Evaluate the Effect of Dry Needling on the Temporomandibular Joint in Subjects Who Have Suffered a Whiplash as a Result of a Traffic Accident

NCT06023264 | Completed

• 1 other identifier: 03916375G
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 2

Brief Summary

The transportation industry is growing rapidly and the most popular mode is overland by road. Traffic accidents are the most direct and serious risk to the lives of Western people. A large number of traffic accidents occur on the roads each year, especially those caused by motor vehicles on motorways and urban ring roads, often resulting in massive loss of life. According to the World Health Organization (WHO), 1.35 million people die each year worldwide. Whiplash is the most common injury in motor vehicle collisions, affecting 83% of injured people. The temporomandibular joint (TMJ) is one of the most complex joints in the human body, since in addition to performing functions in dental occlusion, it does so in the neuromuscular system. Due to the relationship of the neck with the mandible, the main objective of the study is to determine if there is an improvement in pain and functional limitation in general by applying the dry needling technique in the temporomandibular joint musculature.

Conditions

Whiplash; Temporomandibular Joint Pain; Dry Needling Technique

Outcome Measures

Primary Outcomes (10)

• Age

  Years (Demographic variables)

  Visit 1 (First day of treatment)

• Gender

  Male, Female, Does not answer (Demographic variables)

  Visit 1 (First day of treatment)

• Weight

  Kilograms (Demographic variables)

  Visit 1 (First day of treatment)

• Height

  Meters (Demographic variables)

  Visit 1 (First day of treatment)

• Mouth opening

  Millimeters (Basal conditions)

  Visit 1(First day of treatment) and Visit 2 (One week after visit 1)

• Jaw pain

  Visual Analog Scale (VAS) 1-10 (Basal conditions)

  Visit 1(First day of treatment) and Visit 2 (One week after visit 1)

• Headache

  Visual Analog Scale (VAS) 1-10 (Basal conditions)

  Visit 1(First day of treatment) and Visit 2 (One week after visit 1)

• Joint clicking

  Yes/No (Basal conditions)

  Visit 1(First day of treatment) and Visit 2 (One week after visit 1)

• Pressure masseter, pterygoid, and temporalis

  Determine pressure in kg in the masseter, temporal, and pterygoid muscles with an algometer to obtain 5/10 in Visual Analog Scale (VAS) to all participants

  Visit 1 (First day of treatment)

• Pain masseter, pterygoid, and temporalis

  Obtain pain from 1 to 10 in the masseter, temporal, and pterygoid muscles according to the Visual Analog Scale (VAS) after applying the pressure obtained with the algometer in the previous step. \*Patients in the experimental group are evaluated 10 minutes after the application of dry needling

  Visit 1(First day of treatment) and Visit 2 (One week after visit 1)

Study Arms (2)

Control

NO INTERVENTION

dry needle

EXPERIMENTAL

Procedure: Dry needling

Interventions

Dry needling PROCEDURE

It is a minimally invasive treatment modality. Its effectiveness has been confirmed in numerous studies. It consists of applying an antiseptic in the puncture area and inserting the needle in the required aseptic conditions. During puncture, the patient's physical response is observed at all times, in order to control the local spasmodic responses in each muscle. After applying the technique, we assessed jaw pain, mouth opening, and the appearance of headaches. The adverse effects of the technique are the following: pain after puncture (1.7%), local bleeding at the puncture site (6.1%) and syncopal responses (0.7%).

dry needle

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Having suffered a traffic accident
• Having suffered a subsequent collision
• Having been diagnosed with whiplash in the hospital ''Fundación Jiménez Díaz (FJD)´´ emergency room in the first 72 hours after the collision.
• Age between 18-45 years, to avoid osteoarthritis and other degenerative problems.
• Minimum 3 in temporomandibular joint (TMJ) according to Visual Analog Scale (VAS)
• Consent to participate

You may not qualify if:

• Temporomandibular joint (TMJ) or craniofacial surgeries
• Spinal surgery
• Direct trauma in temporomandibular joint (TMJ) or prior to the accident
• Botox, silicones or any type of cosmetic surgery in the facial region.
• Problems of migraines and tension headaches (pre-accident)
• Any degenerative musculoskeletal disease (fibromyalgia, rheumatoid arthritis, osteoarthritis)
• Fear of needles
• Any neurological disorder (trigeminal neuralgia, epilepsy)
• Pregnancy
• Uncontrolled vascular or metabolic problems

Sponsors & Collaborators

• Instituto de Investigación Sanitaria de la Fundación Jiménez Díaz: lead
• University of Alcala: collaborator

Study Sites (2)

Universidad de Alcalá de Henares

Madrid, 28801, Spain

Location

Patricia Recio Ramos

Madrid, Spain

Location

MeSH Terms

Conditions

Whiplash Injuries

Interventions

Dry Needling

Condition Hierarchy (Ancestors)

Neck Injuries; Wounds and Injuries

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 17, 2023
• First Posted: September 5, 2023
• Study Start: September 29, 2023
• Primary Completion: April 29, 2024
• Study Completion: September 30, 2024
• Last Updated: October 15, 2024

Record last verified: 2023-08

Data Sharing

• IPD Sharing: Will not share

Locations

ES (2)