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Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID05272488

A Combined Treatment of Manual Therapy and Nervous Vagus Stimulation Versus Manual Therapy Alone in Patients With Myogenic Temporomandibular Disorders

Led by University of Alcala · Updated on 2026-05-01

60

Participants Needed

3

Research Sites

52 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are investigating treatments for temporomandibular disorders TMD, which are increasingly common and affect jaw function and cause pain. This study aims to evaluate whether combining manual therapy with vagus nerve stimulation, a nerve linked to pain and jaw function, offers better relief and improved quality of life than manual therapy alone. The study involves 20 participants diagnosed with myogenic TMD, focusing on pain, jaw movement, and distress. Participants are randomly assigned to one of two groups one receiving manual therapy combined with vagus nerve stimulation and the other receiving only manual therapy. Both groups undergo four physiotherapy sessions, one per week over a month, and are trained to continue treatment exercises at home over two months. The manual therapy includes joint manipulation and soft tissue techniques for the jaw. Throughout the study, an independent evaluator will assess participants monthly using questionnaires to measure chronic pain, jaw function, physical symptoms, range of motion, and distress. The main outcomes are changes in health status and chronic pain after two months. This double-blind, randomized study ensures unbiased results by keeping evaluators unaware of group assignments. Participant involvement spans two months of treatment and assessments.

CONDITIONS

Brief Title

A Combined Treatment of Manual Therapy and Nervous Vagus Stimulation in Patients With Myogenic Temporomandibular Disorders

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Clinical diagnosis of myogenic pain according to the CD / TTM diagnostic criteria
  • Presence of pain during the last 30 days
  • Patients with decreased jaw function and mobility due to pain
  • Patients who have not received physiotherapy treatment in the last 3 weeks
  • Patients of legal age
Not Eligible

You will not qualify if you...

  • Patients using sedatives, anti-inflammatories, antidepressants, anxiolytics, or muscle relaxants
  • Patients with cardiac pacemakers or implanted defibrillators
  • Patients diagnosed with severe cardiorespiratory or respiratory diseases, cancer, infections, or systemic pathologies
  • Diagnosis of temporomandibular disorder of joint or mixed origin
  • Patients with psychiatric or psychological disorders, intellectual or motor disabilities preventing proper exercise or questionnaire completion
  • Patients with dental procedures scheduled during the study or surgery in the last 3 months
  • Patients with pain resulting from local or general trauma
  • Patients diagnosed with fibromyalgia, neuropathic pain, or degenerative diseases

Research Team

P

Patricia Martinez-Merinero, PhD

D

Daniel Pecos-Martin, PhD

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