A Combined Treatment of Manual Therapy and Nervous Vagus Stimulation in Patients With Myogenic Temporomandibular Disorders

Launched by UNIVERSITY OF ALCALA · Mar 8, 2022

Keywords

ClinConnect Summary

This clinical trial is studying a new treatment approach for people with a condition called myogenic temporomandibular disorders (TMD), which causes pain in the jaw and difficulties with jaw movement. Researchers believe that combining manual therapy, which involves hands-on techniques to relieve pain and improve function, with a method called vagus nerve stimulation may provide better results than using manual therapy alone. The vagus nerve is important for many bodily functions and can be stimulated easily through deep breathing. The goal is to see if this combined treatment can help reduce pain, improve how well the jaw moves, and enhance the overall quality of life for patients with TMD.

To take part in this study, participants should be between 65 and 74 years old, have been diagnosed with myogenic pain, and have experienced pain in the last month. They should also have difficulty moving their jaw due to this pain and not have received physiotherapy in the last three weeks. During the trial, participants will attend four physiotherapy sessions over a month and will be taught exercises to do at home. While all participants will receive the same manual therapy, only those in the experimental group will also experience the vagus nerve stimulation. Throughout the study, researchers will check in with participants to evaluate their pain levels, jaw function, and overall well-being.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Clinical diagnosis of myogenic pain according to the CD / TTM diagnostic criteria.
• • Presence of pain during the last 30 days.
• • Patients with decreased jaw function and mobility due to pain.
• • Patients who have not received physiotherapy treatment in the last 3 weeks.
• • Patients of legal age.
• Exclusion Criteria:
• • Patients with drug treatment: sedatives, anti-inflammatories, antidepressants, anxiolytics or muscle relaxants.
• • Patients with cardiac pacemakers and implanted defibrillators. Patients diagnosed with severe cardiorespiratory and / or respiratory diseases, carcinogenic processes, infectious processes and / or systemic pathologies.
• • Clinical diagnosis of temporomandibular disorder of joint or mixed origin according to the Diagnostic Criteria for Temporomandibular Disorders (CD / TMD).
• • Patients with psychiatric or psychological disorders, intellectual or motor deficiencies that, due to their nature, prevent them from correctly performing the prescribed exercises, correctly following the physiotherapist's instructions or understanding the questionnaires and / or measurement scales of the variables.
• • Patients with dental processes scheduled during the study period or who have undergone surgery in the last 3 months.
• • Patients with suspicion or certainty that their pain has appeared as a consequence of a local or general trauma.
• • Patients diagnosed with fibromyalgia, neuropathic pain or degenerative diseases