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IRCT20200927048859N1 IRCT 2021-11-23 Ghoum University of Medical Sciences Evaluation of dry needling effectiveness on temporomandibular joint pain and range of motion Comparison of dry needling and sham dry needling effectiveness on pain, range of motion and pressure pain threshold in patients with temporomandibular joint dysfunction after dental procedure 2021-11-22 anticipated 52 Complete https://irct.ir/trial/59728 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: The randomization process will be done through closed envelopes and block balanced randomization method. First of all, the first physiotherapist considers all possible aabb arrangements and using a random number table, randomly selects 10 blocks and writes their components one after the other. Each of these components will then be placed in a sealed envelope and numbers 1 to 52 will be recorded on the envelope. Since the therapist is not aware of how the groups are assigned until the intervention, the important feature of allocation concealment is observed in this study. On the day of the intervention, the first physiotherapist choose the envelopes one by one and based on that, places the patients in the intervention group and Placebo, Blinding description: The first physiotherapist is blind to the grouping of patients and the second physiotherapist is blind to the data obtained from the assessments of each patient performed by the first physiotherapist. The patient is also blind to which group he or she belongs to. In the control group, a sharp needle-shaped plastic shield is used so that the patient can only feel the sharp object. It should be noted that the patient's eyes are covered in both groups. N/A Pain and temporomandibular dysfunction after dental procedure. Intervention 1: Intervention group: They are treated with dry needling on masseter, temporalis, internal and external pterygoid muscles. Initially, by touching and pressing the therapist's hand on each muscle, the most sensitive point to touch is found and targeted with a needle. In this way, the special needles enter this sensitive part of the muscle and remain in the muscle for 20 minutes with infrared heat. At first, the patient's eyes are covered with wet cotton so that the infrared light does not bother and the patient is also blind to the intervention. Intervention 2: Control group: This group is subjected to sham dry needling. Initially, by touching and pressing the therapist's hand in all four muscles of the masseter, temporal, internal and external pterygoid, the most sensitive point to touch is found and targeted by a sharp plastic needle guide to make the patient feel sharp. And infrared heat shines on the face for 20 minutes. Initially, the patient's eyes are covered with wet cotton so that the infrared light does not bother and the patient is also blind to the intervention. Yes - There is a plan to make this available What will be shared: Measurement data and results obtained from each person can be shared. When: Upon completion of the study for 6 months To whom: Researchers on similar subjects Conditions: To use the results of the study and citation for related studies Where to obtain: Email researcher in charge. Dr Sepideh Paybast, sepideh.paybast@yahoo.com Physiotherapist Nafiseh Zekri, nafiseh_zekri@yahoo.com How to obtain: Your email will be read and answered within a week. Comments:
public Sepideh Paybast
NO.11, Iran building, Akhlaghi St, Sepah Sq, Jomhouri St
Qom Iran (Islamic Republic of) 3716699845 +98 25 3355 5455 nafiseh_zekri@yahoo.com Ghoum University of Medical Sciences scientific Nafiseh Zekri
No. 11 akhlaqi st. Jomhouri Blvd, sepah sq. Qom Iran
Qom Iran (Islamic Republic of) 3716699845 +98 25 3355 5455 Nafiseh_zekri@yahoo.com Ghoum University of Medical Sciences Iran (Islamic Republic of) Men and women 20-50 years old. Pain and range of motion limitation on one side of the temporomandibular joint who visit the dentist in the past month or a week. One week interval from the onset of symptoms and limited range of motion following a visit to the dentist with or without medication. Not performing physiotherapy on the head and neck for the past 12 months. No scar tissue, infection, wound or inflammation on trigger point area. Do not use addictive substances and alcohol due to rising pain threshold. Restriction of mouth opening less than 30 mm or pain with Numeric Rating Scale above 3 20 years 50 years Both Both side pain History of clenching while sleeping or night guard using Temporomandibular joint (TMJ) degenerative disease Inflammation in mouth History of TMJ or dental surgery History of systemic or metabolic disorders, such as metabolic syndrome Rheumatoid arthritis, atypical fascial pain, neuralgia and fibromyalgia Instability in chewing structures Orthodontic treatment Anticoagulant therapy Pregnancy M26.6 Temporomandibular joint disorders Treatment - Other Treatment - Other Intervention group: They are treated with dry needling on masseter, temporalis, internal and external pterygoid muscles. Initially, by touching and pressing the therapist's hand on each muscle, the most sensitive point to touch is found and targeted with a needle. In this way, the special needles enter this sensitive part of the muscle and remain in the muscle for 20 minutes with infrared heat. At first, the patient's eyes are covered with wet cotton so that the infrared light does not bother and the patient is also blind to the intervention. Control group: This group is subjected to sham dry needling. Initially, by touching and pressing the therapist's hand in all four muscles of the masseter, temporal, internal and external pterygoid, the most sensitive point to touch is found and targeted by a sharp plastic needle guide to make the patient feel sharp. And infrared heat shines on the face for 20 minutes. Initially, the patient's eyes are covered with wet cotton so that the infrared light does not bother and the patient is also blind to the intervention. Pain with Numeric Rating Scale. Timepoint: At the beginning of the study, one week and two weeks after the start of the intervention. Method of measurement: Numeric Rating Scale; The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. “no pain”) to '10' representing the other pain extreme (e.g. “pain as bad as you can imagine” or “worst pain imaginable”). Range of motion of temporomandibular joint. Timepoint: At the beginning of the study, one week and two weeks after the start of the intervention. Method of measurement: goniometer. Evaluation of sensitivity of trigger points. Timepoint: At the beginning of the study, one week and two weeks after the start of the intervention. Method of measurement: Digital pressure algometer. Qom university of Medical Sciences Approved 2021-01-26 Ethics committee of Qom University of Medical Sciences No.11, Shahid Akhlaghi St, Sepah Sq, Jomhouri St, Qom, Iran Qom Ghoum Iran (Islamic Republic of)