Temporomandibular joint disorders
Conditions
Interventions
The 105 Participants will be allocated to a single group, in which there will be training performed by a physiotherapist with five years of experience, who will be blind to the assessment, twice a wee
Passive anteroposterior mobilization of the upper cervical (the subject will be in dorsal decubitus with a neutral cervical spine pos
E02.760.169.063.500.387
E02.190.599
E05.245.190
Sponsors
Faculdade de Medicina de Ribeirão Preto
Faculdade de Medicina de Ribeirão Preto
Eligibility
Age
18 Years to 40 Years
Inclusion criteria
Inclusion criteria: Individuals diagnosed with Temporomandibular disorders, according to the Brazilian version of the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD); aged between 18 and 40 years; of both sexes
Exclusion criteria
Exclusion criteria: Edentulous individuals who do not use dentures; with a history of systemic diseases; neurological disorders; a history of trauma or head or neck surgery less than one year ago; which have received orofacial treatment in the last six months; are unable to cooperate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The percentage of disability improvement will be used and evaluated by the Craniofacial Pain and Disability Inventory (CF-PDI) to determine the success of the intervention protocol. The disability improvement percentage will be calculated using the formula: (initial – final score) / initial score x100. If the improvement is >50%, treatment success is characterized, and if the improvement is = 50%, treatment failure is characterized. | — |
Secondary
| Measure | Time frame |
|---|---|
| Anxiety and depression symptoms will be evaluated using the Hospital Anxiety and Depression Scale (HADS). It consists of 14 items, of which 7 assess anxiety (HADS-A) and 7 assess depression (HADS-D). Each of its items can be scored from 0 to 3, constituting a maximum score of 21 points for each scale. The recommended cut-off points will be adopted for both subscales: HADS-A: no anxiety: 0 to 7; with anxiety: = 8 and HADS-D: no depression: 0 to 7; with depression: = 8.;The pressure pain threshold will be measured through algometry performed on seven muscles of the head and neck bilaterally. They are anterior, middle and posterior temporal, masseter, sternocleidomastoid, splenium of the head and occiput.;The risk and symptoms associated with central sensitization will be assessed by the Central Sensitization Inventory (CSI). It consists of two parts. The first part consists of 25 items that generate a final score from 0 to 100 points, while the second part is related to diagnoses already closed. The higher the scores, the more likely it is that mechanisms consistent with central sensitization are involved.;Cervical disability will be assessed by the Neck Disability Index (NDI). The questionnaire was composed of 10 questions related to disability and pain in the neck region. Each item can be scored from 0 to 5 (0 = no pain or disability and 5 = pain or total disability), and the sum of the scores determines the degree of disability. More specifically, higher scores imply greater disability. The score interpretation will be: 0-4 = no disability; 5-14 = mild disability; 15-24 = moderate disability; 25-34 = severe disability; more than 34 = complete disability.;The Flexion Rotation Test (FRT) with the Cervical Range of Motion (CROM®) will be used to measure upper cervical mobility. Will be considered with upper cervical mobility limitation those volunteers who obtained a reduction of 10° about the normality value(44° of rotation for each side), therefore values < 34°.;The | — |
Countries
Brazil
Contacts
Public ContactLuana;Débora Mendes;Bevilaqua Grossi
Faculdade de Medicina de Ribeirão Preto;Faculdade de Medicina de Ribeirão Preto
Outcome results
None listed