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

2021年11月6日 更新者: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.

研究概览

地位

主动,不招人

详细说明

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.

研究类型

介入性

注册 (预期的)

66

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

    • Alanya
      • Antalya、Alanya、火鸡
        • Alanyaaku

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 至 65年 (成人、年长者)

接受健康志愿者

有资格学习的性别

全部

描述

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

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:治疗
  • 分配:随机化
  • 介入模型:并行分配
  • 屏蔽:单身的

武器和干预

参与者组/臂
干预/治疗
实验性的: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
实验性的: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
实验性的:Control group (n=22)
only medication treatment will be applied
Control group will be received only medical treatment

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Cervikal region range of motion measurement
大体时间:"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
大体时间:"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
大体时间:"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
大体时间:"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
大体时间:"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
大体时间:"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
大体时间:"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"

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

调查人员

  • 学习椅:Hanifegül Taşkıran, Prof. Dr、İstanbul Aydın University
  • 研究主任:Mustafa Zafer DEMİRTAŞ, MD、Alanya Alaaddin Keykubat University
  • 研究主任:Ertan KARAÇAY, MD、Alanya Alaaddin Keykubat University
  • 研究主任:Ahmet ÖZŞİMŞEK, PHD MD、Alanya Alaaddin Keykubat University

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2021年4月10日

初级完成 (实际的)

2021年6月10日

研究完成 (预期的)

2021年11月15日

研究注册日期

首次提交

2021年9月9日

首先提交符合 QC 标准的

2021年9月17日

首次发布 (实际的)

2021年9月27日

研究记录更新

最后更新发布 (实际的)

2021年11月9日

上次提交的符合 QC 标准的更新

2021年11月6日

最后验证

2021年11月1日

更多信息

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

Control group (n=22)的临床试验

3
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