Treatment of Temporomandibular Disorders - Full Text View

Purpose

The aim of the present study was to carry out a pilot project comparing the effectiveness of two therapeutic approaches to temporomandibular disorders (TMDs) in adolescents. Eight female individuals diagnosed based on the Research Diagnosis Criteria for TMDs (RDC/TMD-axis 1)were randomly divided into two groups: 1) Massage therapy and muscle stretching (n=4); and 2) transcutaneous electrical nerve stimulation (TENS) (n=4). Regardless the treatment, ten sessions were held for each patient and two measurements (baseline and 10th session) were performed for the assessment of symptom evolution using a visual analog scale (VAS), maximum opening of the mouth (MOM) and pressure pain threshold (PPT). Statistical analysis wiil be carefully selected.

Condition	Intervention
Temporomandibular Joint Disorders	Device: Transcutaneous electrical nerve stimulation Other: Physiotherapy

Study Type:	Interventional
Study Design:	Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Investigator, Outcomes Assessor) Primary Purpose: Treatment
Official Title:	Massage and Transcutaneous Electrical Nerve Stimulation Therapies for Temporomandibular Disorders in Adolescents

Resource links provided by NLM:

MedlinePlus related topics: Joint Disorders Temporomandibular Joint Dysfunction

U.S. FDA Resources

Further study details as provided by University of Pernambuco:

Primary Outcome Measures:

Pain [ Time Frame: Two times a week ] [ Designated as safety issue: Yes ]
The subjects was asked to mark the intensity of the pain on a 100mm line, which was numbered from 0 to 10, being "0" = no pain, and 10 = to the worst pain ever felt. The outcome of pain intensity was given as a number marked by the patient.

Secondary Outcome Measures:

Maximum mouth opening amplitude [ Time Frame: Two times a week ] [ Designated as safety issue: Yes ]
Subjects were asked to open their mouths as much as they could and the opening amplitude was measured using a digital caliper.

Enrollment:	8
Study Start Date:	April 2007
Study Completion Date:	September 2007
Primary Completion Date:	August 2007 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Experimental: TENS	Device: Transcutaneous electrical nerve stimulation Sensors were positioned on anterior temporal and masseter muscles bilaterally, and the stimulation was used for 20 minutes at 150 Hz and 100 µs of pulse width; intensity was adjusted individually.
Active Comparator: Massage therapy and muscle stretching	Other: Physiotherapy Massage and stretching of the anterior temporal and masseter muscle were performed by an experienced professional for 20 minutes.

Eligibility

Ages Eligible for Study:	14 Years to 24 Years
Genders Eligible for Study:	Female
Accepts Healthy Volunteers:	Yes

Criteria

Inclusion Criteria:

Pain in orofacial area for at least 3 months
Diagnosed at group 1 of RDC/TMD (myofascial pain with or without mouth opening limit)

Exclusion Criteria:

Drug use for treatment of pain
Functional limitations that would harm diagnosis

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT01187316

Locations

Brazil
Faculty of Dentistry of Pernambuco; Orofacial Control Center
Camaragibe, Pernambuco, Brazil
Faculty of Dentistry of Pernambuco; Orofacial Control Center
Recife, Pernambuco, Brazil

Sponsors and Collaborators

University of Pernambuco

Investigators

Principal Investigator:	Arnaldo F Caldas Junior, PhD	University of Pernambuco
Study Director:	Silvia D Benevides, Ms	Federal University of Bahia
Study Chair:	Mauricio Kosminsky, PhD	University of Pernambuco

More Information

Publications:

List T, Wahlund K, Larsson B. Psychosocial functioning and dental factors in adolescents with temporomandibular disorders: a case-control study. J Orofac Pain. 2001 Summer;15(3):218-27.

Visscher CM, Lobbezoo F, Naeije M. Comparison of algometry and palpation in the recognition of temporomandibular disorder pain complaints. J Orofac Pain. 2004 Summer;18(3):214-9.

Rodrigues D, Siriani AO, Bérzin F. Effect of conventional TENS on pain and electromyographic activity of masticatory muscles in TMD patients. Braz Oral Res. 2004 Oct-Dec;18(4):290-5.

Nilsson IM. Reliability, validity, incidence and impact of temporormandibular pain disorders in adolescents. Swed Dent J Suppl. 2007;(183):7-86.

Responsible Party:	Arnaldo de França Caldas Junior, University of Pernambuco
ClinicalTrials.gov Identifier:	NCT01187316 History of Changes
Other Study ID Numbers:	1-R6YV8
Study First Received:	August 23, 2010
Last Updated:	August 24, 2010
Health Authority:	Brazil: Ethics Committee

Keywords provided by University of Pernambuco:

Facial Pain
Temporomandibular Joint Disorders
Transcutaneous Electric Nerve Stimulation
Adolescent

Additional relevant MeSH terms:

Joint Diseases
Temporomandibular Joint Disorders
Temporomandibular Joint Dysfunction Syndrome
Musculoskeletal Diseases
Craniomandibular Disorders

Mandibular Diseases
Jaw Diseases
Muscular Diseases
Stomatognathic Diseases
Myofascial Pain Syndromes

ClinicalTrials.gov processed this record on May 22, 2013