Temporomandibular joint disorders
Conditions
Interventions
The cervical training group will be composed of 21 volunteers, who will perform a specific and progressive 8-week exercise program (Jull et al., 2009
Falla et al., 2013) for the cervical flexor and extensor muscles. Patients will receive individual instruction and supervision by a physiotherapist for 30 minutes, 1 time per week for a period of 8 we
Other
E02.190.599
E02.760.169.063.500.387.750
E02.760.169.063.500.387
E02.779.474
Sponsors
Universidade Federal de Pernambuco
Universidade Federal de Pernambuco
Eligibility
Inclusion criteria
Inclusion criteria: Age between 18 and 45 years; Complaint of pain in the orofacial region in the last 6 months; Diagnosis of masticatory myofascial pain determined according to the criteria established by the Research Diagnostic Criteria (DC / DTM); Classification of moderate to severe orofacial dysfunction according to the Mandibular Functional Limitation Questionnaire; Complete dentition with the exception of third molars.
Exclusion criteria
Exclusion criteria: Patients who have a history of facial or cervical trauma, have undergone a surgical procedure in the cervical spine and / or the craniofacial segment; Neurological disorders; Fibromyalgia; Chronic systemic diseases previous treatments performed in the last six months for TMD; Use of dental prostheses and orthodontic treatment in progress.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Expected outcome 1 Orofacial Pain Intensity; the patients will present at least a 3-point reduction; will be measured by the visual numeric scale (EVN), which consists of a 10-point line, anchored by descriptors at each end, where 0 means "no pain" at the left end and 10 means "worse" Pain imaginable "at the far right. Volunteers will be instructed to mark a number on the vertical line along this axis, at the point they feel best represents their perception of current pain. Pain intensity is described as the point marked by the volunteer (Jensen et al., 1986; Conti et al., 2001). Patients will respond to the questioning of pain in two conditions: at rest and at maximum active aperture (Kalamir, Pollard et al., 2010). ;Expected outcome 2 Evaluation of orofacial function; the patients will be at the maximum within the "low" classification; to evaluate the orofacial function, the Mandibular Functional Limitation Questionnaire (MFIQ) will be used, which allows classification of the severity of the functional limitation related to TMD, the same consists of a questionnaire of 17 questions divided into two dimensions: D1: Functional capacity and D2: feeding, which can be classified into 5 points ranging from 0 (no difficulty) to 4 (very difficult or impossible without help). The coefficient thus obtained must still be classified within certain conditions of the set of responses, in order to obtain the degree of impairment and the category of severity, the degree of impairment of the functionality is classified according to the frequency of responses (Chaves et al., 2008). | — |
Secondary
| Measure | Time frame |
|---|---|
| Expected outcome 1 Quality of life related to oral health; improvement of 5 points The Oral Health Impact Profile questionnaire (OHIP-14) will be used, which measures the perception of the negative impact of oral affections on their well-being. ;Expected outcome 2 Assessment of the mouth range of motion; improvement of at least 5 degrees; will be measured with the aid of a universal caliper, the movements: maximum active opening of the mouth, without the presence of pain; Right and left lateral excursion, without discomfort; And protrusion without discomfort. ;Expected outcome 3 Pain threshold of the orofacial and cervical muscles; an improvement of at least 2 kgf; Will be performed through a digital dynamometer (Kratos, Cotia, Brazil). The muscles will be evaluated: anterior temporal, masseter, ECOM, upper trapezius, scalene and splenius of the neck, all bilaterally. ;Expected outcome 4 Cranio-cervical flexion test (CCFT); improvement of at least 4 mmHg; CCFT is a low-load test, which is the most common method used to evaluate the performance of deep cervical muscles. CCFT consists of a craniocervical flexion (movement of the head nodding), with the aid of an instrument of varying pressure units. ;Expected outcome 5 Cervical range of motion; improvement of 6 degrees; We will use the CROM® instrument, which will be positioned on the head of the volunteer according to the manufacturer's instructions. will be performed the lateral flexion, extension, lateral tilt and rotation movements three times with a 30 second interval between each of the repetitions. The order of the tests will be randomized prior to entry of the volunteer into the examination room. ;Expected outcome 6 Flexion Rotation Test; values greater than 34º or increase of at least 6º of amplitude are expected; the Flexion Rotation Test will be used with the CROM® attached to the head of the volunteer. The test will be performed to verify the mobility of the upper cervical spine, focu | — |
Countries
Brazil
Contacts
Public Contactana izabela oliveira-souza
Universidade Federal de Pernambuco
Outcome results
None listed