Effects of Masseter Manual Therapy on Temporomandibular Dysfunction

Effects of Masseter Manual Therapy on Temporomandibular Dysfunction: A Pilot Study

Muscles and myofascial dysfunction are more often the mechanism and source of pain in oral fascial disorders (OFD) than the TMJ. Masticatory muscles in patients with TMJ alterations are more hypertonic, less efficient and more prone to fatigue compared to age and sex matched controls. It is our opinion that Active Release Technique can be a reliable assessment and treatment tool in the resolution in cervical-cranio mandibular disorders. Our goal is to improve masticatory function through treatment of trigger points in the masseter.

Study Overview

• Status: Unknown
• Conditions: Temporomandibular Joint Dysfunction Syndrome; Temporomandibular Joint Disorder; Temporomandibular Joint
• Intervention / Treatment: Procedure: Active release techniques

Detailed Description

Recruit 45 patients with TMD determined by questionnaire. Measure pre and post mandibular active range of motion and VAS pain scale. Treatment will include 4 visits over a two week span measuring before first treatment and after last treatment. There will be 3 treatment groups; active release technique, post isometric relaxation and a no treatment control group. We will analyze data for any change in mandibular range of motion and VAS pain scale.

• Study Type: Interventional
• Enrollment (Anticipated): 45
• Phase: Phase 1

Contacts and Locations

Study Locations

• United States
  • Missouri
    • Chesterfield, Missouri, United States, 63017
      • Recruiting
      • Logan University, College of Chiropractic

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Difficulty and/or pain when opening mouth
• Jaw locking
• Difficulty or pain when chewing or talking
• TMJ clicking
• Jaw stiffness, tightness, or fatigue
• Pain in ear, temple or cheeks
• Frequent headaches, neckaches, toothaches
• Change in occlusion

Exclusion Criteria:

• Trauma to head, neck or jaw within last 12 months
• Recent dental extractions
• Taking prescription analgesics/muscle relaxants
• Recent cervical SMT (HVLA)
• Already under care for condition
• Sinus infection

Study Plan

How is the study designed?

Design Details

• Primary Purpose: TREATMENT
• Allocation: NA
• Interventional Model: SINGLE_GROUP
• Masking: NONE

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: TMD group; Participants will receive ART and have Therabite (mouth opening) and pain (VAS) measured before and after ART	Procedure: Active release techniques; Participants will receive ART and have Therabite (mouth opening) and pain (VAS) measured before and after ART

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Range of Motion	2 weeks

Secondary Outcome Measures

Outcome Measure	Time Frame
VAS pain scale	2 Weeks

Collaborators and Investigators

• Sponsor: Logan College of Chiropractic

Study record dates

Study Major Dates

• Study Start: March 1, 2009
• Primary Completion (ANTICIPATED): May 1, 2009
• Study Completion (ANTICIPATED): May 1, 2009

Study Registration Dates

• First Submitted: March 25, 2009
• First Submitted That Met QC Criteria: March 25, 2009
• First Posted (ESTIMATE): March 27, 2009

Study Record Updates

• Last Update Posted (ESTIMATE): March 27, 2009
• Last Update Submitted That Met QC Criteria: March 25, 2009
• Last Verified: March 1, 2009

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Musculoskeletal Diseases; Muscular Diseases; Stomatognathic Diseases; Jaw Diseases; Craniomandibular Disorders; Mandibular Diseases; Myofascial Pain Syndromes; Joint Diseases; Temporomandibular Joint Disorders; Temporomandibular Joint Dysfunction Syndrome
• Other Study ID Numbers: SR0204090171; 388