Temporomandibular Disorders Clinical Trial
Official title:
Effects of Mandibular Exercises Effect in Pain Perception and Sensitivity in Women With Myofascial Pain, a Double Blind Randomized Clinical Trial.
The effectiveness of mandibular exercises as a treatment of muscular Orofacial Pain is yet unknown. This study hypothesized that training exercises can be an effective therapy improving pain perception.
Temporomandibular disorders (TMDs) represent heterogeneous musculoskeletal disorders, where
most common presentation is mandibular muscle pain, which is also more common among female
than men. Many interventions have been proposed for this pain control, regarding drugs, oral
splints, relaxing exercises and self awareness but little is known about mandibular active
contraction exercises. The aim of this study is to evaluate the effects of mandibular
exercises in pain perception and sensitivity in women. A double blind randomized clinical
trial will be conducted among fertile university student women with Oral Contraceptives (OC)
use -to control hormonal influences-, with report of facial pain and myofascial pain
diagnosis (RDC/TMD). They will be assessed in Visual analogue scale (VAS), sleep quality,
Pressure Pain Threshold (PPT) and pressure pain tolerance (PPTol), and then allocated in one
of the three interventions for 21 days: isometric mandibular active exercises over silicone
bars; video-guided isotonic mandibular contractions over cloth pegs or counseling about
disorders nature as passive comparison. After 21 days, VAS, PPT and PPTol in bilateral
temporalis and masseter muscles will be assessed for a second time,) and compared with
initial pain status.
Data will be entered by single blind operator, and will be open for quality auditing. Site
monitoring will be performed by the University clinical entities.
Data checks will be also performed as planned. Descriptive and analytical statistics will be
performed to address the primary and secondary objectives.
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