Manual Therapy Effectivity and Exercises in Musicians

NCT ID: NCT04977349

Last Updated: 2024-10-16

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-09-01
• Study Completion Date: 2025-09-10

Brief Summary

Orofacial pain is one of the most common dysfunctions among wind musicians, a population with a high incidence of temporomandibular disorder (TMD). Regarding the treatment of TMD, the efficacy of manual therapy and therapeutic exercise has been studied, but there is a lack of high quality research supporting its implementation. There is, however, an agreement on the need of combining the treatment of the temporomandibular joint and the cervical spine, due to their close biomechanical relation.

Aims of the study: To analyse the efficacy of an evidence-based manual therapy protocol alone or in combination with an exercise program on the treatment of orofacial pain during musical practice on wind musicians. Furthermore, this study aims at observing whether if said treatment is more effective in the short, medium, or long term, and which variables are the most influenced.

Detailed Description

Methods: A sample of 40 wind musicians with orofacial pain during practice with the instrument will be recruited in the different conservatories of the Community of Madrid. The sample will be divided into two different groups: a control group who will receive the manual therapy protocol, and an experimental group who will, in addition, receive an exercise program. Treatment will consist of ten session distributed along 5 weeks, of an approximated duration of 30 minutes per session. Assessments will be carried out pre- and post-intervention, and for a two- and four-months follow-up.

Conditions

Orofacial Pain

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Wind Musicians

Isometric exercises for: cranial protrusion, mouth opening, laterality cervical movement and cervical coordination by laser assesment. And the manual therapy from the Active Comparator group.

Group Type: EXPERIMENTAL

Manual Therapy

Intervention Type: OTHER

This group will be treated by manual therapy: suboccipital inhibition, myofascial extracavitary treatment in (superior trapezius fibers, ECOM, masseter and temporalis) and intracavitary muscles (medialis and lateral pterygoid muscles).

Exercise program

Intervention Type: OTHER

Isometric exercises for: cranial protrusion, mouth opening, laterality cervical movement and cervical coordination by laser assessment. And the manual therapy from the Active Comparator group.

Wind musicians

This group will be treated by manual therapy: suboccipital inhibition, myofascial extracavitary treatment in (superior trapezius fibers, Sternocleidomastoid (ECOM), masseter and temporalis) and intracavitary muscles (medialis and lateral pterygoid muscles).

Group Type: ACTIVE_COMPARATOR

Manual Therapy

Intervention Type: OTHER

This group will be treated by manual therapy: suboccipital inhibition, myofascial extracavitary treatment in (superior trapezius fibers, ECOM, masseter and temporalis) and intracavitary muscles (medialis and lateral pterygoid muscles).

Exercise program

Intervention Type: OTHER

Isometric exercises for: cranial protrusion, mouth opening, laterality cervical movement and cervical coordination by laser assessment. And the manual therapy from the Active Comparator group.

Interventions

Manual Therapy

This group will be treated by manual therapy: suboccipital inhibition, myofascial extracavitary treatment in (superior trapezius fibers, ECOM, masseter and temporalis) and intracavitary muscles (medialis and lateral pterygoid muscles).

Intervention Type: OTHER

Exercise program

Isometric exercises for: cranial protrusion, mouth opening, laterality cervical movement and cervical coordination by laser assessment. And the manual therapy from the Active Comparator group.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Metal or wood wind musicians
• Orofacial pain during the practice in the last 30 days.
• More than 20 hours by week in the practice.
• Between 18-65 years old.

Exclusion Criteria

• Neurological diseases.
• Analgesics previous treatments.
• Any trauma or bone fractures in skull or cervical spine.
• Any surgical intervention in cervical spine, orofacial region or temporo-mandibular joint.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Prof. Dr. Daniel Pecos Martín

OTHER

Sponsor Role: lead

Responsible Party

Prof. Dr. Daniel Pecos Martín

Vice-dean of Physiotherapy

Responsibility Role: SPONSOR_INVESTIGATOR

Locations

Overall Study Officials

Alcalá de Henares, Madrid, Spain

Site Status: RECRUITING

Nursing and Physiotherapy Faculty

Alcalá de Henares, Madrid, Spain

Site Status: NOT_YET_RECRUITING

Countries

Spain

Central Contacts

Patricia M Merinero, PhD

Role: CONTACT

patricia.m.merinero@gmail.com

661637862

Facility Contacts

Laura López-García

Role: primary

gifyd@uah.es

+34 918855142

Samuel Fernandez-Carnero, PhD

Role: primary

samuel.fernandezc@uah.es

+34620895315

Daniel Pecos-Martin, PhD

Role: backup

daniel.pecos@uah.es

+34630909495

Other Identifiers

CEIM/HU/2020/40

Identifier Type: -

Identifier Source: org_study_id