Immediate effects of high thoracic spine manipulation on temporomandibular disorder: Blind and randomized clinical trial

• Grant number: 11/16050-1
• Support Opportunities: Scholarships in Brazil - Master
• Start date: March 01, 2012
• End date: February 28, 2013
• Field of knowledge: Health Sciences - Physiotherapy and Occupational Therapy
• Principal Investigator: Delaine Rodrigues Bigaton
• Grantee: Amanda Carine Packer
• Host Institution: Faculdade de Ciências da Saúde. Universidade Metodista de Piracicaba (UNIMEP). Instituto Educacional Piracicabano. Piracicaba , SP, Brazil

Abstract

The thoracic spine establishes relationship with the cervical spine, in the same way that it communicates with temporomandibular joint (TMJ). The cervical manipulation, technique commonly used in temporomandibular disorders (TMD) individuals, can submit patients to risks. Due to the above aspects, thoracic spine manipulation, that aims to restore the normal mechanics of the manipulated segment and break the nociceptive reflex in the segment with restriction of movement, may have positive effect on TMD. Therefore, the objective of this study is to evaluate the effects of T1 vertebra manipulation about the signs and symptoms of this disorder. For this, will be selected 20 women aged between 18 and 40 years diagnosed with TMD confirmed by Research Diagnostic Criteria for Temporomandibular Disorders and cervical dysfunction in accordance with the Neck Disability Index. These will be equally divided in experimental group, which will be held the technique and Placebo Group wherein will be held a technique without therapeutic effect. All volunteers will be submitted to algometry and electromyographic evaluation of the masticatory muscles, range of motion of mandibular depression and visual analogue scale, before the application of the technique, immediately and 2 to 4 days after. At the end of the experiment the groups will be compared through these instruments, using the appropriate statistical test and considered p <0.005.

Scientific publications

(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)

PACKER, AMANDA CARINE; PIRES, PAULO FERNANDES; DIBAI-FILHO, ALMIR VIEIRA; RODRIGUES-BIGATON, DELAINE. Effects of Upper Thoracic Manipulation on Pressure Pain Sensitivity in Women with Temporomandibular Disorder A Randomized, Double-Blind, Clinical Trial. AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, v. 93, n. 2, p. 160-168, FEB 2014. (11/16050-1)

PACKER, AMANDA CARINE; PIRES, PAULO FERNANDES; DIBAI-FILHO, ALMIR VIEIRA; RODRIGUES-BIGATON, DELAINE. EFFECT OF UPPER THORACIC MANIPULATION ON MOUTH OPENING AND ELECTROMYOGRAPHIC ACTIVITY OF MASTICATORY MUSCLES IN WOMEN WITH TEMPOROMANDIBULAR DISORDER: A RANDOMIZED CLINICAL TRIAL. JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS, v. 38, n. 4, p. 253-261, MAY 2015. (11/16050-1)