The Effectiveness of a Physiotherapy Technique in Patients With Chronic Myofascial Temporomandibular Disorder (TrP-TMD)

Universidad Complutense de Madrid

Status: Completed

Conditions: Temporomandibular Disorder; Myofascial Pain Syndrome

Treatments: Other: Sham; Other: Manual pressure release technique on trigger points.

Study type: Interventional

Funder types: Other

Identifiers

NCT03619889

Geseher

Details and patient eligibility

About

Participants with chronic orofacial pain caused by masticatory and neck muscles will be distributed in two groups, both followed with the same occlusal and self-care treatment. The experimental group will receive 5 sessions of physiotherapy applying a specific pressure on the trigger points while the control group will receive placebo through a simulation of the same technique. Orofacial perceived pain, pain pressure thresholds, catastrophizing, kinesiophobia, cervical disability, depression and anxiety will be evaluated at baseline, immediately after treatment and 3 months later.

Enrollment: 74 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients ≥18 years.
• Patients diagnosed of myofascial TMD with at least one TrP with referred pain.
• TMD patients with a current complaint of myofascial pain with more than 6 months of evolution.
• Patients with myofascial TMD initially treated with splint currently used, that has not been modified in the last 6 months, without improvement.

Exclusion criteria

• Patients treated with occlusal splint recently modified.
• Patients with acute TMJ diseases.
• Patients with systemic disease, neurological and muscular diseases.
• Patients with psychiatric or psychological disorders.
• Patients with cervical disc hernia and acute whiplash injury.
• Changes in the painkillers intake during the experiment.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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74 participants in 2 patient groups

Sham simulation group

Sham Comparator group

Description:

A simulation of the pressure release technique, applying a soft pressure or contact in the same muscles sites or trigger points than in the intervention group.

Treatment:

Other: Sham

Pressure release technique group

Experimental group

Description:

The release pressure technique is applied in the trigger points of masticatory and neck muscles (upper trapezius, sternal and clavicular sternocleidomastoid, deep and superficial masseter, posterior, medium and anterior temporalis.

Treatment:

Other: Manual pressure release technique on trigger points.