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

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Bruno Leonardo da Silva Grüninger, Universidade Federal de Sao Carlos
ClinicalTrials.gov Identifier:
NCT01954511
First received: September 17, 2013
Last updated: September 26, 2013
Last verified: September 2013
  Purpose

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 Intervention
Temporomandibular Joint Dysfunction Syndrome
Other: Manual therapy
Device: Pressure biofeedback device

Study Type: Interventional
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

Resource links provided by NLM:


Further study details as provided by Universidade Federal de Sao Carlos:

Primary Outcome Measures:
  • 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)


Secondary Outcome Measures:
  • 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.


Other Outcome Measures:
  • 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


Enrollment: 12
Study Start Date: July 2012
Study Completion Date: December 2012
Primary Completion Date: December 2012 (Final data collection date for primary outcome measure)
Intervention Details:
    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 Name: 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 Name: 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 Name: Stabilizer
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
  Eligibility

Ages Eligible for Study:   18 Years to 25 Years
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Patients diagnosed with myogenic or mixed temporomandibular disorders

Exclusion Criteria:

  • Patients diagnosed with arthrogenic or discogenic temporomandibular disorders
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01954511

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
  More Information

No publications provided

Responsible Party: Bruno Leonardo da Silva Grüninger, Pt, Universidade Federal de Sao Carlos
ClinicalTrials.gov Identifier: NCT01954511     History of Changes
Other Study ID Numbers: U1111-1139-4055, 0300.0.135.000-11
Study First Received: September 17, 2013
Last Updated: September 26, 2013
Health Authority: Brazil: Ethics Committee

Keywords provided by Universidade Federal de Sao Carlos:
Stomatognathic diseases;
Temporomandibular Joint Dysfunction Syndrome

Additional relevant MeSH terms:
Temporomandibular Joint Disorders
Joint Diseases
Disease
Craniomandibular Disorders
Mandibular Diseases
Jaw Diseases
Musculoskeletal Diseases
Muscular Diseases
Stomatognathic Diseases
Syndrome
Temporomandibular Joint Dysfunction Syndrome
Pathologic Processes
Myofascial Pain Syndromes

ClinicalTrials.gov processed this record on September 30, 2014