Tele-Rehabilitation in Patients With Temporomandibular Dysfunction
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: manual therapy and therapy by exercise.
- Who it may be relevant to
- Registry conditions: Temporomandibular Disorder, Temporomandibular Joint Disorders, Temporomandibular Joint Dysfunction Syndrome. Basic parameters: 18 years — 60 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Brazil
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Tele-Rehabilitation in Patients With Temporomandibular Dysfunction: Randomized, Controlled and Blind
Overview
Temporomandibular disorder or TMD is characterized by a set of symptoms such as: pain, decreased range of motion and joint noise. It's origin is multifactorial, which may be related to biological aspects, environmental and psychosocial. The multimodal approach has been widely used in physiotherapy for the treatment of TMDs. Physiotherapy has been walking together with technology so that telerehabilitation can be a reality, contributing so that quality care reaches the patient, in the impossibility office-to-face service. The objective of this study is to verify the effect of telerehabilitation on pain outcomes, range of motion, functionality and biopsychosocial aspects in individuals with temporomandibular disorders. Will be a randomized, controlled and blinded clinical trial was carried out. The study will be divided into two moments: evaluation and intervention. Evaluations will be carried out using the Diagnostic Criteria for Temporomandibular Disorders: Clinical Protocol and Assessment Instruments (DC/TMD), the Fonseca Anamnesis Index (IAF), the Numerical Pain Scale (END) and the Functional Limitation Questionnaire (MFIQ). Individuals will be randomized into 2 groups: Group A (in person) Group B (telerehabilitation). Both groups will receive treatment physical therapy for 12 weeks. After collecting the data, they will be tabulated and analyzed using a 5% significance level.
Interventions
- Other manual therapy and therapy by exercise
In general, patients will receive extra-oral massage and intraoral massage, myofascial release in the cranio-cervical musculature, mobilization of the hyoid bone and may also receive unspecific joint mobilization. Will bemouth opening exercise was also performed with the tongue on the palate, proprioceptive lateralization and protrusion exercises with hyperboloid and exercises with combinations of movements of laterality and opening, or protrusion and opening.
Primary outcome measures
- Score in Numerical Pain Scale [Time frame: The level of pain at 12 weeks]
- Score in Numerical Pain Scale [Time frame: The level of pain at 6 months]
- measure range of motion [Time frame: The range of motion at range of motion at 12 weeks .]
- measure range of motion [Time frame: The range of motion at 6 months.]
Secondary outcome measures (4)
- measure Functionality [Time frame: The functionality at 12 weeks .]
- measure Functionality [Time frame: The functionality at 6 months.]
- Biopsychosocial analysis. [Time frame: The biopsychosocial analysis at 12 weeks .]
- Biopsychosocial analysis. [Time frame: The biopsychosocial analysis at 6 months.]
Eligibility criteria
- Age between 18 and 60 years;
- presence of pain in the facial region in the last 6 months;
- diagnosis of myalgia, arthralgia, headache attributed to temporomandibular disfunction and/or subluxation temporomandibular joint.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Triple blind
- Primary purpose
- Treatment
Study locations
Brazil · 1 center
- University Nove de Julho — São Paulo
Identifiers
NCT: NCT05006963 · Tele-Reabilitação em TMD