Miofascial Release and Exercises Therapy in the Treatment of Temporomandibular Disorders

Universidad de Almeria

Status: Completed

Conditions: Temporomandibular Joint Disorders

Treatments: Other: exercise therapy; Other: myofascial release protocol and Rocabado exercise therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT02540863

UAL-427

Details and patient eligibility

About

Objectives: The aim of this research is to compare the effectiveness of myofascial release therapy and exercise therapy on pain, quality of sleep, anxiety, trigger points, and joint sounds in individuals with temporomandibular disorders and myofascial pain-dysfunction syndrome.

Material and Methods: A single-blind randomized clinical trial will be conducted in a university research clinic. Sixty-four subjects with temporomandibular disorders and myofascial pain-dysfunction syndrome will be randomly assigned to physical therapy group (myofascial release protocol and Rocabado exercise therapy) and control group (exercise therapy). Intensity of pain, quality of life, quality of sleep, anxiety, trigger points, and joint sounds will be collected at baseline, and forty-eight hours after the intervention phase.

Enrollment: 64 patients

Sex: All

Ages: 30 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Presence of myofascial pain with or without jaw opening limitation (Ia and Ib) according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC / TMD).
• A chief complaint of acute pain (duration < 6 months) in the temporomandibular joint on at least one side.
• The presence of joint clicking during jaw opening that was eliminated on protrusive opening.
• Agreement to attend evening therapy sessions.

Exclusion criteria

• Subjects with dental pain or tender muscles caused by systemic diseases.
• Major psychological disorders.
• A recent history of trauma in the face and neck area.
• Subjects wearing full or partial dentures.
• Edentulism.
• Therapeutic co-interventions during treatment.
• Indication for surgical treatment of temporomandibular joint.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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64 participants in 2 patient groups

myofascial release protocol and Rocabado exercise therapy

Experimental group

Description:

Myofascial Release Protocol: * Suboccipital release. * Compression - decompression of temporomandibular joint. * Horizontal release of temporomandibular joint. * Deep fascia release in temporal region. * Masseter deep fascia release. * Pterygoiddeep fascia release. * Intraoral pterygoid deep fascia release.

Treatment:

Other: myofascial release protocol and Rocabado exercise therapy

exercise therapy

Active Comparator group

Description:

Rocabado´s 6 x 6 exercises program utilizes six exercises six times by day. The patient is in supine position with a loop of 6 cm in the cervical area, and the therapist sits at the head of the bed.

Treatment:

Other: exercise therapy