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Effcet of Temporomandibular Joint Disorder Relaxation and Myofacial Relaxation Techniques on Tension Headache

6 novembre 2021 aggiornato da: Ayça Araci, Alanya Alaaddin Keykubat University

Effect of Temporomandibular Joint Disorder Relaxation and Myofacial Relaxation Techniques on Quality of Life, Depression and Headache in Individuals With Tension Headache

The aim of this course is to investigate the effect of temporomandibular joint relaxation and myofacial relaxation techniques on quality of life , Joint range of motion, headache, depression in individuals with tension type headache.

Panoramica dello studio

Stato

Attivo, non reclutante

Intervento / Trattamento

Descrizione dettagliata

One of the most common complaints in society is headaches. Headaches affect the quality of life of people and communities.The proportion of people who have experienced headaches at least once in their lifetime is more than 90% in society, 93% in men and 99% in women.The causes that are common and cause this discomfort are basically examined under two main groups.These are grouped as 'primary/primary type headaches and secondary/secondary type headaches'. Some studies in literature have reported that temporomandibular dysfunction and headaches are 'comorbid diseases', that the presence of one will increase the symptoms of the other, and that if the temporomandibular joint disorder and headchache occur together, symptoms will shows sooner than expected.Some studies in literature have reported that temporomandibular dysfunction and headaches are 'comorbid diseases', that the presence of one will increase the symptoms of the other, and that if the temporomandibular joint disorder and the tension headaches occur together, it will show symptoms sooner than expected. The International Classification of Headache Disorders decodes the relationship between temporomandibular joint dysfunctions and headache.it is mentioned that as headache attributed to temporomandibular joint disorders. Many common points in studies have shown the Association of temporomandibular dysfunction and tension-type headache. The temporomandibular joint, one of the most complex joints in the body, is a loose joint that harmonizes between the mandibular condyle and the mandibular Fossa of the temporal bone decoction. The skull is the only movable joint between the bones decoction.November: the head and neck are a part of the stomatognathic system (masticatory system), which includes the muscles of the neck, chewing November, teeth-ligaments and salivary glands.Temporomandibular joint disorders are a major problem, covering approximately 5% to 12% of the population.Temporomandibular joint dysfunction leads to headaches, stiffness-pain in the jaw, restriction in jaw movements and stress increases TMD has been noted that the patients have difficulty doing daily life activities. Most Temporomandibular joint problems occur when the muscles around the joint are affected and pain occurs during the movements of the mandible and decreased functional use of the temporomandibular November. The muscles in the cervical region are also responsible for ensuring the stable position of the head, as well as for stabilizing the neck during movements of the jaw November. All November, the muscles in the craniocervical and facial region are connected. Temporomandibular joint dysfunctions (TMED) are more common in people with episodic tension headache (EGBTA) , migraine, and chronic tension headache (KGTBA) than in those without headache. When we look at literature, there are a limited number of studies in patients with Temporomandibular joint dysfunction with tension-type headache. Our study aimed to examine the effectiveness of temporomandibular joint relaxation and myofacial techniques on quality of life , Joint range of motion, headache, depression in individuals with tension type headache.

Tipo di studio

Interventistico

Iscrizione (Anticipato)

66

Fase

  • Non applicabile

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Luoghi di studio

    • Alanya
      • Antalya, Alanya, Tacchino
        • Alanyaaku

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

Da 18 anni a 65 anni (Adulto, Adulto più anziano)

Accetta volontari sani

No

Sessi ammissibili allo studio

Tutto

Descrizione

Inclusion Criteria:

  • individuals diagnosed with tension-type headache by a specialist physician
  • individuals diagnosed with Temporomandibular joint dysfunction by dentist-maxillofacial surgeon
  • To be able to read and understand Turkish
  • Have not received any medical treatment in the last 1 year.

Exclusion Criteria:

  • who received physical therapy for TMED in the previous 6 months
  • who with any neurological problems
  • who with any mental prolems
  • who with any konjenital disorders
  • who have undergone any cervikal or cranial surgery
  • who have any facial trauma or facial paralyses
  • who have advanced cervikal disc herniation
  • who have ankylosing spondlitis, rhematoid arthritis, fibromyalgia
  • who have any cominication problems

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Trattamento
  • Assegnazione: Randomizzato
  • Modello interventistico: Assegnazione parallela
  • Mascheramento: Separare

