The Effect of Different Physiotherapeutic Stimuli on Stomatognathic System Structures.
Pain, Stomatognathic Diseases, Muscle Hypertonia
About this trial
This is an interventional health services research trial for Pain focused on measuring Pain, Physiotherapy, Range of motion, Temporomandibular Joint, Stomatognathic system
Eligibility Criteria
Inclusion Criteria:
I. Myofacial pain of less than 12 months in duration that is evoked by an active motion of the mandible or by palpation.
II. Diagnosis according to RDC / TMD (Research Diagnostic Criteria for Temporomandibular Disorders), which showed painful myofascial disorders III. A feeling of an increased muscle tension IV. Presence of all occlusal contact zones V. Female sex
Exclusion Criteria:
I. Past or present, neurological disease, neuromuscular disease or a severe systemic disease.
II. Temporomandibular joint pathology based on X-ray imaging or stomatological examination.
III. Orthodontic or prosthetic treatment IV. Contraindication to physiotherapeutic treatment
Sites / Locations
- Department of Musculoskeletal System Rehabilitation, Pomeraniam Medical University
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Active Comparator
Active Comparator
Active Comparator
Active Comparator
Physiotherapeutic procedures: magnetotherapy
Physiotherapeutic procedures:magneto-led therapy
Physiotherapeutic procedures:magneto-laser therapy
Physiotherapeutic procedures: manual therapy of soft tissues
Magnetotherapy is a pulsating, non-homogeneous magnetic field generated by the Viofor JPS apparatus (Med & Life, Poland) will be applied using an elliptical applicator with a beam width of approx. 5 cm. Formative procedures within the masseter muscle, duration of the session amounted to 12 minutes. Physiotherapy treatment of the masseter muscles for a period of 10 days.
Magneto-led therapy is a synergistic action of a slowly changing magnetic field generated by the Viofor JPS apparatus (Med & Life, Poland) and LED diodes with the wavelength of 860 nm were applied using an elliptic magnetic-light (IR) applicator with a diameter of 5 [cm] containing 47 infrared diodes. Formative procedures within the masseter muscle, duration of the session amounted to 12 minutes. Physiotherapy treatment of the masseter muscles for a period of 10 days.
Magneto-laser therapy is a synergistic action of a slowly changing magnetic field generated by the Viofor JPS apparatus (Med & Life, Poland) and a low-energy laser with infrared wavelength of 808 [nm] (max. power 300 mW) was applied. The dose was set to increase from 3,0 J/cm2 to 5,0 J/cm2 and the total dose applied per each patient from this subgroup was 40 J/cm2. Formative procedures within the masseter muscle, duration of the session amounted to 12 minutes. Physiotherapy treatment of the masseter muscles for a period of 10 days.
Manual therapy of soft tissues will include: post-isometric relaxation of the masseter, cellular and tissue mobilization with Kibler fold, masseter trigger point therapy. Formative procedures within the masseter muscle, duration of the session amounted to 12 minutes. Physiotherapy treatment of the masseter muscles for a period of 10 days.