Change of Range of Motion of TMJ After Correction of Pelvic a Symmetry in Women With Cyclic Pelvic Pain

Clinical experiences have shown that significant pain regression during a menstrual cycle has been often achieved by the use of spinal manipulative therapy (SMT) indicated in women with primary dysmenorrhea with coexisting functional disorders of lumbosacral (LS) spine. Namely, by activation of the nociceptive and vegetative system, LS spine disorders, before all segmental dysfunction and degenerative changes, can induce referred pain and reflex disturbances of pelvic organs (somatovisceral reflexes). Since significant improvement or disappearance of pain during a menstrual cycle is often achieved with adequate therapy of coexisting vertebral disorders in women with primary dysmenorrhea, it is important to recognise latent or manifest vertebral disorders in dysmenorrheic women using clinical examination (Grgić, 2009).

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Pelvic Pain Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

20 year–40 year

Sex eligibility

Female

Study type

Observational

Primary location

Rovan Elbesh

Giza, Egypt

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

The age of the participants will be ranged from 25 to 35 years.
Their body mass index will be ranged from 20 to 25 kg/m2.
They will have regular menstrual cycle.
They will not receive any hormonal therapy or taking any regular drugs.

Exclusion criteria

The potential participants will be excluded if they meet one of the following criteria:

Pelvic inflammatory diseases.
Any pelvic pathological condition

Treatment and study plan

Muscle Energy Technique

Other

Muscle energy technique:

Application of MET for bone of pelvis:

I) Pubis:

Cranial Os pubis.
Caudal os pubis.

II) ileum:

Anterior ileum.
Posterior ileum.
External Rotation (In flare) Lesion.
Internal Rotation (Out flare) Lesion.

III) sacrum:

Forward torsion of sacrum.
Backward torsion of sacrum.
Muscle energy technique for specific muscles of pelvis and spine:

Stretch of the Psoas Major.
Stretch of the paravertebral muscle.
Stretch of the piriforms.

Primary outcomes

Weight-Height Scale

Time frame: 3 months

It will be used for measuring the body weight and height of each patient participating in the study to calculate the patient's body mass index (BMI).

Body mass index (BMI) = Weight (Kg
Visual analogue scale (VAS)

Time frame: 3 months

ain will be assessed by visual analogue scale. It is 10 cm horizontal line with one end described as (no pain=0) and other end (worst pain=10). It was considered a valid way for assessing pain. It allowed graphic representation and numerical analysis of collected data (Boonstra et al., 2008) (Appendix III).
Menstrual Distress Questionnaire (MDQ)

Time frame: 3 months

The MDQ is a 46-item self-report inventory for use in the assessment and treatment of premenstrual and menstrual symptoms. The MDQ can distinguish cyclical from noncyclical changes in physical symptoms, mood and behavior, and arousal.
jaw movement

Time frame: 3 months

Maximal vertical mouth opening (MIO):

From sitting position, with the use of the calliper, the distance between the incisal edges along the midline of the upper and lower central incisors without pain was measured, by placing one end of the poley gauge against the incisal edge of one of the upper central incisors, and the other end against the incisal edge of the opposing lower incisor.

The distance recorded in millimeters, the subjects was instructed to" open your mouth as wide as possible without causing pain or discomfort". The poley gauge was sterilized with antiseptic solution before and after each measur

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Important dates

Study start: 2019
Primary completion: 2020
Study completion: 2020
First posted: Sep 4, 2019
Registry last updated: Sep 21, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed