Effects of Masseter Manual Therapy on Temporomandibular Dysfunction
Recruitment status was Recruiting
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Purpose
Muscles and myofascial dysfunction are more often the mechanism and source of pain in oral fascial disorders (OFD) than the TMJ. Masticatory muscles in patients with TMJ alterations are more hypertonic, less efficient and more prone to fatigue compared to age and sex matched controls. It is our opinion that Active Release Technique can be a reliable assessment and treatment tool in the resolution in cervical-cranio mandibular disorders. Our goal is to improve masticatory function through treatment of trigger points in the masseter.
| Condition | Intervention | Phase |
|---|---|---|
|
Temporomandibular Joint Temporomandibular Joint Dysfunction Syndrome Temporomandibular Joint Disorder |
Procedure: Active release techniques |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Effects of Masseter Manual Therapy on Temporomandibular Dysfunction: A Pilot Study |
- Range of Motion [ Time Frame: 2 weeks ] [ Designated as safety issue: No ]
- VAS pain scale [ Time Frame: 2 Weeks ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 45 |
| Study Start Date: | March 2009 |
| Estimated Study Completion Date: | May 2009 |
| Estimated Primary Completion Date: | May 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: TMD group
Participants will receive ART and have Therabite (mouth opening) and pain (VAS) measured before and after ART
|
Procedure: Active release techniques
Participants will receive ART and have Therabite (mouth opening) and pain (VAS) measured before and after ART
|
Detailed Description:
Recruit 45 patients with TMD determined by questionnaire. Measure pre and post mandibular active range of motion and VAS pain scale. Treatment will include 4 visits over a two week span measuring before first treatment and after last treatment. There will be 3 treatment groups; active release technique, post isometric relaxation and a no treatment control group. We will analyze data for any change in mandibular range of motion and VAS pain scale.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Difficulty and/or pain when opening mouth
- Jaw locking
- Difficulty or pain when chewing or talking
- TMJ clicking
- Jaw stiffness, tightness, or fatigue
- Pain in ear, temple or cheeks
- Frequent headaches, neckaches, toothaches
- Change in occlusion
Exclusion Criteria:
- Trauma to head, neck or jaw within last 12 months
- Recent dental extractions
- Taking prescription analgesics/muscle relaxants
- Recent cervical SMT (HVLA)
- Already under care for condition
- Sinus infection
Contacts and Locations| Contact: James George, DC | 636-230-1938 ext 1938 | james.george@logan.edu |
| United States, Missouri | |
| Logan University, College of Chiropractic | Recruiting |
| Chesterfield, Missouri, United States, 63017 | |
More Information
No publications provided
| Responsible Party: | Dr. James George, Jr, DC, Logan University, College of Chiropractic |
| ClinicalTrials.gov Identifier: | NCT00870922 History of Changes |
| Other Study ID Numbers: | SR0204090171, 388 |
| Study First Received: | March 25, 2009 |
| Last Updated: | March 25, 2009 |
| Health Authority: | United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Joint Diseases Temporomandibular Joint Disorders Temporomandibular Joint Dysfunction Syndrome Musculoskeletal Diseases Craniomandibular Disorders |
Mandibular Diseases Jaw Diseases Muscular Diseases Stomatognathic Diseases Myofascial Pain Syndromes |
ClinicalTrials.gov processed this record on May 16, 2013