Comparison of the Effects of Different Massage Techniques in Individuals With Bruxism
28 april 2026 bijgewerkt door: Kübra Kendal, Okan University
Comparison of the Effects of Different Massage Techniques on Pain, Orofacial Muscle Characteristics, Disability, and Sleep Quality in Individuals With Bruxism
The aim of this study is to compare the effects of occlusal splint therapy and different massage techniques on pain intensity and orofacial muscle tone and stiffness in individuals with possible sleep bruxism.
A secondary aim is to evaluate the effects of these interventions on oral parafunctional behaviors, disability, and sleep quality.
Studie Overzicht
Toestand
Nog niet aan het werven
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
Individuals meeting the inclusion criteria will be randomly assigned to three groups using block randomization: classic massage group (CM), connective tissue massage group (CTM), and occlusal splint group (OCG).
Following their assessments, individuals will be assigned to their respective groups.
The CM and CTM groups will receive different massage techniques twice a week from a physiotherapist for four weeks, while the OCG group will be instructed to use a custom-made occlusal splint provided by a dentist for four weeks.
Assessments will be repeated for all individuals at the 4th and 8th weeks.
Studietype
Ingrijpend
Inschrijving (Geschat)
42
Fase
- Niet toepasbaar
Contacten en locaties
In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.
Studiecontact
- Naam: Kübra Kendal, PhD
- Telefoonnummer: +90 530-233-8078
- E-mail: kubra.kendal@okan.edu.tr
Deelname Criteria
Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
Accepteert gezonde vrijwilligers
Nee
Beschrijving
Inclusion Criteria:
- Possible diagnosis of sleep bruxism,
- Reporting jaw or chewing muscle pain within the last 3 months
Exclusion Criteria:
- Having any orthopedic, neurological, or psychiatric diagnosis,
- Having systemic and/or degenerative disorders,
- Neurological or psychiatric disorders (excluding anxiety and depression),
- Using medications that affect sleep or motor behavior,
- Having arthrogenic or mixed temporomandibular disorders,
- Using an intraoral prosthesis,
- Having a history of direct trauma or previous surgery in the orofacial region,
- Using muscle relaxants and non-steroidal anti-inflammatory drugs,
- Using a removable prosthesis,
- Receiving any treatment for bruxism within the last 4 weeks.
Studie plan
Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Dubbele
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
|
Actieve vergelijker: Classical Massage Group (CM)
The classic massage treatment will be planned to include superficial and deep manual techniques targeting the facial and chewing muscles.
Prior to the treatment, the individual will be positioned supine in a comfortable position.
The massage protocol will include effleurage (superficial stroking), petrissage (kneading), friction (circular deep pressure), and gentle vibration techniques.
The application will be performed bilaterally, targeting the masseter, temporalis, buccinator, and perioral muscle groups.
Pressure intensity will be adjusted according to the individual's tolerance, avoiding pain provocation.
Each session will last approximately 30 minutes and will be performed twice a week for a total of 4 weeks.
|
The classic massage treatment will be planned to include superficial and deep manual techniques targeting the facial and chewing muscles.
Prior to the treatment, the individual will be positioned supine in a comfortable position.
The massage protocol will include effleurage (superficial stroking), petrissage (kneading), friction (circular deep pressure), and gentle vibration techniques.
The application will be performed bilaterally, targeting the masseter, temporalis, buccinator, and perioral muscle groups.
Pressure intensity will be adjusted according to the individual's tolerance, avoiding pain provocation.
Each session will last approximately 30 minutes and will be performed twice a week for a total of 4 weeks.
|
|
Actieve vergelijker: Connective Tissue Massage Group (CMM)
Connective tissue massage will be planned to include reflex-activated manual techniques targeting the subcutaneous connective tissue in the face and mandibular region.
The individual will be positioned supine, and the application will be performed using specific skin-tightening maneuvers that create gliding between the skin and subcutaneous tissues.
The techniques will focus particularly on connective tissue areas around the masseter, temporalis, and mandibular ramus.
During the application, slow and controlled maneuvers aimed at creating tension in the connective tissue rather than deep mechanical pressure will be preferred.
Each session will last approximately 30 minutes and will be applied twice a week for a total of 4 weeks.
|
Connective tissue massage will be planned to include reflex-activated manual techniques targeting the subcutaneous connective tissue in the face and mandibular region.
The individual will be positioned supine, and the application will be performed using specific skin-tightening maneuvers that create gliding between the skin and subcutaneous tissues.
The techniques will focus particularly on connective tissue areas around the masseter, temporalis, and mandibular ramus.
