Effectiveness of Cervical Treatment in Wind Musicians With Temporomandibular Dysfunction

NCT05893251 | Completed

• 1 other identifier: ANAISATM
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Temporomandibular dysfunction (TMD) consists of a series of multifactorial signs and symptoms that occur in the orofacial region, with pain being the most common symptom. There is a close biomechanical and anatomical relationship between the cervical region and the temporomandibular joint (TMJ) through the trigemino-spinal nucleus. Objectives: To comparatively assess the improvement in subjects with TMD when adding cervical manual therapy to a postural treatment. Additionally, to determine if both cervical treatments separately produce changes in the TMJ. Materials and methods: An experimental study of randomized controlled clinical trial type was conducted. The study involved 30 wind instrument players randomly assigned to an experimental group (EG) and a control group (CG). After obtaining consent, measurements were taken for maximum mouth opening (MMO), cervical range of motion, and pain threshold to pressure (PTP) in the masseter and temporalis muscles. Both groups underwent active cervical postural treatment for 4 weeks, and the EG additionally received a cervical manual therapy protocol. An initial assessment was conducted before the intervention, and a final assessment was done one week after the last intervention. The statistical program SPSS was used for data analysis.

Conditions

Temporomandibular Joint Dysfunction Syndrome

Keywords

TEMPOROMANDIBULAR JOINT; Cervical Posture; wind Musician

Outcome Measures

Primary Outcomes (1)

• Cranio facial pain and disability inventory

  CF-PDI (Craniofacial Pain and Disability Inventory): This questionnaire focuses on pain as a common symptom of TMD (Temporomandibular Disorders). It is self-administered and designed to assess patients' perception of their physical and psychosocial health in relation to craniofacial pain. It consists of 21 questions regarding the impact of pain on activities involving the use of the temporomandibular joint, with a scoring range from 0 to 63 in ascending order, where 0 indicates no impact and 63 indicates maximum impact. This questionnaire demonstrates good structure, internal consistency, reproducibility, and validity, making it an objective tool that can be used in research and clinical practice for evaluating patients with craniofacial pain and disability. It is easy to administer and requires a short amount of time. The CF-PDI was created and developed in Spain, based on a biopsychosocial approach.

  a week after treatment

Secondary Outcomes (1)

• Maximum mouth opening.

  a week after treatment

Other Outcomes (1)

• Pain pressure threshold in myofascial trigger points of the masticatory muscles.

  a week after treatment

Study Arms (2)

Protocol group

ACTIVE COMPARATOR

The treatment plan includes active postural exercises for the cervical spine.

Other: Postural exercises

Manual therapy group

EXPERIMENTAL

The treatment plan includes active postural exercises and manual therapy for the cervical spine.

Other: Manual therapy

Interventions

Manual therapy OTHER

Within the manual therapy protocol carried out in the experimental group, we performed a series of passive maneuvers. The patient remains in supine position on a treatment table throughout the treatment, while the therapist sits at the head of the patient on a stool. The sequence of application is as follows: Suboccipital inhibition technique Cervical spinal mobilization Posterior fascia stretching

Manual therapy group

Postural exercises OTHER

The treatment plan includes active postural exercises for the cervical spine.

Protocol group

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Acceptance of written informed consent.
• Playing a wind instrument.
• Age between 18-40 years.
• Pain in the cranio-cervico-mandibular region and/or masticatory muscles.
• Hypertrophy in the masticatory muscles.

You may not qualify if:

• History of trauma and/or fracture in the cranial and/or facial region.
• Rheumatic injury or degenerative disease.
• Surgical intervention on the temporomandibular joint (TMJ).
• Malformations of the cervical or cranial spine.
• Vestibular, circulatory, or neurological disorders.
• Degenerative or infectious joint diseases.
• Current orthodontic treatment.
• Receiving physiotherapy treatment during the two weeks prior to the study or during the study.

Sponsors & Collaborators

• Universidad de Murcia: lead

Study Sites (1)

University Of Murcia

Murcia, 30120, Spain

Location

MeSH Terms

Conditions

Temporomandibular Joint Dysfunction Syndrome

Interventions

Musculoskeletal Manipulations

Condition Hierarchy (Ancestors)

Temporomandibular Joint Disorders; Craniomandibular Disorders; Mandibular Diseases; Jaw Diseases; Musculoskeletal Diseases; Joint Diseases; Muscular Diseases; Myofascial Pain Syndromes; Stomatognathic Diseases

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: Using the "Random Team Generator" mobile application.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: The present study is an experimental, analytical, longitudinal, and prospective controlled randomized clinical trial.

Study Record Dates

• First Submitted: May 29, 2023
• First Posted: June 7, 2023
• Study Start: November 1, 2017
• Primary Completion: April 1, 2018
• Study Completion: June 1, 2018
• Last Updated: June 12, 2023

Record last verified: 2018-03

Locations

ES (1)