Effect of mandibular mobilization on electromyographic signals in muscles of mastication and static balance in individuals with temporomandibular disorder: study protocol for a randomized controlled trial

Trials

Daniela Aparecida Biasotto-Gonzalez³  Bruno Roberto Borges Barbosa³  Marília Barbosa Santos Garcia³  Sandra Kalil Bussadori³  Fausto Berzin⁴  Tabajara Oliveira Gonzalez⁵  Inaê Caroline Gadotti²  Cesar Ferreira Amorim¹  Eric Edmur Camargo Arruda³  Thais Correa da Silva⁵  Nívea Cristina de Melo⁵  Ana Paula Amaral³  Cid André Fidelis de Paula Gomes⁵  Igor Phillip dos Santos Gloria³  Carolina Marciela Herpich³  Dowglas F Magalhães de Sousa³  Fabiano Politti⁵  Yasmin El Hage⁵ 

[1] Master’s Program in Physical Therapy, Universidade da Cidade de São Paulo (UNICID), Rua Cesáreo Galeno, 475. Tatuapé, São Paulo, SP 03071-000, Brazil;Department of Physical Therapy, Florida International University (FIU), AHC3-427, 11200S.W. 8th Street, Miami, FL 33199, USA;Postgraduate Program in Rehabilitation Sciences, Laboratório de Biodinâmica do Movimento Humano, Universidade Nove de Julho (UNINOVE), Av. Dr. Adolfo Pinto, 109 Água Branca, São Paulo, SP 05001-100, Brazil;College of Dentistry, State University of Campinas, Morphology, Av. Limeira, 901 Caixa Postal 52, Piracicaba, SP, Brazil;Department of Physical Therapy, Universidade Nove de Julho (UNINOVE), Av. Dr. Adolfo Pinto, 109. Água Branca, São Paulo, SP 05001-100, Brazil

关键词: Physical therapy modalities;    Complementary therapy;    Postural balance;    Electromyography;    Temporomandibular joint disorders;   

Others  :  1092955
DOI  :  10.1186/1745-6215-14-316

 received in 2013-01-09, accepted in 2013-09-03,  发布年份 2013

【 摘 要 】

Background

The stomatognathic system and dysfunction in this system may be related to postural control. The proposal of the present study is to assess the effect of mandibular mobilization in individuals with temporomandibular disorder using surface electromyography of the muscles of mastication and stabilometric variables.

Methods/Design

A randomized, controlled, blind, clinical trial will be carried out, with the participants divided into three groups: 1) facial massage therapy (control group), 2) nonspecific mandibular mobilization and 3) specific mandibular mobilization. All groups will be assessed before and after treatment using the Research Diagnostic Criteria for Temporomandibular Disorders, surface electromyography of the masseter and temporal muscles and stabilometry. This study is registered with the Brazilian Registry of Clinical Trials (RBR9x8ssz).

Discussion

A large number of studies have employed surface electromyography to investigate the function/dysfunction of the muscles of mastication and associations with signs and symptoms of temporomandibular disorders. However, it has not yet been determined whether stabilometric variables offer adequate reliability in patients with this disorder. The results of the proposed study will help determine whether specific and/or nonspecific mandibular mobilization exerts an effect on the muscles of mastication and postural control. Moreover, if an effect is detected, the methodology defined in the proposed study will allow identifying whether the effect is local (found only in the muscles of mastication), global (found only in postural control) or generalized.

【 授权许可】

   
2013 El Hage et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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