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

Sponsor
Universidade Federal de Sao Carlos (Other)
Overall Status
Withdrawn
CT.gov ID
NCT01954511
Collaborator
(none)
0
Enrollment
1
Arm
5
Duration (Months)

Study Details

Study Description

Brief Summary

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.

Condition or Disease Intervention/Treatment Phase
  • Other: Manual therapy
  • Other: Manual therapy
  • Device: Pressure biofeedback device
 N/A

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 Design

Study Type:
Interventional
Actual Enrollment :
0 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Effects of Manual Therapy and Exercises Applied to Cervical Spine in Patients With Temporomandibular Disorders: Pilot Study
Study Start Date :
Jul 1, 2012
Actual Primary Completion Date :
Dec 1, 2012
Actual Study Completion Date :
Dec 1, 2012

Arms and Interventions

Arm Intervention/Treatment
No Intervention: Manual therapy

Upper cervical flexion mobilization, C5 central posterior-anterior mobilization, Pressure biofeedback device

Other: Manual therapy
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

    • Other: Manual therapy
    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: Pressure biofeedback device
    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

    		•

    Outcome Measures

    Primary Outcome Measures

    1. Changing in maximum mouth opening pain free [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)

    Secondary Outcome Measures

    1. Changing of Pain [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.

    Other Outcome Measures

    1. Changing in Mandibular Function Impairment Questionnaire -MFIQ [Before and 5 days follow-up intervetion]

      To evaluated mandibular function was used the Mandibular Function Impairment Questionnaire

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 25 Years
    Sexes Eligible for Study:
    Female
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • Patients diagnosed with myogenic or mixed temporomandibular disorders
    Exclusion Criteria:
    • Patients diagnosed with arthrogenic or discogenic temporomandibular disorders

    Contacts and Locations

    Locations

    No locations specified.

    Sponsors and Collaborators

    • Universidade Federal de Sao Carlos

    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 Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Bruno Leonardo da Silva Grüninger, Pt, Universidade Federal de Sao Carlos
    ClinicalTrials.gov Identifier:
    NCT01954511
    Other Study ID Numbers:
    • U1111-1139-4055
    • 0300.0.135.000-11
    First Posted:
    Oct 1, 2013
    Last Update Posted:
    Sep 27, 2019
    Last Verified:
    Sep 1, 2019
    Keywords provided by Bruno Leonardo da Silva Grüninger, Pt, Universidade Federal de Sao Carlos
    Stomatognathic diseases;
    Temporomandibular Joint Dysfunction Syndrome
    Additional relevant MeSH terms:
    Temporomandibular Joint Disorders
    Temporomandibular Joint Dysfunction Syndrome
    Joint Diseases

    Study Results

    No Results Posted as of Sep 27, 2019