Effect of Myofascial Release Technique Applied to in Patients With Temporomandibular Dysfunction

December 21, 2022 updated by: Istanbul Medipol University Hospital

Effect of Myofascial Release Technique Applied to in Patients With TMD

We aim to compare the effectiveness of MFR and exercise therapy on mobility and function by investigating the effectiveness of the Myofascial Release Technique (MFR), which we will apply to the muscles we choose related to the facial system connection in participants with temporomandibular dysfunction (TMD) and low back pain.

Study Overview

Status

Recruiting

Detailed Description

We aim to compare the effectiveness of MFR and exercise therapy on mobility and function by investigating the effectiveness of the Myofascial Release Technique (MFR), which we will apply to the muscles we choose related to the facial system connection in participants with temporomandibular dysfunction (TMD) and low back pain.

Method and Material Working group (Group A): Myofascial release technique will be applied. A total of 10 sessions will be applied for 4 weeks, 3 times a week for the first 2 weeks, and 2 times a week for the next 2 weeks.

Exercise group (Group B): The stretching exercises that we planned to give to the exercise group were planned for the muscles to which we will apply myofascial technique.

• Control group (Group C): No application will be made to the control group. Evaluations will be made at the beginning of the study and at the end of 4 weeks. The evaluation parameters to be used are as follows; Oswestry Low Back Disability Survey, Algometer and Myotonometry.

Inclusion Criteria: Participants aged 18-50 years diagnosed with TMD,Persons with a score of 20% or more on the Oswestry waist index, and People with low back pain for more than 3 months,Persons with mechanical low back pain and lumbar disc herniation without neurological deficits will be included in the study.Persons with acute or chronic temporomandibular dysfunction will be included. Exclusion Criteria; Neurological problems,Presence of extruded and sequestered lumbar disc herniation,Cardiovascular symptoms and circulation problems,Infection,Fibromyalgia, Acute arthritis conditions,Those with spinal abnormalities,Fracture history, presence of dislocation / subluxation will be excluded

Study Type

Interventional

Enrollment (Anticipated)

45

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

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

18 years to 50 years (Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Participants aged 18-50 years diagnosed with TMD
  • Persons with a score of 20% or more on the Oswestry waist index, and
  • People with low back pain for more than 3 months
  • Persons with mechanical low back pain and lumbar disc herniation without neurological deficits will be included in the study.
  • Persons with acute or chronic temporomandibular dysfunction will be included

Exclusion Criteria:

  • Neurological problems,
  • Presence of extruded and sequestered lumbar disc herniation
  • Cardiovascular symptoms and circulation problems,
  • Infection,
  • Fibromyalgia, Acute arthritis conditions
  • Those with spinal abnormalities,
  • Fracture history, presence of dislocation / subluxation will be excluded

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: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Working group
A total of 10 sessions will be applied myofascial release technique for 4 weeks, 3 times a week for the first 2 weeks, and 2 times a week for the next 2 weeks. Evaluations will be made at the beginning of the study and at the end of 4 weeks
Myofascial Release Technique (MFR), which we will apply to the muscles we choose related to the facial system connection
Other Names:
  • Myofascial Exercise
Experimental: Exercise group
The stretching exercises that we planned to give to the exercise group were planned for the muscles to which we will apply myofascial technique. Evaluations will be made at the beginning of the study and at the end of 4 weeks
Myofascial Release Technique (MFR), which we will apply to the muscles we choose related to the facial system connection
Other Names:
  • Myofascial Exercise
Experimental: Control group
No application will be made to the control group. Evaluations will be made at the beginning of the study and at the end of 4 weeks
Myofascial Release Technique (MFR), which we will apply to the muscles we choose related to the facial system connection
Other Names:
  • Myofascial Exercise

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Algometer
Time Frame: 5 minute
Pressure algometer will be used for temporomandibular joint pain. It will be applied to the lower masseter muscles and anterior temporalis muscles bilaterally on the lateral pole of the algometer and the average of three applications in each region will be taken.
5 minute
Myotonometry
Time Frame: 10 minute
It will be used to assess muscle tone differences. Myotonometry provides valid and reliable measurement of tissue stiffness. The measurement will be applied bilaterally to the masseter, temporalis, trapezius, erector spinal muscles, quadrates lumborum and TFL muscles.
10 minute
Oswestry Low Back Disability Survey
Time Frame: 10 minute
To be used to assess functional disability for the lower back
10 minute

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
DC-TMD Evoluation
Time Frame: 10 minute
The amount of mouth opening will be used to evaluate mandibular lateral shifts and mandibular protrusion.
10 minute

Collaborators and Investigators

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

Investigators

  • Principal Investigator: Ebru Senel topaloglu, 1, Istanbul Medipol University Turkey Istanbul

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 (Actual)

May 10, 2021

Primary Completion (Anticipated)

January 15, 2023

Study Completion (Anticipated)

January 30, 2023

Study Registration Dates

First Submitted

December 21, 2022

First Submitted That Met QC Criteria

December 21, 2022

First Posted (Estimate)

January 6, 2023

Study Record Updates

Last Update Posted (Estimate)

January 6, 2023

Last Update Submitted That Met QC Criteria

December 21, 2022

Last Verified

May 1, 2022

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

No

IPD Plan Description

I will publish my manuscript about this study, so researchers can access my individual participant data with this way.

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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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