Edema Clinical Trial
Official title:
Effect of Electroacupuncture on Paresthesias and Functional Changes in Patients Submitted to Bimaxillary Orthognathic Surgery and Mentoplasty
Goals. To evaluate the effect of electroacupuncture on paresthesia and myofunctional changes in patients undergoing bimaxillary orthognathic surgery and mentoplasty. Methodology: this is a controlled, randomized, blinded clinical trial. The sample will consist of 62 individuals in each group (general sample = 124 participants). Therefore, 124 young adults, aged between 18 and 50 years, both sexes, with at least 24 teeth, with Class II or III skeletal malocclusion, diagnosed by cephalometric radiographs, who underwent orthognathic surgery in the period from 1 to 30 days before the start of physical therapy, be available to perform the proposed postoperative treatment for six weeks. Participants will be equally and randomly distributed into two experimental groups: GF (Physiotherapy Group), GFE (Physiotherapy plus Electroacupuncture Group). The variables to be studied will be: socioepidemiological data; sensitivity assessment by the Semmes-Weinstein monofilament test; Edema assessment by the MD Anderson Cancer Center Head and Neck Lymphedema protocol, validated in Portuguese; assessment of mandibular movements using a Western-DC digital caliper; Assessment of masticatory function using the Chewing Quality Assessment Questionnaire. Data will be analyzed descriptively and organized into tables. Subsequently, the normality of continuous variables will be tested by the Kolmogorov-Smirnov test. As the variables are normally distributed, we will use parametric tests such as the paired t test, independent t test, ANOVA and Pearson's correlation. Nonparametric tests such as Wilcoxon paired signed rank test, Mann-Whitney U test, Kruskal Wallis test, Spearman correlation test will be used in case of non-normality of continuous variables. The significance level will be adjusted to 5% in all analyses.
Status | Recruiting |
Enrollment | 124 |
Est. completion date | July 2024 |
Est. primary completion date | July 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 50 Years |
Eligibility | Inclusion Criteria: - Adults undergoing bimaxillary orthognathic surgery and mentoplasty; - Aged between 18 and 50 years; - Both of genders, - Having at least 24 teeth, with Class II or III skeletal malocclusion; - Diagnosed by cephalometric radiographs, who have performed the surgery in the period from 1 to 45 days before the beginning of physiotherapy; - Be available to perform the proposed postoperative treatment at the Clinic School of Physiotherapy of the Estácio do Ceará University Center for six weeks; - Agree to participate in the research; - Sign the term of free and clear clarification. Exclusion Criteria: - Individuals with cleft lip or palate, previous orthopedic and/or rheumatologic diseases that may have repercussions on the face such as facial fractures, facial palsy, systemic lupus erythematosus, neurological alteration due to injury or compression of the facial or trigeminal nerve; - Patients with chronic lymphedema, individuals treated or undergoing cancer treatment, syndromic, with local vascular changes or who have undergone previous surgeries on the face such as bichectomy, TMJ surgery, with the exception of tooth extraction without associated nervous impairment, who performed other surgical procedures combined with orthognathic; - Patients who use botulinum toxin for the treatment of temporomandibular dysfunction and esthetics; - Patients who presented postoperative complications such as infectious processes. |
Country | Name | City | State |
---|---|---|---|
Brazil | Clinic School of the University Center Estácio do Ceará | Fortaleza | Ceará |
Lead Sponsor | Collaborator |
---|---|
University of Nove de Julho | Universidade Federal do Ceará |
Brazil,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | sensitivity assessment | Using the Semmes-Weinstein monofilament test | the sensitivity assessment at 6 months | |
Secondary | measure range of motion | range of motion (measure with digital calipers) | The range of motion at at 6 months | |
Secondary | measure edema | The edema will be measured with the aid of a measuring tape. | the edema assessment at 6 months | |
Secondary | measure functionality | The functionality will be measured with Chewing Quality Assessment Questionnaire | measure Functionality at 6 months |
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