Effectiveness of Visceral Manual Therapy in Bruxist Patients
University of Seville
68 participants
Mar 1, 2023
INTERVENTIONAL
Conditions
Summary
Objective: check the effectiveness of visceral manual therapy on bruxist patients Design: Experimental, analytical, longitudinal, prospective, randomized, single-blind study with a blinded evaluator. Subjects: 68 subjects over 18 years old, with bruxism (diagnoses by a dentist). Methods: Subjects will be randomized into 2 groups: an experimental group (EG) to which a visceral manual technique will be applied and a control group (CG) to which a placebo manual technique will be administered. Both groups will receive 2 interventions one week apart. The measurements will be made before and after the interventions, and a last measurement will be made one month after the last intervention. Therefore, the patient will visit the center 3 times.
Eligibility
Inclusion Criteria2
- Subjects with bruxism diagnosed and referred by a dentist
- Age: older than 18 years-old.
Exclusion Criteria17
- Recent craniofacial, mandibular or cervical trauma or fracture.
- Temporomandibular joint surgery.
- Acute pain due to other components of the masticatory system (caries, inflammation of the dental root).
- Abdominal surgery.
- Gastric ulcers.
- Gastritis.
- Previous or current gastric neoplasm.
- Neurological or systemic diseases.
- Pregnant, including the period of breastfeeding.
- Patients receiving chemotherapy or radiotherapy.
- Cognitive, psychosomatic or psychiatric illnesses that may affect the data obtained.
- Basic systemic disease of rheumatic origin (for example, arthritis, osteoarthritis, gout and psoriasis).
- Cerebrovascular and brain diseases.
- Arrhythmia and other cardiac problems.
- Implanted electronic devices.
- Drug or alcohol abuse, analgesic or sedative therapy, and use of medications that affect the central nervous system (for example, antidepressants, anxiolytics, and anticonvulsants).
- Patients who have previous experience with manual treatment of the diaphragm
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Interventions
The patient will be placed in a reclining sitting position and triple flexion of the lower limbs to keep the abdominal region relaxed. The therapist will be placed to the right of the patient at the height of the abdomen, with the hands placed in the epigastric area. He will make a skin fold that reduces tension in the area, so that the contact is focused on the visceral tissue of the area. The patient will be asked to take deep breaths, and during the exhalation, the therapist will perform a zigzag movement with vibration of the hands while pulling the tissue caudally. This procedure will be performed for 5 minutes.
The patient and the therapist will be placed in the same position as in the experimental group. The therapist will place his hands in contact with the lower rib cage, and the patient will be asked to take a deep breath. The therapist will not exert any pressure, nor place restrictions on the tissues or movements of the ribcage.
Locations(1)
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NCT05751694