- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00993577
Stretching Exercises and Temporomandibular Disorders (Stretching)
Global Postural Reeducation and Static Stretching Exercises in the Treatment of Myogenic Temporomandibular Disorders. A Randomized Study
To compare the efficacy of global postural reeducation (GPR) with static stretching exercises (SS) in the treatment of women with temporomandibular disorders (TMD).
Physical therapy is of importance in the treatment of myogenic temporomandibular disorders (TMD). Both stretching exercise and global posture reeducation are equally effective in the treatment of TMD.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Purpose: To compare the efficacy of global postural reeducation (GPR) with static stretching exercises (SS) in the treatment of women with temporomandibular disorders (TMD).
Methods: A total of 24 subjects with TMD were randomized into two treatment groups: GPR, where therapy involved muscle global chain stretching, or SS, with conventional static stretching. Eight treatment sessions lasting 40 minutes each (weekly) were performed. Assessments were conducted at baseline, immediately after treatment end, and again two months later. Measurements included pain intensity at the temporomandibular joint, headache, cervicalgia (visual analogue scale - VAS) and teeth clenching. Additionally, electromyographic activity and pain thresholds were measured at the masseter, anterior temporalis, sternocleidomastoid, and upper trapezius muscles. Two-way analysis of variance (ANOVA) with Tukey post-hoc test was used for in-between group comparisons. Significance level was 0.05.
Study Type
Enrollment (Actual)
Phase
- Phase 1
Contacts and Locations
Study Locations
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-
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São Paulo, Brazil, 05403-000
- Clinical Hospital of University of São Paulo
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São Paulo
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Rua Cipotânea, 51, São Paulo, Brazil
- Physicaltherapy, Speech and Ocupational Therapy Department
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Helkimo index III,
- Myogenic TMD, AND
- Presence of para-functional habits, such as: bruxism, teeth clenching, mouth-breathing and lip biting.
Exclusion Criteria:
- Surgery or trauma in the orofacial region,
- Systemic or degenerative diseases, OR
- Undergoing odontological, psychological, or physical therapy treatments.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Exercises
Global Postural Reeducation Static Stretching Exercises
|
Treatment consisted of eight individual sessions (once a week), over two months.
At the first 10 minutes of sessions, patients rested (supine position) with all limbs relaxed.
Manual therapy maneuvers were made as described by Bienfait,17 associated to breathing exercises, in order to stretch the fasciae that recover the shoulders, as well as the cervical spine muscles.
After that, stretching treatment (global or static) was conducted for another 30 minutes.
Other Names:
Treatment consisted of eight individual sessions (once a week), over two months.
At the first 10 minutes of sessions, patients rested (supine position) with all limbs relaxed.
Manual therapy maneuvers were made as described by Bienfait,17 associated to breathing exercises, in order to stretch the fasciae that recover the shoulders, as well as the cervical spine muscles.
After that, stretching treatment (global or static) was conducted for another 30 minutes.
Other Names:
Treatment consisted of eight individual sessions (once a week), over two months.
At the first 10 minutes of sessions, patients rested (supine position) with all limbs relaxed.
Manual therapy maneuvers were made as described by Bienfait,17 associated to breathing exercises, in order to stretch the fasciae that recover the shoulders, as well as the cervical spine muscles.
After that, stretching treatment (global or static) was conducted for another 30 minutes.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Pain
Time Frame: 2
|
2
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Quality of life
Time Frame: 2
|
2
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 155/04
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