Low Back Pain, Myofascial Release, Temporomandibular Joint Disorder
Conditions
Keywords
TMJ Disorder, Myofascial Release, Low back pain
Brief summary
We aim to compare the effectiveness of MFR and exercise therapy on mobility and function by investigating the effectiveness of the Myofascial Release Technique (MFR), which we will apply to the muscles we choose related to the facial system connection in participants with temporomandibular dysfunction (TMD) and low back pain.
Detailed description
We aim to compare the effectiveness of MFR and exercise therapy on mobility and function by investigating the effectiveness of the Myofascial Release Technique (MFR), which we will apply to the muscles we choose related to the facial system connection in participants with temporomandibular dysfunction (TMD) and low back pain. Method and Material Working group (Group A): Myofascial release technique will be applied. A total of 10 sessions will be applied for 4 weeks, 3 times a week for the first 2 weeks, and 2 times a week for the next 2 weeks. Exercise group (Group B): The stretching exercises that we planned to give to the exercise group were planned for the muscles to which we will apply myofascial technique. • Control group (Group C): No application will be made to the control group. Evaluations will be made at the beginning of the study and at the end of 4 weeks. The evaluation parameters to be used are as follows; Oswestry Low Back Disability Survey, Algometer and Myotonometry. Inclusion Criteria: Participants aged 18-50 years diagnosed with TMD,Persons with a score of 20% or more on the Oswestry waist index, and People with low back pain for more than 3 months,Persons with mechanical low back pain and lumbar disc herniation without neurological deficits will be included in the study.Persons with acute or chronic temporomandibular dysfunction will be included. Exclusion Criteria; Neurological problems,Presence of extruded and sequestered lumbar disc herniation,Cardiovascular symptoms and circulation problems,Infection,Fibromyalgia, Acute arthritis conditions,Those with spinal abnormalities,Fracture history, presence of dislocation / subluxation will be excluded
Interventions
Myofascial Release Technique (MFR), which we will apply to the muscles we choose related to the facial system connection
Sponsors
Istanbul Medipol University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Masking description
This study was conducted as a single-blind randomized controlled trial, where participants were unaware of their group assignments. The care provider, investigator, and outcome assessor were also blinded to the group allocation to minimize assessment bias. The randomization process was conducted independently to ensure allocation concealment.
Intervention model description
A parallel-group randomized controlled trial with three distinct arms.
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
* Participants aged 18-50 years diagnosed with TMD * Persons with a score of 20% or more on the Oswestry waist index, and * People with low back pain for more than 3 months * Persons with mechanical low back pain and lumbar disc herniation without neurological deficits will be included in the study. * Persons with acute or chronic temporomandibular dysfunction will be included
Exclusion criteria
* Neurological problems, * Presence of extruded and sequestered lumbar disc herniation * Cardiovascular symptoms and circulation problems, * Infection, * Fibromyalgia, Acute arthritis conditions * Those with spinal abnormalities, * Fracture history, presence of dislocation / subluxation will be excluded
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Algometer | 5 minute | Pressure algometer will be used for temporomandibular joint pain. It will be applied to the lower masseter muscles and anterior temporalis muscles bilaterally on the lateral pole of the algometer and the average of three applications in each region will be taken. |
| Myotonometry | 10 minute | It will be used to assess muscle tone differences. Myotonometry provides valid and reliable measurement of tissue stiffness. The measurement will be applied bilaterally to the masseter, temporalis, trapezius, erector spinal muscles, quadrates lumborum and TFL muscles. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| DC-TMD Evoluation | 10 minute | The amount of mouth opening will be used to evaluate mandibular lateral shifts and mandibular protrusion. |
| Oswestry Low Back Disability Survey | 10 minute | To be used to assess functional disability for the lower back |
Countries
Turkey (Türkiye)
Outcome results
None listed