Stretching Exercises and Temporomandibular Disorders

This study has been completed.
Sponsor:
Information provided by:
University of Sao Paulo General Hospital
ClinicalTrials.gov Identifier:
NCT00993577
First received: October 9, 2009
Last updated: October 29, 2009
Last verified: October 2009

October 9, 2009
October 29, 2009
February 2004
July 2006   (final data collection date for primary outcome measure)
Pain [ Time Frame: 2 ] [ Designated as safety issue: Yes ]
Pain
Complete list of historical versions of study NCT00993577 on ClinicalTrials.gov Archive Site
Quality of life [ Time Frame: 2 ] [ Designated as safety issue: Yes ]
Not Provided
Not Provided
Not Provided
 
Stretching Exercises and Temporomandibular Disorders
Global Postural Reeducation and Static Stretching Exercises in the Treatment of Myogenic Temporomandibular Disorders. A Randomized Study

To compare the efficacy of global postural reeducation (GPR) with static stretching exercises (SS) in the treatment of women with temporomandibular disorders (TMD).

Physical therapy is of importance in the treatment of myogenic temporomandibular disorders (TMD). Both stretching exercise and global posture reeducation are equally effective in the treatment of TMD.

Purpose: To compare the efficacy of global postural reeducation (GPR) with static stretching exercises (SS) in the treatment of women with temporomandibular disorders (TMD).

Methods: A total of 24 subjects with TMD were randomized into two treatment groups: GPR, where therapy involved muscle global chain stretching, or SS, with conventional static stretching. Eight treatment sessions lasting 40 minutes each (weekly) were performed. Assessments were conducted at baseline, immediately after treatment end, and again two months later. Measurements included pain intensity at the temporomandibular joint, headache, cervicalgia (visual analogue scale - VAS) and teeth clenching. Additionally, electromyographic activity and pain thresholds were measured at the masseter, anterior temporalis, sternocleidomastoid, and upper trapezius muscles. Two-way analysis of variance (ANOVA) with Tukey post-hoc test was used for in-between group comparisons. Significance level was 0.05.

Interventional
Phase 1
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Investigator)
Primary Purpose: Treatment
Temporomandibular Disorders
  • Other: Stretching exercises
    Treatment consisted of eight individual sessions (once a week), over two months. At the first 10 minutes of sessions, patients rested (supine position) with all limbs relaxed. Manual therapy maneuvers were made as described by Bienfait,17 associated to breathing exercises, in order to stretch the fasciae that recover the shoulders, as well as the cervical spine muscles. After that, stretching treatment (global or static) was conducted for another 30 minutes.
    Other Names:
    • Global Postural Reeducation
    • Static Stretching Exercises
  • Device: Stretching exercises
    Treatment consisted of eight individual sessions (once a week), over two months. At the first 10 minutes of sessions, patients rested (supine position) with all limbs relaxed. Manual therapy maneuvers were made as described by Bienfait,17 associated to breathing exercises, in order to stretch the fasciae that recover the shoulders, as well as the cervical spine muscles. After that, stretching treatment (global or static) was conducted for another 30 minutes.
    Other Names:
    • Global Postural Reeducation
    • Static Stretching Exercises
  • Device: Exercises
    Treatment consisted of eight individual sessions (once a week), over two months. At the first 10 minutes of sessions, patients rested (supine position) with all limbs relaxed. Manual therapy maneuvers were made as described by Bienfait,17 associated to breathing exercises, in order to stretch the fasciae that recover the shoulders, as well as the cervical spine muscles. After that, stretching treatment (global or static) was conducted for another 30 minutes.
    Other Names:
    • Muscle stretching exercises
    • Pain measurement
    • Temporomandibular joint.
Experimental: Exercises
Global Postural Reeducation Static Stretching Exercises
Interventions:
  • Other: Stretching exercises
  • Device: Stretching exercises
  • Device: Exercises
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
24
March 2007
July 2006   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Helkimo index III,
  • Myogenic TMD, AND
  • Presence of para-functional habits, such as: bruxism, teeth clenching, mouth-breathing and lip biting.

Exclusion Criteria:

  • Surgery or trauma in the orofacial region,
  • Systemic or degenerative diseases, OR
  • Undergoing odontological, psychological, or physical therapy treatments.
Female
19 Years to 40 Years
Yes
Contact information is only displayed when the study is recruiting subjects
Brazil
 
NCT00993577
155/04
No
Amelia Pasqual Marques, FMUSP
University of Sao Paulo General Hospital
Not Provided
Not Provided
University of Sao Paulo General Hospital
October 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP