Clinical Trial: Manual Therapy and Exercises Applied to Cervical Spine in Patients With Temporomandibular Disorders

Study Status: Completed
Recruit Status: Completed
Study Type: Interventional

Official Title: Effects of Manual Therapy and Exercises Applied to Cervical Spine in Patients With Temporomandibular Disorders: Pilot Study

Brief Summary: The objective of this study was to investigate the effect of a manual therapy and exercise program, focused on the rehabilitation of cervical function, on clinical signs and mandibular function in subjects with TMD.

Detailed Summary:

Temporomandibular disorder (TMD) is a general term that refers to disorders associated with the temporomandibular joint (TMJ) and the masticatory muscles. Among the main symptoms are pre-auricular pain (in the region of the TMJ) and/or pain in the masticatory muscles.

It's usual to observe that subjects with TMD also present cervical alteration. Beside this, cervical postural alterations produced by muscle tension can influence mandibular position.

The intervention protocol was based on manual therapy, stabilization exercises and stretching.

The technique are:.

  1. Upper cervical flexion mobilization;
  2. C5 central posterior-anterior mobilization;
  3. Stabilization exercise: Cranio-cervical flexor stabilization exercise
  4. Stretching of muscles: upper trapezius, scalenes, semispinalis capitis; splenius capitis, sternocleidomastoid

Sponsor: Universidade Federal de Sao Carlos

Current Primary Outcome: Changing in maximum mouth opening pain free [ Time Frame: Before and 5 days follow-up intervetion ]

The clinical signs was based on Research Diagnostic Criteria protocol and it was measured maximum mouth opening pain free using a caliper ((Somet, 150mm, Inox, Czechoslovakia)


Original Primary Outcome: Same as current

Current Secondary Outcome: Changing of Pain [ Time Frame: Before and 5 days follow-up intervetion ]

To evaluate pain it was applied a scale from Research Diagnostic Criteria protocol, that consists of a line scored from 0 to 10, where 0 represents no pain and 10 the worst pain that the subject has experienced, allowing it to check the number that features their pain at the moment.


Original Secondary Outcome: Same as current

Information By: Universidade Federal de Sao Carlos

Dates:
Date Received: September 17, 2013
Date Started: July 2012
Date Completion:
Last Updated: January 29, 2015
Last Verified: January 2015