RecruitingNot ApplicableNCT05167656

Intraoral Versus Extraoral Manual Therapy in Subjects With Temporomandibular Disorders

Intraoral Versus Extraoral Manual Therapy in Subjects With Temporomandibular Disorders. A Randomized Controlled Trial

Sponsor

University of Alcala

Enrollment

90 participants

Start Date

Apr 12, 2022

Study Type

INTERVENTIONAL

Conditions

Temporomandibular Disorder

Summary

The aim of this randomized controlled trial is to evaluate the effects of intraoral manual therapy versus extraoral manual therapy and compare them with a control group, in the management of patients with temporomandibular disorders regarding pain, strength, quality of life, disability and anxiety.

Eligibility

Min Age: 18 YearsMax Age: 75 Years

Inclusion Criteria4

Unilateral temporomandibular pain for more than one month.
Older than eighteen.
No previous treatment to temporomandibular pain in the last 3 months.
Diagnosed based on the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD).

Exclusion Criteria5

Patients with cervical or cranial trauma or whiplash.
Diagnosed with systemic disease, like rheumatoid arthritis or fibromyalgia.
Diagnosed of any vascular or metabolic disease.
Previous cervical or temporomandibular surgery.
Dental, medicine or any physical therapy treatment in the last 3 months before the beginning of the interventions.

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Interventions

OTHERIntraoral manual therapy

Six intraoral manual therapy sessions based on ischemic compression and pain pressure release of the temporomandibular region muscles, applied bilateral.

OTHERExtraoral manual therapy

Six extraoral manual therapy sessions based on ischemic compression, pain pressure release and pressure sliding of the temporomandibular region muscles, applied bilateral.

OTHERExercise and counselling

Information about etiology, contributing and related factors, natural history and prognostic of the pathology of temporomandibular disorders. Counselling based on: diet, habits like tabacism, stress and anxiety control, physical activity and awareness of dental clenching. Exercise daily program based on active and passive mobility of the temporomandibular joint, stretching exercises and self massage.