Manual Therapy and Exercises Applied to Cervical Spine in Patients With Temporomandibular Disorders

September 25, 2019 updated by: Bruno Leonardo da Silva Grüninger, Universidade Federal de Sao Carlos

Effects of Manual Therapy and Exercises Applied to Cervical Spine in Patients With Temporomandibular Disorders: Pilot Study

The objective of this study was to investigate the effect of a manual therapy and exercise program, focused on the rehabilitation of cervical function, on clinical signs and mandibular function in subjects with TMD.

Study Overview

Detailed Description

Temporomandibular disorder (TMD) is a general term that refers to disorders associated with the temporomandibular joint (TMJ) and the masticatory muscles. Among the main symptoms are pre-auricular pain (in the region of the TMJ) and/or pain in the masticatory muscles.

It's usual to observe that subjects with TMD also present cervical alteration. Beside this, cervical postural alterations produced by muscle tension can influence mandibular position.

The intervention protocol was based on manual therapy, stabilization exercises and stretching.

The technique are:.

  1. Upper cervical flexion mobilization;
  2. C5 central posterior-anterior mobilization;
  3. Stabilization exercise: Cranio-cervical flexor stabilization exercise
  4. Stretching of muscles: upper trapezius, scalenes, semispinalis capitis; splenius capitis, sternocleidomastoid

Study Type

Interventional

Phase

  • Not Applicable

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

16 years to 23 years (Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

Female

Description

Inclusion Criteria:

  • Patients diagnosed with myogenic or mixed temporomandibular disorders

Exclusion Criteria:

  • Patients diagnosed with arthrogenic or discogenic temporomandibular disorders

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
No Intervention: Manual therapy
Upper cervical flexion mobilization, C5 central posterior-anterior mobilization, Pressure biofeedback device
The patient was supine with the cervical spine in a neutral position. The therapist brought about a contact of the occipital bone with the first finger and medial aspect of the hand, and other hand over the frontal region of the patient's head. The mobilizing force was delivered by flexing the upper cervical region using a combination of cephalic traction with the occipital hand and caudal pressure with the frontal hand. This technique was applied for 10 minutes
Other Names:
  • Upper cervical flexion mobilization
The patient was prone with the cervical spine in a neutral position. The therapist placed the tips of his thumbs on the posterior surface of the C5 spinous process, while the other fingers rested gently around the patients' neck. This technique was applied for 9 minutes
Other Names:
  • C5 central posterior-anterior mobilization
Device: Stabilizer - Chattanooga Group Inc., Chattanooga, Tennessee, USA The cranio-cervical flexor stabilization exercise was done 10 times holding 10 seconds the flexing position graded through feedback from a pressure biofeedback device
Other Names:
  • Stabilizer

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Changing in maximum mouth opening pain free
Time Frame: Before and 5 days follow-up intervetion
The clinical signs was based on Research Diagnostic Criteria protocol and it was measured maximum mouth opening pain free using a caliper ((Somet, 150mm, Inox, Czechoslovakia)
Before and 5 days follow-up intervetion

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Changing of Pain
Time Frame: Before and 5 days follow-up intervetion
To evaluate pain it was applied a scale from Research Diagnostic Criteria protocol, that consists of a line scored from 0 to 10, where 0 represents no pain and 10 the worst pain that the subject has experienced, allowing it to check the number that features their pain at the moment.
Before and 5 days follow-up intervetion

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
Changing in Mandibular Function Impairment Questionnaire -MFIQ
Time Frame: Before and 5 days follow-up intervetion
To evaluated mandibular function was used the Mandibular Function Impairment Questionnaire
Before and 5 days follow-up intervetion

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Study Director: Ana Beatriz Oliveira, Phd, Clinical professor - UFSCar
  • Principal Investigator: Letícia Bojikian Calixtre, Pt, UFSCar
  • Principal Investigator: Francisco Alburquerque Sendín, Phd, University of Salamanca
  • Principal Investigator: Melina Nevoeiro Haik, MSc, UFSCar

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

July 1, 2012

Primary Completion (Actual)

December 1, 2012

Study Completion (Actual)

December 1, 2012

Study Registration Dates

First Submitted

September 17, 2013

First Submitted That Met QC Criteria

September 26, 2013

First Posted (Estimate)

October 1, 2013

Study Record Updates

Last Update Posted (Actual)

September 27, 2019

Last Update Submitted That Met QC Criteria

September 25, 2019

Last Verified

September 1, 2019

More Information

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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