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BruxismNCT05751694

Effectiveness of Visceral Manual Therapy in Bruxist Patients

A study testing Visceral manual treatment and Respiratory listening in people with Bruxism, run by University of Seville at 1 site in Spain.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Objective: check the effectiveness of visceral manual therapy on bruxist patients Design: Experimental, analytical, longitudinal, prospective, randomized, single-blind study with a blinded evaluator. Subjects: 68 subjects over 18 years old, with bruxism (diagnoses by a dentist). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Bruxism
What is being tested?
Visceral manual treatment and Respiratory listening
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
68 participants
Where
1 siteSpain
Study dates
1 Mar 2023to 1 Mar 2026
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects with bruxism diagnosed and referred by a dentist
  • Age: older than 18 years-old.

Who cannot join

  • Recent craniofacial, mandibular or cervical trauma or fracture.
  • Temporomandibular joint surgery.
  • Acute pain due to other components of the masticatory system (caries, inflammation of the dental root).
  • Abdominal surgery.
  • Gastric ulcers.
  • Gastritis.
Show all 17Show fewer
  • Previous or current gastric neoplasm.
  • Neurological or systemic diseases.
  • Pregnant, including the period of breastfeeding.
  • Patients receiving chemotherapy or radiotherapy.
  • Cognitive, psychosomatic or psychiatric illnesses that may affect the data obtained.
  • Basic systemic disease of rheumatic origin (for example, arthritis, osteoarthritis, gout and psoriasis).
  • Cerebrovascular and brain diseases.
  • Arrhythmia and other cardiac problems.
  • Implanted electronic devices.
  • Drug or alcohol abuse, analgesic or sedative therapy, and use of medications that affect the central nervous system (for example, antidepressants, anxiolytics, and anticonvulsants).
  • Patients who have previous experience with manual treatment of the diaphragm

Trial locations and contacts

1 site in 1 country.

Lourdes M Fernández Seguín, PhD contact

630258773 ext. +34

lfdez@us.es

Cayetano Navarro Rico, Phd Student contact

664894442 ext. +34

cayetanonavarro95@gmail.com

Spain1 site, 1 recruiting
  • Nursing, Physiotherapy and Podiatry Faculty

    Seville, Spain, 41009

    Lourdes María Fernández-Seguín, PhD

    Recruiting

Other trials in Spain

About this study

Objective: check the effectiveness of visceral manual therapy on bruxist patients Design: Experimental, analytical, longitudinal, prospective, randomized, single-blind study with a blinded evaluator.

Subjects: 68 subjects over 18 years old, with bruxism (diagnoses by a dentist). Methods: Subjects will be randomized into 2 groups: an experimental group (EG) to which a visceral manual technique will be applied and a control group (CG) to which a placebo manual technique will be administered. Both groups will receive 2 interventions one week apart. The measurements will be made before and after the interventions, and a last measurement will be made one month after the last intervention. Therefore, the patient will visit the center 3 times.

Conditions
Bruxism
Being tested
Visceral manual treatment, Respiratory listening
Keywords
Bruxism, Musculoskeletal Manipulations, Physical Therapy Modalities, Autonomic Nervous System
Medical subject headings
Bruxism

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Visceral manual treatmentProcedure or surgery

    The patient will be placed in a reclining sitting position and triple flexion of the lower limbs to keep the abdominal region relaxed. The therapist will be placed to the right of the patient at the height of the abdomen, with the hands placed in the epigastric area. He will make a skin fold that reduces tension in the area, so that the contact is focused on the visceral tissue of the area. The patient will be asked to take deep breaths, and during the exhalation, the therapist will perform a zigzag movement with vibration of the hands while pulling the tissue caudally. This procedure will be performed for 5 minutes.

  • Respiratory listeningProcedure or surgery

    The patient and the therapist will be placed in the same position as in the experimental group. The therapist will place his hands in contact with the lower rib cage, and the patient will be asked to take a deep breath. The therapist will not exert any pressure, nor place restrictions on the tissues or movements of the ribcage.

