About this trial
Myofascial pain dysfunction syndrome (MPDS) is the most common form of temporomandibular disorders. Because of the multifactorial nature of the problem, its management is still not definite. This randomized clinical trial aimed to assess the efficacy of transcutaneous electrical nerve stimulation over dry needling for management of such condition.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients complaining of pain in muscles of mastication lasting for three months or more.
Presence of trigger points in the temporalis, masseter or lateral pterygoid muscle identified by clinical examination and palpation.
Average pain severity of at least 4 on a 10-point scale
Pain in pre-auricular area, or in the ear during rest or function
Disqualifiers
No previous tempro-mandibular joint (TMJ) surgical intervention
Patients with neurological disorders, coagulopathy, vascular disease autoimmune disease (systemic lupus, rheumatoid arthritis), fibromyalgia
Pregnancy
Current opioid use
Trial design
Parallel
Treatments tested in this trial
TENS
Procedure/SurgeryNon-pharmacological method which is widely used by medical and paramedical professionals for the management of acute and chronic pain using electric pulse generator, lead wires and electrodes.
Dry Needle
Procedure/SurgeryInvasive procedure where a fine needle or acupuncture needle is inserted into the skin and muscle.
Treatment groups
Trial outcomes
Primary outcomes
Pain
Using visual analogue scale (VAS) from (1-10) where 1 is the least pain and 10 is the maximum pain
Secondary outcomes
Muscle stiffness
using Electromyography to measure muscle response or electrical activity in response to a nerve stimulation of the muscle (volt)
Limitation in mouth openinig
Measuring muscle opening using digital caliber (Micrometer)
Sleeping disorder
Assessing sleeping disorder through Yes or No questionnaire
Anxiety
Assessing anxiety through Yes or No questionnaire
Locations
Sponsors and contacts
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