Actively Recruiting
Transcutaneous Mandibular Nerve Electrical Stimulation for Pain and Function in Temporomandibular Disorder Patients
Led by OrigenKinesis fisioterapia · Updated on 2025-08-05
40
Participants Needed
1
Research Sites
14 weeks
Total Duration
On this page
Sponsors
O
OrigenKinesis fisioterapia
Lead Sponsor
U
Universidad Rey Juan Carlos
Collaborating Sponsor
AI-Summary
What this Trial Is About
Temporomandibular disorders (TMD) cause pain and dysfunction in the jaw muscles and joint, affecting daily activities like eating, speaking, and yawning. These disorders are common, impacting 60% to 70% of people, with up to 12% experiencing severe symptoms needing treatment. This research evaluates the use of percutaneous electrical nerve stimulation (PENS), a minimally invasive therapy, targeting the mandibular nerve to manage pain and improve function in TMD patients. Participants will be randomly assigned to one of two groups: one receiving manual therapy, exercise, and PENS, and the other receiving manual therapy and exercise only. PENS involves inserting a dry needling needle near the nerve and applying electrical stimulation to reduce pain perception. Manual therapy uses digital pressure to ease muscle stiffness and pain, while exercises aim to improve jaw movement and muscle tone. Treatments occur across multiple intervention sessions. During the study, participants' pain intensity, pressure pain thresholds, and pain-free jaw opening range will be measured at each session's start and one month after the final treatment. Secondary evaluations include quality of life and muscle activation rates. The study includes assessments like physical exams and questionnaires to monitor progress and safety. Participation lasts from screening through intervention and follow-up, up to one month post-treatment.
CONDITIONS
Brief Title
Electrical Stimulation of the Mandibular Nerve for Pain and Function Management in Temporomandibular Disorders
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Patients with local myofascial pain and/or increased tension in the masticatory muscles.
- Diagnosed myofascial pain from temporomandibular disorder according to Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD).
- No temporomandibular disc displacement with or without reduction.
- Pain in masticatory muscles with limited mouth opening less than 40 mm.
- Good general health without chronic diseases affecting the temporomandibular joint or muscles.
- Written consent to participate in the study.
You will not qualify if you...
- Injury to the face or head during the study participation.
- Previous surgical procedures in the craniocervical region or degenerative neurological diseases.
- Sudden illness that prevents study participation.
- Desire to end participation in the study.
- Symptoms lasting less than 2 weeks.
- Inability to understand instructions or provide informed consent.
- Being a minor.
- Regular use of muscle relaxants, anticonvulsants, antidepressants, or anxiolytics.
- Facial paralysis.
- Presence of dental origin infections or inflammatory diseases.
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Duration not specified
Participants receive manual therapy and exercise, with some also receiving percutaneous electrical nerve stimulation to manage pain and improve jaw function.
Multiple intervention sessions with assessments at the beginning of each session
Duration - 1 month after the last intervention
Participants are assessed for pain intensity, pain thresholds, jaw movement, quality of life, and muscle activation one month after the last intervention session.
1 visit (in-person)
Trial Site Locations
Total: 1 location
1
Origenkinesis Fisioterapia
Alcorcón, Madrid, Spain, 28925
Actively Recruiting
Research Team
H
Hector Mardomingo Medialdea, Phd
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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