A Combined Treatment of Manual Therapy and Nervous Vagus Stimulation Versus a Treatment of Manual Therapy Isolated in Patients With Myogenic Temporomandibular Disorders

Status: Recruiting
Location: See all (3) locations...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Temporomandibular disorders (TMD) are one of the most important Public Health issues in the world and its incidence has increased over the years. The Physiotherapy and manual therapy techniques has shown its efficacy to reduce pain and to improve jaw functionality in patients with TMD. Until now, treatment targets has been the muscle and joint, but clinicians has not taken into account the innervation and how the nerve can have an influence in pain or jaw functionality. In this sense, it is known that there is a relationship between jaw innervation and vagus nerve, a parasympathetic nerve which is easily stimulable, due to its connection with the respiratory system, taking deep breaths using the diaphragm. Therefore, our hypothesis is that a treatment in which clinicians combine manual therapy and nerve vagus stimulation could have better effects (reducing pain, increasing range of motion in temporomandibular joints and improving quality of life in patients with TMD) than a isolated manual therapy treatment. With this purpose will be selected 20 subjects to participate in our study divided in two groups. Both groups will received 4 sessions of physiotherapy (one each 7 days during one month) and also will be thought to do own treatment those days the subjects does not come to the clinic until the study will have finished (the interventional period last two months). Both groups will received the same manual therapy techniques but only the experimental group will be treated with nerve vagus stimulation technique. One member of the group who will not participated in the interventions will be in charge of do evaluations (1 each month/ a total of 3 evaluations) following different questionaries to assess the primary variables of the study: chronic pain level, jaw functionality, physical symptoms level, range of motion and distress level.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Clinical diagnosis of myogenic pain according to the CD / TTM diagnostic criteria.

• Presence of pain during the last 30 days.

• Patients with decreased jaw function and mobility due to pain.

• Patients who have not received physiotherapy treatment in the last 3 weeks.

• Patients of legal age.

Locations
Other Locations
Spain
Clinical University Physiotherapy and pain
RECRUITING
Alcalá De Henares
Martinez-Merinero, Patricia
RECRUITING
Alcalá De Henares
Physioterapy and Pain center research
RECRUITING
Alcalá De Henares
Contact Information
Primary
Patricia Martinez-Merinero, PhD
info@institutofisioterapiaydolor.es
+34 683 378 391
Backup
Daniel Pecos-Martin, PhD
daniel.pecos@uah.es
+34 9188551442
Time Frame
Start Date: 2022-08-01
Estimated Completion Date: 2025-09-15
Participants
Target number of participants: 60
Treatments
Experimental: Manual therapy and nervous vagus stimulation
Subjects will received manual therapy combined with nerve vagus stimulation.
Active_comparator: Manual therapy
Subjects will received isolated manual therapy techniques.
Related Therapeutic Areas
Sponsors
Leads: University of Alcala

This content was sourced from clinicaltrials.gov