı, ağız açılma şekli ve açılma miktarı, eklem sesleri, eksantrik hareket miktarları ve hareket sırasındaki ağrı durumları, eklem sesleri ve kas ağrıları palpasyonla değerlendirildi. .

  2 week

• Muscle Strength

  Cervical muscle strength was assessed manually

  2 week

• Mouth Opening Distance

  The mouth opening of the patients was measured in millimeters for the distance between anterior incisors of the upper and lower jaws.

  2 weeks

Secondary Outcomes (2)

• The Patient Health Questionnaire

  2 weeks

• Jaw Functional Limitation Scale

  2 weeks

Study Arms (3)

Kinesiotaping Group

EXPERIMENTAL

In the Kinesiotaping Group patients had muscle technique-inhibition method. An 'I' shaped tape was used for both SCM and upper trapezius.

Other: Kinesiotaping Group

Stretching Group

EXPERIMENTAL

The patient was stretched in a relaxed and supported position and physiotherapist positioned the patient passively for stretching.

Other: Stretching Group

Control Group

OTHER

Control Group patients, after the assessment by the dentist, the treatment method approved by the dentist was performed.

Other: Control Group

Interventions

Kinesiotaping Group OTHER

In the Kinesiotaping Group patients had muscle technique-inhibition method. An 'I' shaped tape was used for both SCM and upper trapezius. The tension of the tape was adjusted between 20 and 25% and the application was performed in the longest position of the muscle. The inhibition technique was applied from the insertion to the origin of the muscle. The tape was applied to cover the trigger points where pain was felt. For upper trapezius, the muscle was taped in the opposite direction on the cervical region in lateral flexion, slight flexion, shoulder depression and using the muscle technique with the I tape. For SCM muscle, the tape was applied on the muscle in the opposite direction on the cervical region with positioning in lateral flexion, extension and ipsilateral rotation using the muscle technique with I tape Taping was applied every 3 days and totally in 4 cycles.

Kinesiotaping Group

Stretching Group OTHER

In our application, 3 cycles of 20 seconds of stretches were applied to upper trapezius and SCM muscle. The patient was stretched in a relaxed and supported position and physiotherapist positioned the patient passively for stretching. For the SCM muscle, stretching was achieved in the positions of contralateral lateral flexion, ipsilateral rotation and extension. For upper trapezius, stretching was performed in flexion and lateral flexion. Stretching was performed every 3 days in 4 cycles in total.

Stretching Group

Control Group OTHER

Control Group patients, after the assessment by the dentist, the treatment method approved by the dentist was performed. The assessment was performed before treatment, at the end of week 1 and at the end of week 2.

Control Group

Eligibility Criteria

• Age: 18 Years - 60 Years
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Age between 18 and 60 years
• Myofascial pain according to RDC/TMD
• Natural posterior occlusion and volunteering
• Being informed and signing the consent to participate in the research.

You may not qualify if:

• Presence of dentofacial anomalies
• Arthralgia
• Disk displacement
• General inflammatory connective tissue diseases (e.g. rheumatoid arthritis)
• Psychiatric disease
• Tumor
• Orofacial disease symptoms (neuralgia, migraine, etc.)
• Local skin infection
• Using regular analgesic
• Fibromyalgia
• History of TMJ-related surgery
• Findings of allergy related to Kinesiotape.

Sponsors & Collaborators

• Istanbul Arel University: lead

Study Sites (1)

Arel University

Istanbul, Turkey (Türkiye)

Location

MeSH Terms

Interventions

Control Groups

Intervention Hierarchy (Ancestors)

Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Officials

• Ozge Baykan Copuroglu, MSc

  Istanbul Arel University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Prelector/ Physiotherapist

Study Record Dates

• First Submitted: July 27, 2022
• First Posted: August 1, 2022
• Study Start: March 15, 2018
• Primary Completion: July 19, 2018
• Study Completion: July 19, 2018
• Last Updated: August 1, 2022

Record last verified: 2022-07

Locations

TU (1)