None listed
Conditions
Interventions
Behavioral, Others(Conservative physical therapy, Manual physical therapy of the cervical spine, Modefied C4~C5 from center posterior–anterior mobilization, Craniocervical flexor stabilization exercis
once each week for 10 weeks.
Conservative physical therapy was initiated in both groups and comprised of surface heat treatment, infrared therapy, interference current therapy, and ultrasound treatme
Sponsors
Daejeon University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: (1) headaches experienced after diagnosis of TMD, accompanied by one or more symptoms such as mouth-opening restriction, TMJ pain, and clicking sounds (TMJ noises); (2) score =50 points on the Headache Impact Assessment questionnaire; (3) ability to participate in the experiment (from 24 h before the assessment and during the intervention period) without using analgesics or muscle relaxants; (4) primary diagnosis of myofascial pain according to Axis I, categories Ia and Ib (i.e., myofascial pain with or without mouth-opening restriction) of the Research Diagnostic Criteria for TMD; (5) a pain intensity of =30 mm in the masseter muscle fascia on the 100-mm visual analog scale (VAS), according to the diagnostic criteria described by Simons et al.;16 (6) a history of pain for at least three months’ duration before the study; and (7) understanding the purpose of the study and provision of written informed consent.
Exclusion criteria
Exclusion criteria: (1) signs or symptoms of disc displacement, arthritis, or arthrosis of the TMJ according to Axes II and III of the Research Diagnostic Criteria for TMD; (2) a history of traumatic injury to the mandible or neck; (3) diagnosis of a systemic disease (rheumatoid arthritis, systemic iris lupus, or psoriasis arthritis); (4) fibromyalgia syndrome; (5) nervous system disorders, such as trigeminal neuralgia; (6) history of any form of treatment (physical therapy, splint therapy, acupuncture, and Botox treatment, among others) within three months preceding the study; (7) inability to stand upright for radiographic evaluation; and (8) congenital deformities of the head and neck areas.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| headache and cervical pain intensities, TMJ PPT, cervical kyphotic angle, Neck Disability Index (NDI), and Jaw Functional Limitation Scale score (JFLS) | — |
Secondary
| Measure | Time frame |
|---|---|
| headache and cervical pain intensities, TMJ PPT, cervical kyphotic angle, Neck Disability Index (NDI), and Jaw Functional Limitation Scale score (JFLS) | — |
Countries
Korea, Republic of
Contacts
Public ContactLee Insu
Daejeon University
Outcome results
None listed