Effects of Masseter Manual Therapy on Temporomandibular Dysfunction



Status:Completed
Conditions:Orthopedic
Therapuetic Areas:Orthopedics / Podiatry
Healthy:No
Age Range:18 - Any
Updated:4/2/2016
Start Date:March 2009
End Date:May 2009
Contact:James George, DC
Email:james.george@logan.edu
Phone:636-230-1938

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Effects of Masseter Manual Therapy on Temporomandibular Dysfunction: A Pilot Study

Muscles and myofascial dysfunction are more often the mechanism and source of pain in oral
fascial disorders (OFD) than the TMJ. Masticatory muscles in patients with TMJ alterations
are more hypertonic, less efficient and more prone to fatigue compared to age and sex
matched controls. It is our opinion that Active Release Technique can be a reliable
assessment and treatment tool in the resolution in cervical-cranio mandibular disorders. Our
goal is to improve masticatory function through treatment of trigger points in the masseter.

Recruit 45 patients with TMD determined by questionnaire. Measure pre and post mandibular
active range of motion and VAS pain scale. Treatment will include 4 visits over a two week
span measuring before first treatment and after last treatment. There will be 3 treatment
groups; active release technique, post isometric relaxation and a no treatment control
group. We will analyze data for any change in mandibular range of motion and VAS pain scale.

Inclusion Criteria:

- Difficulty and/or pain when opening mouth

- Jaw locking

- Difficulty or pain when chewing or talking

- TMJ clicking

- Jaw stiffness, tightness, or fatigue

- Pain in ear, temple or cheeks

- Frequent headaches, neckaches, toothaches

- Change in occlusion

Exclusion Criteria:

- Trauma to head, neck or jaw within last 12 months

- Recent dental extractions

- Taking prescription analgesics/muscle relaxants

- Recent cervical SMT (HVLA)

- Already under care for condition

- Sinus infection
We found this trial at
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Chesterfield, Missouri 63017
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Chesterfield, MO
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