Effectiveness of Cervical Treatment in Wind Musicians With Temporomandibular Dysfunction

NCT ID: NCT05893251

Last Updated: 2023-06-12

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 30 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2017-11-01
• Study Completion Date: 2018-06-01

Brief Summary

Temporomandibular dysfunction (TMD) consists of a series of multifactorial signs and symptoms that occur in the orofacial region, with pain being the most common symptom. There is a close biomechanical and anatomical relationship between the cervical region and the temporomandibular joint (TMJ) through the trigemino-spinal nucleus.

Objectives: To comparatively assess the improvement in subjects with TMD when adding cervical manual therapy to a postural treatment. Additionally, to determine if both cervical treatments separately produce changes in the TMJ.

Materials and methods: An experimental study of randomized controlled clinical trial type was conducted. The study involved 30 wind instrument players randomly assigned to an experimental group (EG) and a control group (CG). After obtaining consent, measurements were taken for maximum mouth opening (MMO), cervical range of motion, and pain threshold to pressure (PTP) in the masseter and temporalis muscles. Both groups underwent active cervical postural treatment for 4 weeks, and the EG additionally received a cervical manual therapy protocol. An initial assessment was conducted before the intervention, and a final assessment was done one week after the last intervention. The statistical program SPSS was used for data analysis.

Conditions

Temporomandibular Joint Dysfunction Syndrome

Study Design

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

Study Groups

Protocol group

The treatment plan includes active postural exercises for the cervical spine.

Group Type: ACTIVE_COMPARATOR

Postural exercises

Intervention Type: OTHER

The treatment plan includes active postural exercises for the cervical spine.

Manual therapy group

The treatment plan includes active postural exercises and manual therapy for the cervical spine.

Group Type: EXPERIMENTAL

Manual therapy

Intervention Type: OTHER

Within the manual therapy protocol carried out in the experimental group, we performed a series of passive maneuvers. The patient remains in supine position on a treatment table throughout the treatment, while the therapist sits at the head of the patient on a stool. The sequence of application is as follows:

Suboccipital inhibition technique Cervical spinal mobilization Posterior fascia stretching

Interventions

Manual therapy

Within the manual therapy protocol carried out in the experimental group, we performed a series of passive maneuvers. The patient remains in supine position on a treatment table throughout the treatment, while the therapist sits at the head of the patient on a stool. The sequence of application is as follows:

Suboccipital inhibition technique Cervical spinal mobilization Posterior fascia stretching

Intervention Type: OTHER

Postural exercises

The treatment plan includes active postural exercises for the cervical spine.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Acceptance of written informed consent.
• Playing a wind instrument.
• Age between 18-40 years.
• Pain in the cranio-cervico-mandibular region and/or masticatory muscles.
• Hypertrophy in the masticatory muscles.

Exclusion Criteria

• History of trauma and/or fracture in the cranial and/or facial region.
• Rheumatic injury or degenerative disease.
• Surgical intervention on the temporomandibular joint (TMJ).
• Malformations of the cervical or cranial spine.
• Vestibular, circulatory, or neurological disorders.
• Degenerative or infectious joint diseases.
• Current orthodontic treatment.
• Receiving physiotherapy treatment during the two weeks prior to the study or during the study.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 40 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Universidad de Murcia

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

University Of Murcia

Murcia, , Spain

Countries

Spain

Other Identifiers

ANAISATM

Identifier Type: OTHER

Identifier Source: secondary_id

ANAISATM

Identifier Type: -

Identifier Source: org_study_id