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: Myofascial relaxation technique + Temporomandibular joint release techniques group (n=22)
medical treatment + temporomandibular joint relaxation (temporalis, masseter, and suboccipital muscles) + myofasial release/trigger points (trapezius, rhomboideus, and levator scapulae, sternocleidomastoideus muscles),
Control group will be received only medical treatment
Sperimentale: Temporomandibular joint release techniques group (n=22)
only temporomandibular joint relaxation will be performed in this group (temporalis, masseter, and suboccipital muscles).
Control group will be received only medical treatment
Sperimentale: Control group (n=22)
only medication treatment will be applied
Control group will be received only medical treatment

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Cervikal region range of motion measurement
Lasso di tempo: "baseline,preintervention " and "immediately after the intervention"
Cases will be shown and asked to perform head flexion, extension, lateral flexion and rotation movements. And active joint range of motion will be evaluated with goniometer.
"baseline,preintervention " and "immediately after the intervention"
Temporomandibular joint range of motion measurement
Lasso di tempo: "baseline,preintervention " and "immediately after the intervention"
In our study, the maximum mouth opening amount of individuals in the group will be measured with a millimeter ruler 'right , left and side movements of the jaw (laterotrusion), forward movement (protrusion) and back movement (retrusion)'.
"baseline,preintervention " and "immediately after the intervention"
Fonseca Questionnare
Lasso di tempo: "baseline,preintervention " and "immediately after the intervention"
In order to classify Temporomandibular joint dysfunction, the Fonseca questionnaire will be applied. this questionnaire consists of 10 questions. Participants are asked to answer each question in the form of Yes (10 points), Sometimes (5 points ), No (0 points). Scores of all questions are collected and the severity of temporomandibular joint dysfunction is determined. TMED-No (0-15 points), Mild-TMED (20-40 points), Moderate-TMED (45-60 points) and Severe - TMED (70-100 points).
"baseline,preintervention " and "immediately after the intervention"
Headache Impact Test
Lasso di tempo: "baseline,preintervention " and "immediately after the intervention"
This questionnaire describes the frequency of a person's headache, the degree of restriction in daily life activities and social settings due to headaches , their psychological state , changes in their cognitive function.
"baseline,preintervention " and "immediately after the intervention"
Beck depression scale
Lasso di tempo: "baseline,preintervention " and "immediately after the intervention"
In order to evaluate depression level, The beck depression scale will be used.in the scale consisting of 21 questions, each question consists of 4 styles. The questions are scored between 0-3 points dec Low scores represent good results. According to the scores obtained, (0-9) points indicate minimal depression, (10-16) points indicate mild depression, (17-29) points indicate moderate depression, and (30-63) points indicate severe depression
"baseline,preintervention " and "immediately after the intervention"
Beck Anxiety Sacle
Lasso di tempo: "baseline,preintervention " and "immediately after the intervention"
In order to evaluate anxiety level, The beck depression scale will be used.in this scale consisting of 21 items, a quadruple Likert type measurement is performed. 0 points = none ,1 point = light , 2 points =medium , 3 points = serious. the december of 8-15 points is expressed as mild anxiety symptoms, moderate anxiety dec 16-25 points, severe anxiety symptoms from 26-63 points.
"baseline,preintervention " and "immediately after the intervention"
General short form quality of life scale
Lasso di tempo: "baseline,preintervention " and "immediately after the intervention"
In order to evaluate the quality of life, the short form quality of life will be used.SF-36 is a test consisting of 36 items used to obtain information about a person's physical, emotional, and general health status. This test includes 8 subscales ; mental state ,energy, pain, physical function, limitation due to physical problems, restriction due to emotional problems, social function and general health. it is evaluated with a score of 0-100 points.dec. High marks indicate a good state of health.
"baseline,preintervention " and "immediately after the intervention"

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Investigatori

  • Cattedra di studio: Hanifegül Taşkıran, Prof. Dr, Istanbul Aydın University
  • Direttore dello studio: Mustafa Zafer DEMİRTAŞ, MD, Alanya Alaaddin Keykubat University
  • Direttore dello studio: Ertan KARAÇAY, MD, Alanya Alaaddin Keykubat University
  • Direttore dello studio: Ahmet ÖZŞİMŞEK, PHD MD, Alanya Alaaddin Keykubat University

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Effettivo)

10 aprile 2021

Completamento primario (Effettivo)

10 giugno 2021

Completamento dello studio (Anticipato)

15 novembre 2021

Date di iscrizione allo studio

Primo inviato

9 settembre 2021

Primo inviato che soddisfa i criteri di controllo qualità

17 settembre 2021

Primo Inserito (Effettivo)

27 settembre 2021

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

9 novembre 2021

Ultimo aggiornamento inviato che soddisfa i criteri QC

6 novembre 2021

Ultimo verificato

1 novembre 2021

Maggiori informazioni

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

Prove cliniche su Cefalea di tipo tensivo

Prove cliniche su Control group (n=22)

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