Bruxism and Diadinamic Current

Официальное название

The Effect of Diadynamic Current Combined With Rehabilitation in Patients With Bruxism: A Randomized Controlled Trial

Обзор

This study was designed to investigate the effectiveness of diadynamic current, one of the electrotherapy methods added to rehabilitation in the treatment of bruxism. Individuals over the age of 18 diagnosed with bruxism will be randomly assigned to one of the following groups using the sealed envelope method: rehabilitation program (control group) or rehabilitation program combined with diadynamic current (experimental group). The intervention will consist of an exercise program conducted jointly for the experimental and control groups. Participants will be given a structured exercise program to be performed in person 3 days a week for 6 weeks. In addition to the exercise program, the experimental group will receive diadynamic current treatment at each session. Pain intensity will be assessed using the Visual Analog Scale (VAS), pressure pain threshold with an algometer, muscle strength with a hand-held dynamometer, bite force with a pinch meter, maximal mouth opening with a caliper, and head posture with the craniovertebral angle. Oral habits will be evaluated using the Oral Behavior Checklist, and anxiety levels will be assessed with the State-Trait Anxiety Inventory (STAI).

Вмешательства

• Другое Exercise Program
  Participants will be given a structured exercise program to be performed in person 3 days a week for 6 weeks. The traditional program will include soft tissue relaxation exercises applied to the masseter and temporalis muscles following breathing exercises, controlled jaw opening and closing, jaw lateralization exercises, motor control targeting the temporomandibular joint and masticatory muscles, isometric strengthening, and stretching techniques. Additionally, exercises for the gradual stabili
• Другое Diadynamic current therapy applied in conjunction with exercise
  In addition to the exercise program, the experimental group will complete a total of 12 minutes of treatment per session using three different modes of diadynamic current therapy in sequence. Among the current parameters used, the diphase fixe and long-period modes will be applied at the sensory threshold level for four minutes each, while the courtes-period mode will be applied for four minutes at the motor threshold level, at an intensity that will cause short muscle contractions. The applicat

Первичные конечные точки

• Pain Assessment [Срок оценки: Baseline]
• Pain Assessment [Срок оценки: 6 weeks]
• Pressure Pain Assessment [Срок оценки: Baseline]
• Pressure Pain Assessment [Срок оценки: 6 weeks]
• Muscle Strength Assessment [Срок оценки: Baseline]
• Muscle Strength Assessment [Срок оценки: 6 weeks]
• Bite Force [Срок оценки: Baseline]
• Bite Force [Срок оценки: 6 weeks]
• Maximum Mouth Opening [Срок оценки: Baseline]
• Maximum Mouth Opening [Срок оценки: 6 weeks]

Вторичные конечные точки (8)

• Head Posture [Срок оценки: Baseline]
• Head Posture [Срок оценки: 6 weeks]
• Determining the Oral Habits [Срок оценки: Baseline]
• Determining the Oral Habits [Срок оценки: 6 weeks]
• Determining the Anxiety Level [Срок оценки: Baseline]
• Determining the Anxiety Level [Срок оценки: 6 weeks]
• Determining the Sleep Quality [Срок оценки: Baseline]
• Determining the Sleep Quality [Срок оценки: 6 weeks]

Критерии участия

Inclusion Criteria: The study will include patients of both genders who have been clinically diagnosed with bruxism over the age of 18 and who report pain around the jaw (3 or higher on the VAS), and who have provided informed consent.

Exclusion Criteria: Patients who have previously used physical therapy or complementary-alternative medicine methods for similar complaints, those with neurological or psychiatric disorders, those with systemic diseases, those with pacemakers or implantable defibrillators; those with a history of cancer, those with an acute infection in the relevant area, those with a history of trauma to the jaw area, those using muscle relaxants, analgesics, or non-steroidal anti-inflammatory drugs, those who have participated in another study within the last 6 months, and individuals who do not agree to participate in the study will be excluded.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Лечение

Центры проведения

Turkey (Türkiye) · 1 центр

• Inonu University — Malatya

Идентификаторы

NCT: NCT07241728 · 2025/8327

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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