Comparison of the Effects of Different Massage Techniques in Individuals With Bruxism

Официальное название

Comparison of the Effects of Different Massage Techniques on Pain, Orofacial Muscle Characteristics, Disability, and Sleep Quality in Individuals With Bruxism

Обзор

The aim of this study is to compare the effects of occlusal splint therapy and different massage techniques on pain intensity and orofacial muscle tone and stiffness in individuals with possible sleep bruxism. A secondary aim is to evaluate the effects of these interventions on oral parafunctional behaviors, disability, and sleep quality.

Подробное описание

Individuals meeting the inclusion criteria will be randomly assigned to three groups using block randomization: classic massage group (CM), connective tissue massage group (CTM), and occlusal splint group (OCG). Following their assessments, individuals will be assigned to their respective groups. The CM and CTM groups will receive different massage techniques twice a week from a physiotherapist for four weeks, while the OCG group will be instructed to use a custom-made occlusal splint provided by a dentist for four weeks. Assessments will be repeated for all individuals at the 4th and 8th weeks.

Вмешательства

• Другое Connective tissue massage
  Connective tissue massage will be planned to include reflex-activated manual techniques targeting the subcutaneous connective tissue in the face and mandibular region. The individual will be positioned supine, and the application will be performed using specific skin-tightening maneuvers that create gliding between the skin and subcutaneous tissues. The techniques will focus particularly on connective tissue areas around the masseter, temporalis, and mandibular ramus. During the application, slo
• Другое Classic massage
  The classic massage treatment will be planned to include superficial and deep manual techniques targeting the facial and chewing muscles. Prior to the treatment, the individual will be positioned supine in a comfortable position. The massage protocol will include effleurage (superficial stroking), petrissage (kneading), friction (circular deep pressure), and gentle vibration techniques. The application will be performed bilaterally, targeting the masseter, temporalis, buccinator, and perioral mu
• Другое Occlusal Splint Group
  Individuals in the OS group will have an occlusal splint fitted by the dental department and will be provided with guidance on lifestyle changes to be considered in daily living activities. Following a clinical examination by the dentist, an impression will be taken of each volunteer's upper dental arch using irreversible hydrocolloid and used to prepare a maxillary Michigan type occlusal splint. Volunteers will be instructed to wear the splint while sleeping and the necessary adjustments will b

Первичные конечные точки

• Visual Analog Scale (VAS) [Срок оценки: Before intervention, 4th week and 8th week after intervention]
• Analysis of Jaw Muscle Tone and Stiffness [Срок оценки: Before intervention, 4th week and 8th week after intervention]
• Oral Habits [Срок оценки: Before intervention, 4th week and 8th week after intervention]
• Jaw Functional Restriction [Срок оценки: Before intervention, 4th week and 8th week after intervention]
• Sleep Quality [Срок оценки: Before intervention, 4th week and 8th week after intervention]

Критерии участия

Критерии включения

• Possible diagnosis of sleep bruxism,
• Reporting jaw or chewing muscle pain within the last 3 months

Критерии исключения

• Having any orthopedic, neurological, or psychiatric diagnosis,
• Having systemic and/or degenerative disorders,
• Neurological or psychiatric disorders (excluding anxiety and depression),
• Using medications that affect sleep or motor behavior,
• Having arthrogenic or mixed temporomandibular disorders,
• Using an intraoral prosthesis,
• Having a history of direct trauma or previous surgery in the orofacial region,
• Using muscle relaxants and non-steroidal anti-inflammatory drugs,
• Using a removable prosthesis,
• Receiving any treatment for bruxism within the last 4 weeks.

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

Двойное слепое

Основная цель

Лечение

Центры проведения

Список центров уточняется — проверьте первичный протокол.

Идентификаторы

NCT: NCT07567183 · IstanbulOkanUnive

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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