Temporomandibular Disorders (TMDs) is a multifactorial complex of clinical entities (Okeson,
Conditions
Interventions
The participant who received the multiplane force application technique in conjunction with the usual care being the same as that prescribed to the control group.
The multiplane force application tech
tendons,
fascia,
and nerves from repetitive strain and joint dysfunction. ,Participants in control group were received usual care and the same assessments as the experimental group. The participants were received basi
care for TMDs from researchers (Morrone and Makofsky,
Hanten et al.,
2000
Michelotti et al.,
2004). They are given guidelines and short lecture by the practitioner for 30 minutes at the conclusion of each of the 4 visits. The topics are including basic TMJ anatomy,
biomechanics,
disk displacement and dysfunction,
and the role of psychoemotional factors in TMDs particularly relating to parafunctional activity to be performed at home twice a day (morning and night). The parameters were assessed at baseline,
immediately after first treatment,
before treatment at 1st,
2rd week,
and 42 days follow up (after the last treatment).
The initially thumb or strong finger was sustained pressure. Practitioner applies the shearing compression and tension force around the trigger point
respectively. This technique is involves an applying of a slowly and a lightly of pressure to the myofascial connective tissue. Moreover,
the therapist applies small amplitudes with the combination of distraction and oscillation in origin to insertion attachment of masticatory and neck muscles for thirty secon
Experimental Other,Active Comparator Other
Sponsors
Neuroscience Research and Development Group, Khon Kaen University, Khon Kaen, Thailand.
Graduate School,
Khon Kaen University,
Khon Kaen,
Thailand.
Eligibility
Sex/Gender
All
Age
12 Years to 60 Years
Inclusion criteria
Inclusion criteria: - TMDs patients both male and female, age ranged between 12 to 60 years old. - Participants who diagnosed according to the Research Diagnostic Criteria for TMDs (RDC/TMDs) with the group I (myofascial pain disorder) by the dentists (Dworkin et al., 1992). A diagnosed dentist who has specialized in TMDs management. - TMDs patients present tenderness or trigger point in masticatory muscles such as temporalis, masseter and lateral pterygoid muscles. - Patients who present with moderate pain intensity, VAS at rest is between 3 to 6 cm (on 10 cm.). - Patients who present unassisted mouth opening without pain less than 40 mm. - Patients present with TMDs longer than 3 months. - Patients must have all molar teeth. - Patients who are able to follow instructions. - Patients who have a good communication and co-operation.
Exclusion criteria
Exclusion criteria: - TMDs patients with previous history of following conditions were excluded. a) ostheoarthrosis, or arthritis of the TMJ b) traumatic injuries or accident on cervical spine or TMJ (e.g., contusion, fracture, and whiplash injury) within 6 months before participating in this study c) previous surgical on cervical spine or TMJ d) neurological disorder (e.g.,trigeminal neuralgia) e) underlying diseases such as fibromyalgia or cancer f) bruxism - TMDs patients who have received current or recent therapy for the disorder within two months (e.g., occlusal splint, TMJ mobilization, jaw exercise, massage) (Touche et al., 2011). - Patients were excluded if they taking pain increases and limiting of jaw function after treatment that limitation of eating and sleep disturbance. As result, patients who need to take medication.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual Analogue Scale (VAS) 1 minute Pain intensity at rest and with stress is described by the visual analog scale (VAS).,Pressure Pain Threshold (PPT) 10 minute Pressure pain threshold measurement is used for assessment of trigger point on specific muscles | — |
Secondary
| Measure | Time frame |
|---|---|
| Unassisted mouth opening without pain and Maximum unassisted opening 5 minute The mouth opening was measured with a TheraBiteTM range of motion scale,Bite Force 5 minute undertaken during a single session for each subject using by a portable occlusal force gauge,Participant satisfaction with their treatment 5 minute They assessed by 4-point scale, with choices ranging from 4 mension,Self-stress assessment questionair by the Department of Mental Health, Minister of Public Health 5 minute patient were reported by self-administered questionnaire,Anxiety and Depression mention by Thai-Hospital Anxiety and Depression Scale (Thai HADS) 5 minute patient were reported by self-administered questionnaire,Pain diary 5 minute; everyday until last visit Patients report self-evaluation results in pain diary | — |
Countries
Thailand
Contacts
Public ContactYodchai Boonprakob
Khon Kaen University
Outcome results
None listed