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NCT Number: NCT05673642

Myofascial Release Therapy for TMD Pain: A Randomized Trial

We aim to compare the effectiveness of MFR and exercise therapy on mobility and function by investigating the effectiveness of the Myofascial Release Technique (MFR), which we will apply to the muscles we choose related to the facial system connection in participants with temporomandibular dysfunction (TMD) and low back pain.

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Key information

Conditions

Temporomandibular Joint Disorder Back Pain Craniomandibular Disorders Jaw Diseases Joint Diseases Low Back Pain Mandibular Diseases Muscular Diseases Musculoskeletal Diseases Myofascial Release Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms Stomatognathic Diseases Temporomandibular Joint Disorders

Age range

18 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Istanbul Medipol University

Istanbul, 34820, Turkey (Türkiye)

About this study

We aim to compare the effectiveness of MFR and exercise therapy on mobility and function by investigating the effectiveness of the Myofascial Release Technique (MFR), which we will apply to the muscles we choose related to the facial system connection in participants with temporomandibular dysfunction (TMD) and low back pain.

Method and Material Working group (Group A): Myofascial release technique will be applied. A total of 10 sessions will be applied for 4 weeks, 3 times a week for the first 2 weeks, and 2 times a week for the next 2 weeks.

Exercise group (Group B): The stretching exercises that we planned to give to the exercise group were planned for the muscles to which we will apply myofascial technique.

  • Control group (Group C): No application will be made to the control group. Evaluations will be made at the beginning of the study and at the end of 4 weeks. The evaluation parameters to be used are as follows; Oswestry Low Back Disability Survey, Algometer and Myotonometry.

Inclusion criteria

Participants aged 18-50 years diagnosed with TMD,Persons with a score of 20% or more on the Oswestry waist index, and People with low back pain for more than 3 months,Persons with mechanical low back pain and lumbar disc herniation without neurological deficits will be included in the study.Persons with acute or chronic temporomandibular dysfunction will be included. Exclusion Criteria; Neurological problems,Presence of extruded and sequestered lumbar disc herniation,Cardiovascular symptoms and circulation problems,Infection,Fibromyalgia, Acute arthritis conditions,Those with spinal abnormalities,Fracture history, presence of dislocation / subluxation will be excluded

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Participants aged 18-50 years diagnosed with TMD
  • Persons with a score of 20% or more on the Oswestry waist index, and
  • People with low back pain for more than 3 months
  • Persons with mechanical low back pain and lumbar disc herniation without neurological deficits will be included in the study.
  • Persons with acute or chronic temporomandibular dysfunction will be included

Exclusion criteria

  • Neurological problems,
  • Presence of extruded and sequestered lumbar disc herniation
  • Cardiovascular symptoms and circulation problems,
  • Infection,
  • Fibromyalgia, Acute arthritis conditions
  • Those with spinal abnormalities,
  • Fracture history, presence of dislocation / subluxation will be excluded

Treatment and study plan

Myofascial Release Techniques

Other

Myofascial Release Technique (MFR), which we will apply to the muscles we choose related to the facial system connection

Other names: Myofascial Exercise

Primary outcomes

  1. Algometer

    Time frame: 5 minute

    Pressure algometer will be used for temporomandibular joint pain. It will be applied to the lower masseter muscles and anterior temporalis muscles bilaterally on the lateral pole of the algometer and the average of three applications in each region will be taken.

  2. Myotonometry

    Time frame: 10 minute

    It will be used to assess muscle tone differences. Myotonometry provides valid and reliable measurement of tissue stiffness. The measurement will be applied bilaterally to the masseter, temporalis, trapezius, erector spinal muscles, quadrates lumborum and TFL muscles.

Secondary outcomes

  1. DC-TMD Evoluation

    Time frame: 10 minute

    The amount of mouth opening will be used to evaluate mandibular lateral shifts and mandibular protrusion.

  2. Oswestry Low Back Disability Survey

    Time frame: 10 minute

    To be used to assess functional disability for the lower back

Sponsors and collaborators

Lead sponsor

Istanbul Medipol University Hospital

Other

Registry information

Official study title

Effect of Myofascial Release Therapy Applied to Selective Muscles on Mobility and Function in Patients With Temporomandibular Dysfunction: A Randomized Controlled Trial

Important dates

Study start
2022
Primary completion
2023
Study completion
2023
First posted
Jan 6, 2023
Registry last updated
Jun 25, 2025

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.

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