Low Level Laser Therapy and Rocabado's Approach for Myogenic TMJ Disorders
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-40
SponsorCairo University
About this trial
Rocabado's 6x6 exercises are designed to improve muscular co-ordination, relax tense muscles, increase temporomandibular joint (TMJ) ROM, alter the jaw closure pattern and muscle strength. These exercises have been found to be beneficial in reducing pain and increasing masticatory muscle function, as well as restoring restricted joint mobility, muscle length limitation, and postural and functional limitations. In addition, low level laser therapy (LLLT) has been reported to reduce inflammation and pain in patients with TMJ dysfunction. Although that to the best of the authors' knowledge the combined effect of Rocabado's approach with LLLT has not been studied. So, the current study is the first double-blind placebo-controlled clinical trial that investigating the effect of adding LLLT to Rocabado's approach for TMJ myogenic disorders.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
None
Disqualifiers
None
Trial design
Design model
Parallel
Treatments tested in this trial
Rocabado's approach in addition to LLLT
Other interventionThe patients will recieve Rocabado's non-thrust manipulation: Non-thrust temporo-mandibular joint manipulations consisted of medial glide, lateral glide and anterior glide as described by Rocabado. Each glide was given for 10-15 repetitions for 5-6 times in a session. The grade of mobilization was beginning with Grade-1 or 2 and progressed to Grade-4 depending on subject condition. Total duration of mobilization was lasted for 20 minutes. in addition to low power gallium aluminum arsenide (GaAlAs).
control group
Other interventionThe patients will recieve Rocabado's non-thrust manipulation: Non-thrust temporo-mandibular joint manipulations consisted of medial glide, lateral glide and anterior glide as described by Rocabado. Each glide was given for 10-15 repetitions for 5-6 times in a session. The grade of mobilization was beginning with Grade-1 or 2 and progressed to Grade-4 depending on subject condition. Total duration of mobilization was lasted for 20 minutes. in addition to lplacebo ow power gallium aluminum arsenide (GaAlAs).
Treatment groups
42 Participants
are divided into 2 treatment groupsGroup A: study groupExperimental treatment 1 intervention
Group B: control groupPlacebo comparator 1 intervention
Trial outcomes
Primary outcomes
1
Assessment of Pain pressure threshold of masticatory muscles
The pain pressure threshold over the temporalis and masseter muscles will be assessed using an algometer with a 1 cm2 probe tip (FDIX Digital Force Gage; Wagner Instruments).
Time frame
change from base line at 6 weeks.Secondary outcomes
1
Assessment of Temporomandibular joint ROM
A therabite will be used to measure mandibular opening
Time frame
change from base line at 6 weeks.2
Assessment of the function of Temporomandibular Joints
Temporomandibular Disorder Disability Questionnaire will be used for evaluating the temporomandibular joint function. It consists of the following subsections: the Temporomandibular Disorder Disability Index, Temporomandibular Disorder symptom intensity scale, and Temporomandibular Disorder symptom frequency scale.
Time frame
change from base line at 6 weeks.3
Assessment of pain intensity using Numerical Rating Scale
in the rating scale the patient will be asked to indicate a number between 0 and 100 on a horizontal line, that best described his/her perceived level of pain intensity when it is at its worst and when it is at is least.
Time frame
change from base line at 6 weeks.Locations
Sponsors and contacts
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Source ClinicalTrials.gov
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