Efficacy Of Different Types Of Physiotherapy Approaches In Temporomandibular Disorders
NCT ID: NCT04294602
Last Updated: 2020-03-04
Study Results
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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COMPLETED
NA
59 participants
INTERVENTIONAL
2017-05-15
2018-05-10
Brief Summary
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Detailed Description
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Pain, pain pressure threshold, temporomandibular joint (TMJ) mobility and disability, forward head posture, head rotation, neck disability, psychological status and quality of life were evaluated. Evaluations were repeated before and after treatment.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Exercise Program
This group received therapeutic exercises and patient education. For patients to encounter fewer problems and to reduce their problems, some recommendations were made that should be taken into consideration in daily life. These suggestions were given in writing. The exercise program included muscle stretching, massage of painful muscles, guided opening and closing movements, gentle isometric tension exercises against resistance, correction of body posture and relaxation techniques. All exercises were done in 6 repetitions a set, 3 sets a day, 3 days a week, treatment program lasted 4 weeks.
Exercise
Exercise therapy intended in reducing muscle spasm, improving coordination of the mastication muscles and alter the jaw closure pattern.
Patient Education
Some suggestions were made to TMD people who should pay attention to in daily life. These suggestions were given in writing.
Low Level Laser Therapy Program
This group received LLLT, therapeutic exercises and patient education in the therapy programs. LLLT (max output power: 1200mW, wavelength: 808 nm, dosage: 10j/ cm2 Electronica Pagani Laser Tower Light, Italy) 2.5-4j/TrP dosage was applied to MTrP or sensitive points. The application was applied to MTrP or sensitive points in the mastication and cervical muscles.LLLT program was done in 3 days a week, the treatment program lasted 4 weeks.
Exercise
Exercise therapy intended in reducing muscle spasm, improving coordination of the mastication muscles and alter the jaw closure pattern.
Low Level Laser Therapy
LLLT (max output power: 1200mW, wavelength: 808 nm, dosage: 10j/ cm2 Electronica Pagani Laser Tower Light, Italy) 2.5-4j/TrP dosage was applied to MTrP or sensitive points.
Patient Education
Some suggestions were made to TMD people who should pay attention to in daily life. These suggestions were given in writing.
Manual Pressure Release Program
ThisThis group received manual pressure release (MPR), therapeutic exercises and patient education in the therapy programs. MPR technique is a noninvasive method based on pressure on the trigger point in accordance with the patient's tolerance and technique applies supine position relax as much as possible, MTrPs in the mastication and neck muscle. Applied pressure gradually with finger over the MTrPs until the subject reported a 'moderate but easily tolerable' pain value of 7 out of 10. When the pain value decreased to at least 3 or 4 therapist increased pressure again until discomfort and/or pain appeared again. This process was repeated until there was no MTrP tension/tenderness or 60 s had elapsed. MPR program was done in 3 days a week, the treatment program lasted 4 weeks.
Exercise
Exercise therapy intended in reducing muscle spasm, improving coordination of the mastication muscles and alter the jaw closure pattern.
Manuel Pressure Release
MPR technique is a noninvasive method based on pressure on the trigger point in accordance with the patient's tolerance and technique applies supine position relax as much as possible, manuel pressure applied trigger point in neck and mactication muscles
Patient Education
Some suggestions were made to TMD people who should pay attention to in daily life. These suggestions were given in writing.
Interventions
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Exercise
Exercise therapy intended in reducing muscle spasm, improving coordination of the mastication muscles and alter the jaw closure pattern.
Low Level Laser Therapy
LLLT (max output power: 1200mW, wavelength: 808 nm, dosage: 10j/ cm2 Electronica Pagani Laser Tower Light, Italy) 2.5-4j/TrP dosage was applied to MTrP or sensitive points.
Manuel Pressure Release
MPR technique is a noninvasive method based on pressure on the trigger point in accordance with the patient's tolerance and technique applies supine position relax as much as possible, manuel pressure applied trigger point in neck and mactication muscles
Patient Education
Some suggestions were made to TMD people who should pay attention to in daily life. These suggestions were given in writing.
Eligibility Criteria
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Inclusion Criteria
* cases who have trigger points in cervical and masticatory muscles
* cases who TMD detected by the dentist,
* being between the ages of 18-30,
* volunteer to participate in the study
Exclusion Criteria
* patients undergoing TMJ or cervical region surgery in the last 3 months,
* patients who used dental orthotics within 1 month,
* patients who have TMJ instability,
* patients who have cervical and upper thoracic region,
* patients who have active infection and chronic pain, such as trigeminal neuralgia
18 Years
30 Years
ALL
No
Sponsors
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Marmara University
OTHER
Bitlis Eren University
OTHER
Responsible Party
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Abdurrahman Tanhan
research assistant
Principal Investigators
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Abdurrahman TANHAN, MSc
Role: PRINCIPAL_INVESTIGATOR
Bitlis Eren University
Locations
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Marmara University
Istanbul, Maltepe, Turkey (Türkiye)
Countries
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Other Identifiers
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BitlisErenU1
Identifier Type: -
Identifier Source: org_study_id
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