Electrical Stimulation of the Mandibular Nerve for Pain and Function Management in Temporomandibular Disorders
NCT06265636 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 40
Last updated 2025-08-05
Summary
Temporomandibular disorders (TMD) encompass dysfunction and pain of the masticatory muscles and temporomandibular joint (TMJ). Pain in the TMJ, restricted jaw movement, and joint sounds are common conditions in this disorder. This can impact patients' ability to perform daily activities such as eating, speaking, laughing, or yawning, significantly affecting their quality of life.
The TMJ and masticatory muscles are innervated by the auriculotemporal branch and the mandibular nerve (V3), a branch of the trigeminal nerve. An estimated 60% to 70% of the population shows signs of TMD, of which up to 12% report intense symptoms requiring treatment.
Percutaneous electrical nerve stimulation (PENS) could be a clinically relevant therapy in TMD patients applied through minimally invasive physiotherapy. To our knowledge, there are no trials evaluating the non-surgical clinical efficacy of PENS on the mandibular nerve.
The project's objective is to assess the effectiveness of PENS on the mandibular nerve in this type of condition.
Conditions
- Temporomandibular Disorder
Interventions
- PROCEDURE
-
Percutaneous nerve stimulation
Percutaneous nerve stimulation (PENS) involves inserting a dry needling needle through muscle tissue until it reaches a nerve branch. At this point, a bipolar TENS current with different parameters is applied to the needle with the goal of improving the patient's pain perception.
- OTHER
-
Manual therapy
Digital pressure techniques in muscle areas with the aim of reducing the perception of stiffness and pain
- OTHER
-
exercise
Exercises for improving mandibular mobility, occlusion coordination and regulation of temporomandibular muscle tone
Sponsors & Collaborators
-
Universidad Rey Juan Carlos
collaborator OTHER -
OrigenKinesis fisioterapia
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2024-02-17
- Primary Completion
- 2027-01-20
- Completion
- 2027-05-01
Countries
- Spain
Study Locations
More Related Trials
-
Tele-Rehabilitation in Patients With Temporomandibular Dysfunction
NCT05006963 ·Status: RECRUITING ·Phase: NA
-
The Effectiveness of a Physiotherapy Technique in Patients With Chronic Myofascial Temporomandibular Disorder
NCT03619889 ·Status: COMPLETED ·Phase: NA
-
Pressure Pain Threshold of Jaw Muscles in TMD Patients Submitted to a Conservative Treatment
NCT02131714 ·Status: UNKNOWN ·Phase: NA
-
Comparison Between Sensory and Motor Transcutaneous Electrical Nervous Stimulation on Electromyographic and Kinesiographic Activity of Patients With Temporomandibular Disorder: a Controlled Clinical Trial
NCT01832207 ·Status: COMPLETED ·Phase: NA
-
Additional Effects of Therapeutic Exercises Under a Behavioral Umbrella for Chronic Temporomandibular Disorders Treatment
NCT03596606 ·Status: COMPLETED ·Phase: NA
-
Dry Needling vs Injection in Patients With Temporomandibular Disorders
NCT04726683 ·Status: RECRUITING ·Phase: NA
-
Reflex Therapy of Temporomandibular Dysfunctions
NCT07321483 ·Status: RECRUITING ·Phase: NA
-
Efficacy of Physiotherapy in Patients With Temporomandibular Disorders.
NCT03555201 ·Status: COMPLETED ·Phase: NA
-
Evaluation of the Effects of Treatments Applied to Patients With Facial Myalgia on Occlusion Parameters
NCT05261971 ·Status: COMPLETED ·Phase: NA
-
Motor Cortex as a Research & Therapeutic Target in TMD
NCT02247063 ·Status: COMPLETED ·Phase: NA
-
Miofascial Release and Exercises Therapy in the Treatment of Temporomandibular Disorders
NCT02540863 ·Status: COMPLETED ·Phase: NA
-
Effectiveness of Physiotherapy Treatments in Temporomandibular Joint Dysfunction
NCT05619380 ·Status: UNKNOWN ·Phase: NA
-
Dry Needling and Pain Education in the Treatment of Chronic Neck Pain
NCT03095365 ·Status: COMPLETED ·Phase: NA
-
Effectiveness of Manual Therapy in Patients With Tinnitus and Temporomandibular Joint Disorder.
NCT02850055 ·Status: COMPLETED ·Phase: NA
-
Tens and Rocabado Exercises on TMJ Dysfunction
NCT05897983 ·Status: COMPLETED ·Phase: NA
-
Effect of Massage Therapy and Occlusal Splint Therapy on the Electromyographic Activity and Mandibular Range of Motion in Individuals With Temporomandibular Disorder
NCT01874041 ·Status: COMPLETED ·Phase: NA
-
Effects of Dry Needling in Patients With Sleep Bruxism and Temporomandibular Disorders: a Prospective Case Series
NCT02587182 ·Status: COMPLETED ·Phase: NA
-
Resilient Occlusal and Patients With Temporomandibular Disorder (TMD)
NCT01150110 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Effects of Radial Shock Wave Therapy in the Treatment of Temporomandibular Joint Syndrome.
NCT04477122 ·Status: COMPLETED ·Phase: NA
-
Effectiveness of Dry Needling vs Manual Therapy in Patients With Temporomandibular Joint Disorders.
NCT04469088 ·Status: COMPLETED ·Phase: NA
-
Effects of Electric Massage on the Cervical Region in Subjects Diagnosed With Temporomandibular Disorders
NCT04098952 ·Status: COMPLETED ·Phase: NA
-
Neural Tensioner Exercise on Conditioned Pain Modulation
NCT02816060 ·Status: COMPLETED ·Phase: NA
-
Evaluate the Effect of Dry Needling on the Temporomandibular Joint in Subjects Who Have Suffered a Whiplash as a Result of a Traffic Accident
NCT06023264 ·Status: COMPLETED ·Phase: NA
-
Dry Needling and Spinal Manipulation vs. Interocclusal Appliance (Splint), NSAIDs and Joint Mobs for Temporomandibular Dysfunction
NCT03409874 ·Status: COMPLETED ·Phase: NA
-
Effectiveness of a Jaw Exercise Program in Temporomandibular Disorders Patients
NCT02397070 ·Status: UNKNOWN ·Phase: NA