Stretching Exercises and Temporomandibular Disorders

University of Sao Paulo General Hospital

Status and phase: Completed; Phase 1

Conditions: Temporomandibular Disorders

Treatments: Device: Exercises; Device: Stretching exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT00993577

155/04

Details and patient eligibility

About

To compare the efficacy of global postural reeducation (GPR) with static stretching exercises (SS) in the treatment of women with temporomandibular disorders (TMD).

Physical therapy is of importance in the treatment of myogenic temporomandibular disorders (TMD). Both stretching exercise and global posture reeducation are equally effective in the treatment of TMD.

Full description

Purpose: To compare the efficacy of global postural reeducation (GPR) with static stretching exercises (SS) in the treatment of women with temporomandibular disorders (TMD).

Methods: A total of 24 subjects with TMD were randomized into two treatment groups: GPR, where therapy involved muscle global chain stretching, or SS, with conventional static stretching. Eight treatment sessions lasting 40 minutes each (weekly) were performed. Assessments were conducted at baseline, immediately after treatment end, and again two months later. Measurements included pain intensity at the temporomandibular joint, headache, cervicalgia (visual analogue scale - VAS) and teeth clenching. Additionally, electromyographic activity and pain thresholds were measured at the masseter, anterior temporalis, sternocleidomastoid, and upper trapezius muscles. Two-way analysis of variance (ANOVA) with Tukey post-hoc test was used for in-between group comparisons. Significance level was 0.05.

Enrollment: 24 patients

Sex: Female

Ages: 19 to 40 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Helkimo index III,
• Myogenic TMD, AND
• Presence of para-functional habits, such as: bruxism, teeth clenching, mouth-breathing and lip biting.

Exclusion criteria

• Surgery or trauma in the orofacial region,
• Systemic or degenerative diseases, OR
• Undergoing odontological, psychological, or physical therapy treatments.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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24 participants in 1 patient group

Exercises

Experimental group

Description:

Global Postural Reeducation Static Stretching Exercises

Treatment:

Device: Stretching exercises

Device: Exercises

Device: Stretching exercises