Manual Therapy and Exercises Applied to Cervical Spine in Patients With Temporomandibular Disorders
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.
Temporomandibular Joint Dysfunction Syndrome
Other: Manual therapy
Device: Pressure biofeedback device
|Study Design:||Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
|Official Title:||Effects of Manual Therapy and Exercises Applied to Cervical Spine in Patients With Temporomandibular Disorders: Pilot Study|
- Changing in maximum mouth opening pain free [ Time Frame: Before and 5 days follow-up intervetion ] [ Designated as safety issue: Yes ]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)
- Changing of Pain [ Time Frame: Before and 5 days follow-up intervetion ] [ Designated as safety issue: Yes ]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.
- Changing in Mandibular Function Impairment Questionnaire -MFIQ [ Time Frame: Before and 5 days follow-up intervetion ] [ Designated as safety issue: Yes ]To evaluated mandibular function was used the Mandibular Function Impairment Questionnaire
|Study Start Date:||July 2012|
|Study Completion Date:||December 2012|
|Primary Completion Date:||December 2012 (Final data collection date for primary outcome measure)|
Other: Manual therapy
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:.
- Upper cervical flexion mobilization;
- C5 central posterior-anterior mobilization;
- Stabilization exercise: Cranio-cervical flexor stabilization exercise
- Stretching of muscles: upper trapezius, scalenes, semispinalis capitis; splenius capitis, sternocleidomastoid
|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|