Temporomandibular Disorder
Conditions
Keywords
temporomandibular joint disorder, myofascial pain, manual myofascial release, physical therapy, oral appliance
Brief summary
the purpose of this study is to compare the effect of physical therapy (PT) program and oral appliance on patients with temporomandibular disorder (TMD)-related myofascial pain (MFP).
Detailed description
The details of each intervention are listed as following: * physical therapy program group (PT): manual myofascial release over craniomandibular system, chin-in exercise and self-care education * oral appliance group (splint): custom-made stabilization splint and self-care education
Interventions
manual myofascial release for craniomandibular system for 30\ 40 minutes chin-in exercise within 10 minutes and as home exercise self-care education twice per week for 8 weeks
custom-made oral appliance: wear every night for 8 weeks, occasional drop is allowed self-care education
Sponsors
Study design
Eligibility
Inclusion criteria
* (1) 20-65 years old female, (2) diagnosed as MFP subtype of TMD according to Research Diagnostic Criteria for TMD (RDC/TMD), (3) pain duration over 3 month, (4) palpable taut band in masseter, (5) Asymmetrical pain intensity, (6) subsided symptoms of joint inflammation.
Exclusion criteria
* (1) traumatic TMD from external impact force, (2) history of traumatic cervical injury, (3) presence of systemic disease, (4) fibromyalgia, (5) co-interventions for cervical problems or TMD during study period, (6) signs of psychosomatic illness, (7) unwilling to be randomized, (8) unable to wear the splint or received intraoral myofascial release, (9)pregnancy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain status | 20 mins | Visual analog scale (VAS) during functional activity and pressure pain threshold (PPT) of masseter taut bands |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| range of motion (ROM) | 5 mins | active and passive maximal mouth opening range |
| muscle strength | 5 mins | maximal bite force |
| muscle stiffness | 10 mins | stiffness of masseter taut band |
| Quality of life (QoL) | 15 mins | quality of life measured by Short form-36 (SF-36) Taiwanese version |
| muscle endurance | 10 mins | endurance of jaw closers |
Other
| Measure | Time frame | Description |
|---|---|---|
| stress | 5 mins | Chinese 14-item perceived stress scale (PSS-14) |
Countries
Taiwan