Effectiveness of Cervical Treatment in Wind Musicians With Temporomandibular Dysfunction

Temporomandibular Joint Dysfunction Syndrome Clinical Trial

— ANAISATM  

Official title:

Effectiveness of Cervical Treatment in Wind Musicians With Temporomandibular Dysfunction

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05893251
• Other study ID #: ANAISATM
• Secondary ID: ANAISATM
• Status: Completed
• Phase: N/A
• Start date: November 1, 2017
• Est. completion date: June 1, 2018

Study information

• Verified date: March 2018
• Source: Universidad de Murcia
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Temporomandibular dysfunction (TMD) consists of a series of multifactorial signs and symptoms that occur in the orofacial region, with pain being the most common symptom. There is a close biomechanical and anatomical relationship between the cervical region and the temporomandibular joint (TMJ) through the trigemino-spinal nucleus.

Objectives: To comparatively assess the improvement in subjects with TMD when adding cervical manual therapy to a postural treatment. Additionally, to determine if both cervical treatments separately produce changes in the TMJ.

Materials and methods: An experimental study of randomized controlled clinical trial type was conducted. The study involved 30 wind instrument players randomly assigned to an experimental group (EG) and a control group (CG). After obtaining consent, measurements were taken for maximum mouth opening (MMO), cervical range of motion, and pain threshold to pressure (PTP) in the masseter and temporalis muscles. Both groups underwent active cervical postural treatment for 4 weeks, and the EG additionally received a cervical manual therapy protocol. An initial assessment was conducted before the intervention, and a final assessment was done one week after the last intervention. The statistical program SPSS was used for data analysis.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 30
• Est. completion date: June 1, 2018
• Est. primary completion date: April 1, 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 40 Years

Eligibility

Inclusion Criteria:

• Acceptance of written informed consent.

• Playing a wind instrument.

• Age between 18-40 years.

• Pain in the cranio-cervico-mandibular region and/or masticatory muscles.

• Hypertrophy in the masticatory muscles.

Exclusion Criteria:

• History of trauma and/or fracture in the cranial and/or facial region.

• Rheumatic injury or degenerative disease.

• Surgical intervention on the temporomandibular joint (TMJ).

• Malformations of the cervical or cranial spine.

• Vestibular, circulatory, or neurological disorders.

• Degenerative or infectious joint diseases.

• Current orthodontic treatment.

• Receiving physiotherapy treatment during the two weeks prior to the study or during the study.

Related Conditions & MeSH terms

• Joint Diseases
• Temporomandibular Joint Disorders
• Temporomandibular Joint Dysfunction Syndrome

Intervention

Other:
• Manual therapy
Within the manual therapy protocol carried out in the experimental group, we performed a series of passive maneuvers. The patient remains in supine position on a treatment table throughout the treatment, while the therapist sits at the head of the patient on a stool. The sequence of application is as follows: Suboccipital inhibition technique Cervical spinal mobilization Posterior fascia stretching
• Postural exercises
The treatment plan includes active postural exercises for the cervical spine.

Locations

Country	Name	City	State
Spain	University Of Murcia	Murcia

Sponsors (1)

Lead Sponsor	Collaborator
Universidad de Murcia

Country where clinical trial is conducted

Spain, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Pain pressure threshold in myofascial trigger points of the masticatory muscles.	In TMD, myofascial pain of the masticatory muscles is the most relevant clinical entity that affects the masticatory system. It will be measured using a pressure algometer.	a week after treatment
Primary	Cranio facial pain and disability inventory	CF-PDI (Craniofacial Pain and Disability Inventory): This questionnaire focuses on pain as a common symptom of TMD (Temporomandibular Disorders). It is self-administered and designed to assess patients' perception of their physical and psychosocial health in relation to craniofacial pain. It consists of 21 questions regarding the impact of pain on activities involving the use of the temporomandibular joint, with a scoring range from 0 to 63 in ascending order, where 0 indicates no impact and 63 indicates maximum impact. This questionnaire demonstrates good structure, internal consistency, reproducibility, and validity, making it an objective tool that can be used in research and clinical practice for evaluating patients with craniofacial pain and disability. It is easy to administer and requires a short amount of time. The CF-PDI was created and developed in Spain, based on a biopsychosocial approach.	a week after treatment
Secondary	Maximum mouth opening.	The measurement of maximum mouth opening (MMO) is the distance in centimeters between the upper and lower incisor teeth when the subject actively opens their mouth.	a week after treatment