Kinesiotaping and Stretching on SKM and Upper Trapezius Muscle in TMD Patients

Istanbul Arel University

Status: Completed

Conditions: TMJ Disc Disorder; Myofascial Pain

Treatments: Other: Control Group; Other: Kinesiotaping Group; Other: Stretching Group

Study type: Interventional

Funder types: Other

Identifiers

NCT05481268

IstanbulArelUTME

Details and patient eligibility

About

Purpose: This study determined the effects of Kinesiotaping and Stretching on pain, cervical joint range of motion and functional status in patients with myofascial pain due to temporomandibular joint disorder.

Methods: 33 patients with myofascial pain due to temporomandibular joint disorder were included in the study. The patients were divided into three groups by simple randomization (Kinesiotaping group, Stretching group and Control group). Patients in the Kinesiotaping and Stretching groups received application for their Upper Trapezius and Sternocleidomastoid muscles twice a week for two weeks by the same physiotherapist. No application was made to the Control group. Cervical joint range of motion, muscle strength and pain were evaluated. Additionally, algometry tests and functional evaluation were performed. The tests were performed in the Kinesiotaping and Stretching groups before the applications and at the end of week 1 and week 2, on the other hand Control group evaluated before the application and at the end of week 2.

Full description

This study is my master's thesis that I conducted in 2018. Our prospective clinical study was approved by the Non-Interventional Ethics Committee. The study was conducted at Dentistry Prosthetic Odontotherapy Outpatient Clinic between February 2018 and April 2018. Volunteering 33 patients between the ages of 18 to 60 years and who applied clinics and were diagnosed with myofascial pain due to TMJ disorder according to Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) classification were included in the study. The patients were divided into groups using simple randomization method. There are 11 patients in groups. Blinding was ensured by patients and dentist were unaware the type of physiotherapy treatment application. Patient evaluation was repeated 3 times: before the treatment, at the end of week 1, and at the end of week 2 of the treatment.

In our study, the effects of conservative treatment options used in 'treatment of TMD on 'disease symptoms were examined compared with the control group. A 2-week follow-up was foreseen for the acute impact outcomes of the study.

Enrollment: 33 patients

Sex: All

Ages: 18 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Age between 18 and 60 years
• Myofascial pain according to RDC/TMD
• Natural posterior occlusion and volunteering
• Being informed and signing the consent to participate in the research.

Exclusion criteria

• Presence of dentofacial anomalies
• Arthralgia
• Disk displacement
• General inflammatory connective tissue diseases (e.g. rheumatoid arthritis)
• Psychiatric disease
• Tumor
• Orofacial disease symptoms (neuralgia, migraine, etc.)
• Local skin infection
• Using regular analgesic
• Fibromyalgia
• History of TMJ-related surgery
• Findings of allergy related to Kinesiotape.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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33 participants in 3 patient groups

Kinesiotaping Group

Experimental group

Description:

In the Kinesiotaping Group patients had muscle technique-inhibition method. An 'I' shaped tape was used for both SCM and upper trapezius.

Treatment:

Other: Kinesiotaping Group

Stretching Group

Experimental group

Description:

The patient was stretched in a relaxed and supported position and physiotherapist positioned the patient passively for stretching.

Treatment:

Other: Stretching Group

Control Group

Other group

Description:

Control Group patients, after the assessment by the dentist, the treatment method approved by the dentist was performed.

Treatment:

Other: Control Group