Temporomandibular disorder, cervical disorder
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All volunteers must have: Diagnosis of temporomandibular disorders (TMD) according to the RDC / TMD (Ia, Ib, IIa, IIb, IIc and IIIa); Pain and / or fatigue in the masticatory muscles during functional activities for a minimum period of 3 months; Neck pain for at least 3 months; Diagnosed with cervical dysfunction according to the neck Disability Index (NDI); Body Mass Index (BMI) less than 25; Scores of pain in the masticatory muscles and cervical greater than 3 cm according to the VAS.
Exclusion criteria
Exclusion criteria: Missing teeth; Open bite; Cross bite; Complete dentures; Partial systemic neuromuscular diseases; History of trauma to the face and / or TMJ; Joint dislocation; In orthodontic treatment and / or medication actually affecting the musculoskeletal system (pain relievers anti-inflammatories and muscle relaxants); Red flag as a sign of malignant, infectious or inflammatory disease that contraindicate the use of manual therapy; Occurrence of cervical whiplash; Previous surgery of the cervical spine; Diagnosis of fibromyalgia; Previous experience with management over the past two months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reduction of electromyographic activity of masticatory and cervical muscles at rest and an increase in this activity after isometric manipulation technique, evaluated using surface electromyography, by RMS parameter. | — |
Secondary
| Measure | Time frame |
|---|---|
| Analgesic effect in masticatory and cervical muscles after manipulation technique, assessed by visual analogue scale and algometry. | — |
Countries
Brazil
Contacts
Universidade Metodista de Piracicaba