Effects of Electric Massage on the Cervical Region in Subjects Diagnosed With Temporomandibular Disorders

NCT ID: NCT04098952

Last Updated: 2021-11-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

46 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-11-18

Study Completion Date

2021-10-14

Brief Summary

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To know the short-term effects of electric massage applied on the cervical region combined with local techniques on the temporomandibular joint versus an intervention that applies only local techniques in subjects diagnosed with temporomandibular disorders.

Detailed Description

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This study aims to know the short-term effects of electric massage applied to the cervical region combined with local techniques on the temporomandibular pain versus an intervention that applies only local techniques in subjects diagnosed with temporomandibular disorders. This is a prospective, controlled, single-blind clinical trial of 46 subjects randomly divided into two groups: Group 1 Manual Therapy=21; Group 2 Interferential massage plus Manual Therapy=25. Group 1 will receive manual therapy consisting of techniques of ischemic compression on masseter muscles and soft-tissue release technique over the temporal región. Group 2, in addition to the intervention in group 1, will receive electric massage with interferential currents at the cervical level.

Pain related measures (Visual Analogue Scale oral, Pressure Pain Threshold (PPT)), vertical mouth opening as primary outcome measures and cervical range of motion as secondary outcomes were assessed. The assessments were made before the intervention, immediately after and after 4 weeks of follow-up.

Conditions

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Temporomandibular Disorders

Keywords

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temporomandibular disorders electric massage temporomandibular joint local techniques

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Group 1: Manual Therapy

The treatment techniques used will be: ischemic compression in the trigger point of the masseter and soft-tissue release technique over the temporal region.

Group Type ACTIVE_COMPARATOR

Group 1: Manual Therapy

Intervention Type OTHER

The treatment techniques used will be: ischemic compression in the trigger point of the masseter and soft-tissue release technique over the temporal region.

Group 2: Interferential massage plus Manual Therapy

In addition to the treatment techniques applied to the other group, an electric massage will be performed with interferential currents at the level of the cervical region.

Group Type EXPERIMENTAL

Group 2: Interferential massage plus Manual Therapy

Intervention Type OTHER

In addition to the treatment techniques applied to the other group, an electric massage will be performed with interferential currents at the level of the cervical region.

Interventions

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Group 1: Manual Therapy

The treatment techniques used will be: ischemic compression in the trigger point of the masseter and soft-tissue release technique over the temporal region.

Intervention Type OTHER

Group 2: Interferential massage plus Manual Therapy

In addition to the treatment techniques applied to the other group, an electric massage will be performed with interferential currents at the level of the cervical region.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Consent of the subject to participate in the study.
* A primary diagnosis of myofascial pain according to Axis I, category Ia and Ib (i.e. myofascial pain with or without limited opening) of the Research Diagnostic Criteria for TMD (RDC ⁄ TMD) (Schiffman E, Ohrbach R, Truelove E, et al. Diagnostic criteria for tempormandibular disorders (DC(TMD) for clinical and research applications: recommendations of the International RDC/TMD consortium network\* and orofacial pain special interest group. J Oral facial pain headache. 2014;28(1):6-27").
* Bilateral pain involving the masseter and temporal regions; presence of at least one trigger point (TrP) in the masseter muscle.
* Pain symptoms history of at least the 3 months previous to the study.
* Intensity of the pain of at least 30 mm on a 100 mm Visual Analogue Scale (VAS).
* A score of less than 45 points on the Personal Psychological Apprehension Scale (PPAS). It has been validated in the scope of physiotherapy, and represents a simple-to-handle tool in studies where subjects may undergo electrotherapy as a treatment option.

Exclusion Criteria

* Surgical intervention of the temporomandibular joints (TMJ).
* Suffering some intra-articular damage (arthritis) or some vestibular disorder diagnosed.
* Inflammation of the TMJ.
* Having received physiotherapy treatment in the last two weeks.
* Receive pharmacological treatment for analgesic, anti-inflammatory or that could cause alterations of equilibrium.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Luis Espejo Antúnez PhD

OTHER

Sponsor Role lead

Responsible Party

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Luis Espejo Antúnez PhD

Department of Medical Surgical Therapy.

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Luis Espejo Antúnez, PhD

Role: STUDY_DIRECTOR

Department of Medical Surgical Therapy.

Locations

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Luis Espejo Antúnez

Badajoz, , Spain

Site Status

Countries

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Spain

References

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Espejo-Antunez L, Cardero-Duran MLA, Heredia-Rizo AM, Casuso-Holgado MJ, Albornoz-Cabello M. Effects of adding electro-massage to manual therapy for the treatment of individuals with myofascial temporomandibular pain: a randomized controlled trial. J Appl Oral Sci. 2024 Sep 16;32:e20240109. doi: 10.1590/1678-7757-2024-0109. eCollection 2024.

Reference Type DERIVED
PMID: 39292112 (View on PubMed)

Other Identifiers

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LE0001

Identifier Type: -

Identifier Source: org_study_id