Reflex Therapy of Temporomandibular Dysfunctions

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorPalacky University

About this trial

This study aims to evaluate the effectiveness of dry needling in patients with functional temporomandibular pain syndrome by comparing standard rehabilitation therapy alone with therapy combined with dry needling to reduce pain, improve jaw function and enhance quality of life.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Diagnosed with functional temporomandibular pain syndrome without structural temporomandibular joint damage.

Aged ≥18 years.

Stable health condition suitable for outpatient rehabilitation.

Willingness to participate and ability to follow the therapeutic protocol.

Disqualifiers

Presence of degenerative, post-traumatic, or inflammatory changes in the temporomandibular joint.

Cognitive or psychiatric disorders limiting cooperation.

Lack of informed consent or non-compliance during treatment

Trial design

Design model

Parallel

Treatments tested in this trial

  • Dry needling

    Procedure/Surgery

    One dry needling intervention targeting trigger points in the masseter and temporalis muscles during the first treatment session

  • Standard rehabilitation

    Procedure/Surgery

    The therapy will include mobilization, soft tissue relaxation techniques, and specific exercises focused on improving temporomandibular joint mobility and reducing muscle tension.

Treatment groups

100 Participants
are divided into 2 treatment groups
Group A: Experimental Group: intervention with Dry Needling and Standard Rehabilitation)Experimental treatment 2 interventions
Group B: Control Group - Standard RehabilitationActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

1. Pain Intensity using the Visual Analogue Scale (VAS).

* Description: Evaluation of subjective pain intensity in the temporomandibular region assessed using the Visual Analogue Scale (VAS), a continuous scale ranging from 0 to 10, where 0 represents no pain and 10 represents the worst imaginable pain. Higher scores indicate worse pain intensity. * Measurement Type: Continuous (0-10 scale).

Time frame
Baseline (pre-intervention) Immediately after the first therapy session At completion of the treatment program (after 10 therapy sessions).

Secondary outcomes

1

Temporomandibular Joint (TMJ) Range of Motion, Joint Sound Phenomena and Quality of Life (WHOQOL-BREF)

* Description: Measurement of maximal mouth opening and mandibular movement range using a caliper to assess functional improvement of the TMJ. * Measurement Type: Continuous (millimeters). and * Description: Clinical assessment of the presence or absence of joint sounds (clicking, popping, or crepitation) during mandibular movement as an indicator of TMJ functional stability. * Measurement Type: Categorical (present/absent). and * Description: Evaluation of overall quality of life using the WHOQOL-BREF questionnaire, which assesses physical, psychological, social, and environmental domains. * Measurement Type: Continuous (score-based)

Time frame
Baseline (pre-intervention) Immediately after the first therapy session At completion of the treatment program (after 10 therapy sessions)

Other outcomes

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