Study groups in NCT05751694
Study groupRoleWhat they receive
Visceral manual treatmentExperimentalThe objective of this technique is to reduce the tension of the tissues of the epigastric area.
Receives: Procedure: Visceral manual treatment
Respiratory listeningActive comparatorIt is a maneuver to evaluate the mobility of the ribs during respiration.
Receives: Procedure: Respiratory listening

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Pressure pain threshold (PPT) Baseline-1

    The pressure pain threshold of the fourth cervical vertebra and masseter and temporal muscles will be evaluated using the Wagner Force TenTM Digital Force Gage model FPX 100 algometer. 3 measurements will be made with a period of 30 seconds between measurements and we will obtain the average of the 3.

    Measured: Baseline pre-intervention

  2. PPT Change-1

    The pressure pain threshold of the fourth cervical vertebra and masseter and temporal muscles will be evaluated using the Wagner Force TenTM Digital Force Gage model FPX 100 algometer. 3 measurements will be made with a period of 30 seconds between measurements and we will obtain the average of the 3.

    Measured: Change from "PTT Baseline-1" immediately post-intervention

  3. PPT Baseline-2

    The pressure pain threshold of the fourth cervical vertebra and masseter and temporal muscles will be evaluated using the Wagner Force TenTM Digital Force Gage model FPX 100 algometer. 3 measurements will be made with a period of 30 seconds between measurements and we will obtain the average of the 3.

    Measured: Baseline pre-intervention at 7 days

  4. PPT Change-2

    The pressure pain threshold of the fourth cervical vertebra and masseter and temporal muscles will be evaluated using the Wagner Force TenTM Digital Force Gage model FPX 100 algometer. 3 measurements will be made with a period of 30 seconds between measurements and we will obtain the average of the 3.

    Measured: Change from "PTT Baseline-2" immediately post-intervention

  5. PPT Change-3

    The pressure pain threshold of the fourth cervical vertebra and masseter and temporal muscles will be evaluated using the Wagner Force TenTM Digital Force Gage model FPX 100 algometer. 3 measurements will be made with a period of 30 seconds between measurements and we will obtain the average of the 3.

    Measured: Change from "PTT Baseline-2" and "PTT Change-2" at 1 month

  6. Heart Rate Variability (HRV) Baseline-1

    Heart rate variability (HRV) was measured using a Polar H10 strap and the EliteHRV mobile app to collect the data. These data were exported to Kubios software to obtain HRV results. A 5-minute measurement was performed with the patient in the supine position.

    Measured: Baseline pre-intervention

  7. HRV Change-1

    Heart rate variability (HRV) was measured using a Polar H10 strap and the EliteHRV mobile app to collect the data. These data were exported to Kubios software to obtain HRV results. A 5-minute measurement was performed with the patient in the supine position.

    Measured: Change from "HRV baseline-1" inmediately post-intervention

  8. HRV Baseline-2

    Heart rate variability (HRV) was measured using a Polar H10 strap and the EliteHRV mobile app to collect the data. These data were exported to Kubios software to obtain HRV results. A 5-minute measurement was performed with the patient in the supine position.

    Measured: Baseline pre-intervention at 7 days

  9. HRV Change-2

    Heart rate variability (HRV) was measured using a Polar H10 strap and the EliteHRV mobile app to collect the data. These data were exported to Kubios software to obtain HRV results. A 5-minute measurement was performed with the patient in the supine position.

    Measured: Change from "HRV baseline-2" inmediately post-intervention

  10. HRV Change-3

    Heart rate variability (HRV) was measured using a Polar H10 strap and the EliteHRV mobile app to collect the data. These data were exported to Kubios software to obtain HRV results. A 5-minute measurement was performed with the patient in the supine position.

    Measured: Change from "HRV baseline-2" and "HRV change-2" at 1 month

  11. Myotonometry baseline-1

    The muscle tone of the masseter muscle was assessed using a myotonometer (Myoton muscle diagnostics). 3 measurements will be made with a period of 30 seconds between measurements and we will obtain the average of the 3.

