Comparing the Effect of Physical Therapy With Oral Appliance on Temporomandibular Disorder Related Myofascial Pain

National Taiwan University

Status: Completed

Conditions: Temporomandibular Disorder

Treatments: Device: oral appliance; Other: PT program

Study type: Interventional

Funder types: Other

Identifiers

NCT01725867

201003038R

Details and patient eligibility

About

the purpose of this study is to compare the effect of physical therapy (PT) program and oral appliance on patients with temporomandibular disorder (TMD)-related myofascial pain (MFP).

Full description

The details of each intervention are listed as following:

• physical therapy program group (PT): manual myofascial release over craniomandibular system, chin-in exercise and self-care education
• oral appliance group (splint): custom-made stabilization splint and self-care education

Enrollment: 49 patients

Sex: Female

Ages: 20 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• (1) 20-65 years old female, (2) diagnosed as MFP subtype of TMD according to Research Diagnostic Criteria for TMD (RDC/TMD), (3) pain duration over 3 month, (4) palpable taut band in masseter, (5) Asymmetrical pain intensity, (6) subsided symptoms of joint inflammation.

Exclusion criteria

• (1) traumatic TMD from external impact force, (2) history of traumatic cervical injury, (3) presence of systemic disease, (4) fibromyalgia, (5) co-interventions for cervical problems or TMD during study period, (6) signs of psychosomatic illness, (7) unwilling to be randomized, (8) unable to wear the splint or received intraoral myofascial release, (9)pregnancy.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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49 participants in 2 patient groups

PT program

Experimental group

Description:

manual myofascial release for craniomandibular system for 30\~40 minutes chin-in exercise within 10 minutes and as home exercise self-care education twice per week for 8 weeks

Treatment:

Other: PT program

Splint group

Active Comparator group

Description:

custom-made oral appliance: wear every night for 8 weeks, occasional drop is allowed self-care education

Treatment:

Device: oral appliance