Fibromyalgia, Temporomandibular Disorder
Conditions
Keywords
temporomandibular joint disorders, fibromyalgia, Osteopathic medicine, chronic pain, musculoskeletal manipulations
Brief summary
Nowadays, fibromyalgia is the rheumatic disorder with the highest levels of deterioration in quality of life. Among the comorbidities it presents, one of the most frequent is temporomandibular disorders. A randomized clinical study will be conducted to evaluate the effectiveness of an osteopathic manual therapy approach algorithm in a group of patients with fibromyalgia and temporomandibular disorders.
Interventions
osteopathic manual treatment aimed at improving the function and pain of the temporomandibular joint.
OTHERSham osteopathic manual therapy
a sham osteopathic manual treatment without therapeutic effect
Sponsors
Universitat de Lleida
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
Yes
Inclusion criteria
* be diagnosed as suffering from fibromyalgia, * present moderate pain or dysfunction of more than 3 months' duration in the temporomandibular joint, * be over 18 years old, * understand Spanish and/or Catalan correctly, * and read and accept the informed consent form
Exclusion criteria
* history of trauma or recent surgery to the head, face or neck; * systemic, rheumatic or central nervous system diseases; * diagnosis of malignant tumors or cancer in the orofacial region; * participate in other studies at the same time.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| catastrophizing | From enrollment to the end of treatment at 6 weeks | The Pain Catastrophizing scale (PCS), evaluates the degree og catastrophic thinking gdue to pain.It is a 13-item scale, with a total range from 0 to 52. Higher scores are associated with a greater degree of pain catastrophizing. |
| functional limitation | From enrollment to the end of treatment at 6 weeks | evaluated with tue short version of the Jaw functional limitation scale (JFLS-8). Evaluates the functional status of the masticatory system. Questionnaire with 8 items, each with a scale from 0 to 10. A higher score suggests a greater limitation. |
| functional status, disability and pain | From enrollment to the end of treatment at 6 weeks | collected in the craniofacial pain and disability inventory (CFPDI). Self administered questionnaire of 21 items. Each item is scored on a Likert scale from 0 to 3. |
| pain and tinnitus | From enrollment to the end of treatment at 6 weeks | evaluated with a visual analog scale (VAS). Scale from 0 to 10, where 0 indicates no pain and 10 the worst pain imaginable. |
| myofascial trigger points | From enrollment to 4 weeks | presence of a palpable tight band, presence of a hyperirritable tenderpoint within te tight band, local twitch response elicited by acute palpation of the tight band, and presence refered pain in response ot trigger point compression. |
| Range of motion | From enrollment to 4 weeks | measurements taken with a ruler: maximum opening, maximun active opening without pain and lateralization. |
Countries
Spain
Contacts
Primary ContactLlanos de la Iglesia, MsC
Backup ContactLlanos de la Iglesia
Outcome results
None listed