Temporomandibular joint
Conditions
Interventions
Group 1 Intervention (21 participants): orofacial myofunctional therapy focusing on chewing and swallowing and general guidelines on pain education, orally and in writing. Group 2 Control (21 particip
SP2.021.167.010.090.270
Sponsors
Universidade Federal de Minas Gerais - UFMG
Pontifícia Universidade Católica de Minas Gerais - PUC Minas
Eligibility
Age
18 Years to 60 Years
Inclusion criteria
Inclusion criteria: Diagnosis of orofacial myofascial pain with spreading or referred according to CD-TMD (Diagnostic Criteria for Temporomandibular Disorders); age between 18 and 30 years; pain intensity higher then 4 by the numerical visual scale for at least 3 months prior to recruitment, having access to internet and the platform that will be used for teleterapy, signing the free and informed consent form (ICF).
Exclusion criteria
Exclusion criteria: Gestation; absence of central and lateral incisor teeth; presence of: dental pain, periodontal changes, previous or current tumor or major trauma in the head and neck region, edentulism, use of complete dentures and current orthodontics; diagnosis of fibromyalgia; presence of arthralgia, current myofunctional treatment or any other type of treatment for temporomandibular disorders; treatment for sleep disorders; continuous use of non-steroidal anti-inflammatory drugs, analgesics, antidepressants or central myorelaxant drugs; use of bronchodilators and vasoactive medications; presence of fever, allergic rhinitis, flu and/or cold symptoms; presence of neurological or cognitive impairments; use of a bandage on the skin and/or other factors that prevent its exposure to a balanced temperature environment at the time of data collection; performing physical exercises, acupuncture, massages, electrical stimulation, having attended saunas or being exposed to the sun for a long time on the day of the evaluation; not agreeing to participate in the research and refusing to sign the informed consent, as well as not carrying out the activities requested at the time of evaluation and therapy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improvement of orofacial myofascial pain, assessed by visual numerical scale and pressure algometry. Data collected before the intervention, in the week after the last treatment session, after one month of the final reassessment and after three months of the end of the treatment. | — |
Secondary
| Measure | Time frame |
|---|---|
| Improvement in orofacial myofunctional assessment scores and in the diagnostic criteria for temporomandibular disorders, difference in temperature between the hemifaces in the regions of interest and balance of the values of facial symmetry indices in the regions of interest respectively: OMES-protocol (Orofacial myofunctional evaluation with scores), DC-TMD (Diagnostic Criteria for Temporomandibular Disorders), infrared thermography and surface electromyography measured in the following week after the last treatment session, one month after the final reassessment and three months after the end of the treatment. | — |
Countries
Brazil
Contacts
Public ContactAndréa Motta
Universidade Federal de Minas Gerais - UFMG
Outcome results
None listed