During the application, slow and controlled maneuvers aimed at creating tension in the connective tissue rather than deep mechanical pressure will be preferred.
Each session will last approximately 30 minutes and will be applied twice a week for a total of 4 weeks.
|
|
Actieve vergelijker: Occlusal Splint Group (OS)
Individuals in the OS group will have an occlusal splint fitted by the dental department and will be provided with guidance on lifestyle changes to be considered in daily living activities.
Following a clinical examination by the dentist, an impression will be taken of each volunteer's upper dental arch using irreversible hydrocolloid and used to prepare a maxillary Michigan type occlusal splint.
Volunteers will be instructed to wear the splint while sleeping and the necessary adjustments will be made by the same dentist after two weeks.
|
Individuals in the OS group will have an occlusal splint fitted by the dental department and will be provided with guidance on lifestyle changes to be considered in daily living activities.
Following a clinical examination by the dentist, an impression will be taken of each volunteer's upper dental arch using irreversible hydrocolloid and used to prepare a maxillary Michigan type occlusal splint.
Volunteers will be instructed to wear the splint while sleeping and the necessary adjustments will be made by the same dentist after two weeks.
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Visual Analog Scale (VAS)
Tijdsspanne: Before intervention, 4th week and 8th week after intervention
|
The VAS is a widely validated and reliable measurement tool developed to quantitatively assess an individual's perception of pain.
It is typically designed as a straight line approximately 10 cm long; the left end of the line represents "no pain," and the right end represents "very severe/unbearable pain."
Participants indicate the pain they feel by marking a point on the line as they see fit.
The value obtained by measuring the marked point numerically expresses the individual's pain level.
This scale was chosen for this study due to its ease of application, sensitivity, and widespread acceptance in clinical and research settings.
|
Before intervention, 4th week and 8th week after intervention
|
|
Analysis of Jaw Muscle Tone and Stiffness
Tijdsspanne: Before intervention, 4th week and 8th week after intervention
|
Using the Myoton Pro device, physical characteristics such as tone (F) and stiffness (S) of the upper trapezius, sternocleidomastoid, and masseter muscles will be measured.
These measurements will help determine the adaptations that bruxism creates in the soft tissues.
|
Before intervention, 4th week and 8th week after intervention
|
|
Oral Habits
Tijdsspanne: Before intervention, 4th week and 8th week after intervention
|
The 21-item Oral Habits Checklist (OHAC) will be used to assess participants' oral parafunctional behaviors.
The questionnaire, which asks about the frequency of parafunctional habits such as teeth clenching, teeth grinding, nail biting, lip biting, cheek biting, pen chewing, and gum chewing in the past month, will be answered using a 4-point Likert scale.
|
Before intervention, 4th week and 8th week after intervention
|
|
Jaw Functional Restriction
Tijdsspanne: Before intervention, 4th week and 8th week after intervention
|
The 'Jaw Functional Restriction Scale-8' (CFRS) will be used for functional assessment.
Individuals will be asked to determine their level of restriction for each of the 8 items on the scale within the last month.
Individuals will be informed that on a 10 cm horizontal line, the number '0' represents 'no restriction' and the number '10' represents 'severe restriction'.
The average of the individual's answers will be taken to calculate the functional restriction.
|
Before intervention, 4th week and 8th week after intervention
|
|
Sleep Quality
Tijdsspanne: Before intervention, 4th week and 8th week after intervention
|
The Pittsburgh Sleep Quality Index (PSQI) will be used to assess sleep quality.
PSQI items are structured based on clinical observations of individuals with sleep disorders, existing sleep quality scales referenced in the literature, and 18-month clinical follow-up findings focusing on the PSQI.
|
Before intervention, 4th week and 8th week after intervention
|
Medewerkers en onderzoekers
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Sponsor
Studie record data
Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.
Bestudeer belangrijke data
Studie start (Geschat)
1 mei 2026
Primaire voltooiing (Geschat)
1 juli 2026
Studie voltooiing (Geschat)
1 september 2026
Studieregistratiedata
Eerst ingediend
28 april 2026
Eerst ingediend dat voldeed aan de QC-criteria
28 april 2026
Eerst geplaatst (Werkelijk)
5 mei 2026
Updates van studierecords
Laatste update geplaatst (Werkelijk)
5 mei 2026
Laatste update ingediend die voldeed aan QC-criteria
28 april 2026
Laatst geverifieerd
1 april 2026
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- IstanbulOkanUnive
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
NEE
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Nee
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
Nee
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