Temporomandibular joint
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Moderate or severe TMD signs and symptoms according to Fonseca's Anamnestic Index; headache complaints; diagnosis of myogenic or mixed TMD according to the RDC / TMD (Research Diagnostic Criteria for Temporomandibular Disorder); pain in the TMJ for at least 3 months, with a minimum score of 3 cm for the Visual Analogue Scale (EVA); presence of myofacial triggers in sternocleidomastoid, suboccipital and / or upper trapezius.
Exclusion criteria
Exclusion criteria: Diagnosis of fibromyalgia; history of trauma or surgery in the cervical spine or temporomandibular joint; dental or pharmacological treatment with analgesics or muscle relaxants in the last 6 months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Prospective primary outcome 1: Pressure pain threshold of masticatory muscles, in kg/m2, measured by a digital algometer before and after five weeks of intervention, considering a variation of at least 0.45 Kg/m2. | — |
Secondary
| Measure | Time frame |
|---|---|
| Prospective secondary outcome 1: Orofacial pain in millimeters, measured with a visual analog scale before and after 5 weeks of intervention, considering a variation of at least 20 milimeters. ;Prospective secondary outcome 2: Mandibular function limitations, scored from 0 to 52 points, evaluated with the Mandibular Function Impairment Questionnaire before and after 5 weeks of intervention, considering a variation of at least 8 points.;Prospective secondary outcome 3: Headache impact, scored from 36 to 78, evaluated with the Headache impact test-6 before and after 5 weeks of intervention, considering a variation of at least 8 points. ;Prospective secondary outcome 4: Craniocervical Flexion Test, scored from 0 to 150 points, using a pressure biofeedback (Stabilizer), applied before and after 5 weeks of intervention, considering a variation of at least 30 points.;Prospective secondary outcome 5: Maximum mouth opening, in millimeters, using a digital caliper, measured before and after 5 weeks of intervention, considering a variation of at least 8 milimeters.;Prospective secondary outcome 6: Protrustion angle of the head, in degrees, measured with photogrametry, taken before and after 5 weeks of intervention, considering a variation of at least 10 degrees. | — |
Countries
Brazil
Contacts
Universidade Federal de São Carlos