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

RecruitingNAAges 18 Years - anyAllUniversity of Alcala
NCT05272488 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Temporomandibular disorders (TMD) are one of the most important Public Health issues in the world and its incidence has increased over the years. The Physiotherapy and manual therapy techniques has shown its efficacy to reduce pain and to improve jaw functionality in patients with TMD. Until now, treatment targets has been the muscle and joint, but clinicians has not taken into account the innervation and how the nerve can have an influence in pain or jaw functionality. In this sense, it is known that there is a relationship between jaw innervation and vagus nerve, a parasympathetic nerve which is easily stimulable, due to its connection with the respiratory system, taking deep breaths using the diaphragm. Therefore, our hypothesis is that a treatment in which clinicians combine manual therapy and nerve vagus stimulation could have better effects (reducing pain, increasing range of mot

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📋 Eligibility rules (as published)
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
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What it tests

  • Manual therapy and vagus nerve stimulation
  • Manual therapy
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Where

3 sites
Clinical University Physiotherapy and pain
Alcalá de Henares, Spain
Martinez-Merinero, Patricia
Alcalá de Henares, Spain
Physioterapy and Pain center research
Alcalá de Henares, Spain
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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