Effects of Soft Tissue Mobilization of Neck Muscles in Individuals With Myogenous Temporomandibular Disorders: Muscle Energy Technique and Strain-counterstrain

Myogenous Temporomandibular Disorders (mTMD) Clinical Trial

Official title:

Effects of Soft Tissue Mobilization of Neck Muscles in Individuals With Myogenous Temporomandibular Disorders: Muscle Energy Technique and Strain-counterstrain

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04704102
• Other study ID #: 2010280044
• Status: Completed
• Phase: N/A
• Start date: January 11, 2021
• Est. completion date: June 30, 2021

Study information

• Verified date: July 2021
• Source: Chang Gung University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This is a prospective case series study.There were 20 individuals with chronic neck pain accompanied by myogenous temporomandibular disorders(mTMD) from Linkou and Taoyuan Chang Gung hospitals, and Chang-Gung university. The purpose of this study was, first, to investigate the effects of muscle energy technique (MET) or strain-counterstrain (SCS) applied on the tender or trigger points of neck muscles on improving pain and pressure pain sensitivity in neck and masticatory muscles, the maximal mouth-opening range of motion, chewing endurance, and head-neck-shoulder posture in patients with chronic neck pain accompanied by mTMD. Second, whether the significant effects could be reached within the four-week intervention duration.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 20
• Est. completion date: June 30, 2021
• Est. primary completion date: June 30, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 20 Years to 65 Years

Eligibility

Inclusion Criteria:

• Aged 20~65
• Self-report neck pain =3 months (pain occurs between superior nuchal line and 1st level of thoracic spine)
• At least one tender point at both Upper trapezius and Sternocleidomastoid muscles
• Diagnosed as mTMD according to the Diagnostic Criteria for Temporomandibular Disorders(DC/TMD)

Exclusion Criteria:

• Cognitive deficit
• Malignancy, infection, cervical or orthognathic surgery, acute pain, and history of trauma in craniocervical region
• Neurological problem or cervical radiculopathy/myelopathy
• Cervical instability with positive rotational alar ligament stress test and transverse ligament stress test, jaw dislocation
• Tooth implantation or extraction a week before study
• Vertebrobasilar insufficiency

Related Conditions & MeSH terms

• Disease
• Myogenous Temporomandibular Disorders (mTMD)
• Temporomandibular Joint Disorders
• Temporomandibular Joint Dysfunction Syndrome

Intervention

Behavioral:
• Muscle energy technique (MET)
A manual therapy technique that uses the gentle muscle contractions of the patient to relax and lengthen muscles and normalize joint motion.
• Strain-counterstrain (SCS)
It's also called the "positional release technique", a manual therapy technique that passively positions the hypertonic (spasmed) muscles and dysfunctional joints in positions of shortened or comfort.
• sham SCS
SCS intervention that position with opposite site limb and direction, and with modified method as consider the easiness of a practitioner to press the tender points

Locations

Country	Name	City	State
Taiwan	Yang-Hua, Lin	Taoyuan

Sponsors (1)

Lead Sponsor	Collaborator
Chang Gung University

Country where clinical trial is conducted

Taiwan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pain intensity in neck and masticatory muscles	ask participants the self-report pain intensity with the NPRS scale	4 weeks
Primary	Tenderness sensitivity in neck and masticatory muscles	measure the pressure pain threshold with digital pressure algometer	4 weeks
Secondary	Maximal mouth-opening	measure the maximal pain free mouth-opening distance	4 weeks
Secondary	Chewing endurance	test for 5 minutes with chewing gum in the affected site	4 weeks
Secondary	Head-neck-shoulder posture	measure the Head tilt angle(HTA), Craniovertebral angle(CVA) & Forward shoulder angle (FSA) by Photography in sagittal plane	4 weeks