Temporomandibular joint pain Temporomandibular disorder
Conditions
Interventions
This is a single-arm clinical trial with pre- and post-intervention assessment, also including a cross-sectional observational component. The sample will consist of participants consecutively recruite
characterization of musculoskeletal pain through the Nordic Musculoskeletal Questionnaire adapted to a three-month recall period
evaluation of chronic pain and its functional impact using the Graded Chronic Pain Scale version 2
and assessment of mandibular and cervical function using the Jaw Functional Limitation Scale (JFLS-20) and the Neck Disability Index. Mandibular mobility will be assessed by measuring mouth opening wi
Sponsors
Centro de Ciência da Saúde
Universidade Federal da Paraíba
Eligibility
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: adults aged 18 years or older; individuals of both sexes; participants recruited from the waiting list for physiotherapy care at the physical therapy teaching clinic of the federal university of paraíba; for the symptomatic group, individuals presenting signs and symptoms of temporomandibular disorders and scoring higher than 2 points on the temporomandibular disorder pain screening instrument (research diagnostic criteria for temporomandibular disorders – rdc/tmd); for the asymptomatic group, individuals without complaints of pain in the temporomandibular joint region and scoring 2 points or less on the temporomandibular disorder pain screening instrument (research diagnostic criteria for temporomandibular disorders – rdc/tmd); asymptomatic participants matched by sex and age with the symptomatic group, considering a maximum variation of three years; individuals who agree to participate in the study and sign the informed consent form
Exclusion criteria
Exclusion criteria: individuals diagnosed with inflammatory arthritis; participants with a history of fractures or dislocations in the facial or cervical regions; individuals with metabolic diseases that may interfere with study outcomes; participants who withdraw from the study after the beginning of the intervention; individuals who miss more than two physiotherapy sessions; participants who develop intercurrent clinical conditions that may compromise assessments or interfere with study results; individuals who present relevant adverse effects related to the intervention; participants who do not agree with or do not adhere to the proposed assessment and treatment procedures
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the variation in temporal summation of pain; assessed by means of the temporal summation test using the Numeric Rating Scale; it will be determined by the difference between the pain intensity reported during the first and the tenth stimulus applied during the test. The data will be presented as mean; standard deviation and 95% confidence interval. | — |
Secondary
| Measure | Time frame |
|---|---|
| To evaluate the pressure pain threshold; assessed by means of pressure algometry; it will be observed through values expressed in kilogram-force per square centimeter (kgf/cm²) obtained in the craniocervical region and in a control muscle. The data will be presented as mean; standard deviation and 95% confidence interval.;To evaluate self-reported pain intensity; assessed by means of the Numeric Rating Scale; it will be observed through the values reported for the orofacial and cervical regions. The data will be presented as mean; standard deviation and 95% confidence interval.;To evaluate mandibular mobility; assessed by measuring pain-free mouth opening and maximum mouth opening; it will be observed through values expressed in centimeters. The data will be presented as mean; standard deviation and 95% confidence interval.;To evaluate cervical range of motion; assessed by means of a digital inclinometer; it will be observed through the angular values obtained during flexion, extension, lateral flexion, and rotation;To evaluate mandibular function; assessed by means of the 20-item Jaw Functional Limitation Scale (jaw functional limitation scale – jfls-20); it will be observed through the scores obtained on the instrument;To evaluate cervical disability; assessed by means of the Neck Disability Index (neck disability index – ndi); it will be observed through the scores obtained on the instrument | — |
Countries
BR
Contacts
Public ContactJose Diego Nascimento
Universidade Federal da Paraíba
Outcome results
None listed