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

NCT ID: NCT01954511

Last Updated: 2019-09-27

Basic Information

• Recruitment Status: WITHDRAWN
• Clinical Phase: NA
• Study Classification: INTERVENTIONAL
• Study Start Date: 2012-07-31
• Study Completion Date: 2012-12-31

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.

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

Conditions

Temporomandibular Joint Dysfunction Syndrome

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Manual therapy

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

Group Type: NO_INTERVENTION

Manual therapy

Intervention Type: OTHER

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

Manual therapy

Intervention Type: OTHER

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

Pressure biofeedback device

Intervention Type: 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

Interventions

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

Intervention Type: 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

Intervention Type: OTHER

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

Intervention Type: DEVICE

Other Intervention Names

Upper cervical flexion mobilization; C5 central posterior-anterior mobilization; Stabilizer

Eligibility Criteria

Inclusion Criteria

• Patients diagnosed with myogenic or mixed temporomandibular disorders

Exclusion Criteria

• Patients diagnosed with arthrogenic or discogenic temporomandibular disorders

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 25 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: Yes

Sponsors

Universidade Federal de Sao Carlos

OTHER

Sponsor Role: lead

Responsible Party

Bruno Leonardo da Silva Grüninger

Pt

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Ana Beatriz Oliveira, Phd

Role: STUDY_DIRECTOR

Clinical professor - UFSCar

Letícia Bojikian Calixtre, Pt

Role: PRINCIPAL_INVESTIGATOR

UFSCar

Francisco Alburquerque Sendín, Phd

Role: PRINCIPAL_INVESTIGATOR

University of Salamanca

Melina Nevoeiro Haik, MSc

Role: PRINCIPAL_INVESTIGATOR

UFSCar

Other Identifiers

0300.0.135.000-11

Identifier Type: OTHER

Identifier Source: secondary_id

U1111-1139-4055

Identifier Type: -

Identifier Source: org_study_id