Ignite Creation Date:
2024-05-06 @ 6:55 PM
Last Modification Date:
2024-10-26 @ 2:56 PM
Study NCT ID:
NCT05821985
Status:
COMPLETED
Last Update Posted:
2024-05-03
First Post:
2023-03-29
Brief Title:
Evaluation of the Effect of Dextrose Prolotherapy Versus Dry Needling Therapy
Sponsor:
Beni-Suef University
Organization:
Beni-Suef University
Study Overview
Official Title:
Evaluation of the Effect of Dextrose Prolotherapy Versus Dry Needling Therapy for the Treatment of Temporomandibular Joint Anterior Disc Displacement With Reduction A Randomized Controlled Trial
Status:
COMPLETED
Status Verified Date:
2024-05
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The hypertonic dextrose injection Prolotherapy is a proliferation injection therapy that aims to trigger a low-grade inflammatory response inside the TMJ with the resultant captivation of abundant fibroblasts that regenerate and strengthen the tendinous and ligamentous attachments and stabilize the disc and the fibro-osseous junctions
On the other hand dry needling refers to the insertion of needles without the use of injectate Dry needling is beneficial for treating a variety of neuromusculoskeletal pain syndromes as it represents a treatment modality for the ligaments and tendons muscles subcutaneous fascia peripheral nerves and neurovascular bundles Deep dry needling DDN is a technique that utilizes the Intracapsular insertion of dry needles to approach the discal insertion to the lateral pterygoid muscle and the masseteric muscle origin along the zygomatic bone and arch aiming to inactivate the muscular trigger points TPs
On the other hand dry needling refers to the insertion of needles without the use of injectate Dry needling is beneficial for treating a variety of neuromusculoskeletal pain syndromes as it represents a treatment modality for the ligaments and tendons muscles subcutaneous fascia peripheral nerves and neurovascular bundles Deep dry needling DDN is a technique that utilizes the Intracapsular insertion of dry needles to approach the discal insertion to the lateral pterygoid muscle and the masseteric muscle origin along the zygomatic bone and arch aiming to inactivate the muscular trigger points TPs
Detailed Description:
The Temporomandibular joint TMJ represents the most complex synovial articulation in the human body with its articular disc enclosed between the articular tubercles slope and the convexity of the mandibular condyle
Although the Magnetic resonance interpretation of the normal discal position defines the posterior discal band atop the highest convexity of the mandibular condyle at a 12 oclock position this discal disposal is altered in almost 30 of the population without physical signs Which rendered the treatment of the discal displacement mainly dependent on alleviating the signs and symptoms rather than restoring the anatomical disc position
Various non-invasive therapeutic modalities are utilized for relieving the signs and symptoms of anterior discal displacement including physical therapy exercises ischemic compression heat therapy acupuncture dry needling wet needling injections with different agents and pharmacological treatments
Among those the trigger point injection is an effective modality with or without the injection of saline or ringers solutions hyaluronic acid corticosteroids local anesthetics botulinum toxin platelet-rich plasma or hypertonic dextrose The current study aims to design a randomized controlled trial that compares the effect of injecting 125 of dextrose solution intraarticular and into the myofascial trigger points versus the dry needling of the same sites on alleviating the clinical signs and symptoms of TMJ disc displacement with reduction
Although the Magnetic resonance interpretation of the normal discal position defines the posterior discal band atop the highest convexity of the mandibular condyle at a 12 oclock position this discal disposal is altered in almost 30 of the population without physical signs Which rendered the treatment of the discal displacement mainly dependent on alleviating the signs and symptoms rather than restoring the anatomical disc position
Various non-invasive therapeutic modalities are utilized for relieving the signs and symptoms of anterior discal displacement including physical therapy exercises ischemic compression heat therapy acupuncture dry needling wet needling injections with different agents and pharmacological treatments
Among those the trigger point injection is an effective modality with or without the injection of saline or ringers solutions hyaluronic acid corticosteroids local anesthetics botulinum toxin platelet-rich plasma or hypertonic dextrose The current study aims to design a randomized controlled trial that compares the effect of injecting 125 of dextrose solution intraarticular and into the myofascial trigger points versus the dry needling of the same sites on alleviating the clinical signs and symptoms of TMJ disc displacement with reduction
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None