The patients with scapulocostal syndrome and masticatory myofascial pain,
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Female and male age between 18 to 50 years 2. Present pain at medial scapular region at least 3 points and the most painful area will be recorded for each participant 3. Present pain at the masticatory muscles at least one point, and the most painful area will be recorded for each participant. 4. Present pain longer than 3 months 5. Present with moderate pain (VAS score more than 3) 6. Presence of both clicking and not clicking joint sound without joint pain. 7. Presence of a maximum range of motion of mouth opening less than 40 mm or presence of pain with a full range of motion. 8. Able to follow the instructions 9. Good consciousness and co-operation
Exclusion criteria
Exclusion criteria: 1. TMD with disc displacement and osteoarthritis (Axis I, group II, and group III) 2. A history of the following diseases or disorders - Systemic disease including cardiovascular, pulmonary, gastrointestinal, urogenital, endocrine, nervous system, and integumentary disease. - Serious condition including accident, spinal fractures, spinal or central cord compression, neoplastic, vascular compromise, system or inflammatory diseases, and upper cervical spine ligamentous instability - Another type of headache including migraine with aura, tension-type headache with central sensitization, and cervicogenic headache. - Unable to follow the instructions
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain intensity Baseline, immediate, after the last treatment, and at 1 month follow up Visual analog scale (VAS) | — |
Secondary
| Measure | Time frame |
|---|---|
| Pressure pain threshold Baseline, immediate, after the last treatment, and at 1 month follow up Pressure algometer,Maximum mouth opening Baseline, immediate, after the last treatment, and at 1 month follow up Therabite range of motion scale,Craniovertebral angle Baseline, immediate, after the last treatment, and at 1 month follow up Three-point Marker detection software method ,Pain diary During the follow up period Paper of pain diary,Mouth opening Baseline, immediate, after the last treatment, and at 1 month follow up Therabite range of motion scale,Cortisol level Baseline and after the first treatment ELISA kit (salivary test) | — |
Countries
Thailand
Contacts
School of Physical Therapy, Faculty of Associated Medical Science, Khon Kaen University, Khon Kaen P