    Measured: Baseline pre-intervention

  12. Myotonometry change-1

    The muscle tone of the masseter muscle was assessed using a myotonometer (Myoton muscle diagnostics). 3 measurements will be made with a period of 30 seconds between measurements and we will obtain the average of the 3.

    Measured: Change from "myotonometry baseline-1" inmediately post-intervention

  13. Myotonometry baseline-2

    The muscle tone of the masseter muscle was assessed using a myotonometer (Myoton muscle diagnostics). 3 measurements will be made with a period of 30 seconds between measurements and we will obtain the average of the 3.

    Measured: Baseline pre-intervention at 7 days

  14. Myotonometry change-2

    The muscle tone of the masseter muscle was assessed using a myotonometer (Myoton muscle diagnostics). 3 measurements will be made with a period of 30 seconds between measurements and we will obtain the average of the 3.

    Measured: Change from "myotonometry baseline-2" inmediately post-intervention

  15. Myotonometry change-3

    The muscle tone of the masseter muscle was assessed using a myotonometer (Myoton muscle diagnostics). 3 measurements will be made with a period of 30 seconds between measurements and we will obtain the average of the 3.

    Measured: Change from "myotonometry baseline-2" and "myotonometry change-2" at 1 month

Secondary outcomes (14)
  1. Cervical Range of Motion (CROM) Baseline-1

    The evaluator will place the CROM-device® goniometer on the patient's head. It will ask you for movements of flexion, extension, right and left side flexion, and right and left rotation of the cervical spine. 3 measurements will be made with a period of 30 seconds between measurements and we will obtain the average of the 3.

    Measured: Baseline pre-intervention

  2. Cervical Range of Motion (CROM) Change-1

    The evaluator will place the CROM-device® goniometer on the patient's head. It will ask you for movements of flexion, extension, right and left side flexion, and right and left rotation of the cervical spine. 3 measurements will be made with a period of 30 seconds between measurements and we will obtain the average of the 3.

    Measured: Change from "CROM Baseline-1" immediately post-intervention

  3. Cervical Range of Motion (CROM) Baseline-2

    The evaluator will place the CROM-device® goniometer on the patient's head. It will ask you for movements of flexion, extension, right and left side flexion, and right and left rotation of the cervical spine. 3 measurements will be made with a period of 30 seconds between measurements and we will obtain the average of the 3.

    Measured: Baseline pre-intervention at 7 days

  4. Cervical Range of Motion (CROM) Change-2

    The evaluator will place the CROM-device® goniometer on the patient's head. It will ask you for movements of flexion, extension, right and left side flexion, and right and left rotation of the cervical spine. 3 measurements will be made with a period of 30 seconds between measurements and we will obtain the average of the 3.

    Measured: Change from "CROM Baseline-2" immediately post-intervention

  5. Cervical Range of Motion (CROM) Change-3

    The evaluator will place the CROM-device® goniometer on the patient's head. It will ask you for movements of flexion, extension, right and left side flexion, and right and left rotation of the cervical spine. 3 measurements will be made with a period of 30 seconds between measurements and we will obtain the average of the 3.

    Measured: Change from "CROM Baseline-2" and "CROM Change-2" at 1 month

  6. Perceived Stress Scale (PSS-14) Baseline

    Perceived Stress Scale evaluates the level of perceived stress during the last month and consists of 14 items. The maximum score is 56 points. A higher score corresponds to a higher level of perceived stress.

    Measured: Baseline

  7. PSS-14 Change

    Perceived Stress Scale evaluates the level of perceived stress during the last month and consists of 14 items. The maximum score is 56 points. A higher score corresponds to a higher level of perceived stress.

    Measured: Change from Baseline PSS-14 at 1 month

  8. Mandibular Mobility Baseline-1

    For the measurement of vertical opening and lateral deviation of the mandible, the TheraBite® range of motion™ will be used. 3 measurements will be made with a period of 30 seconds between measurements and we will obtain the average of the 3.

    Measured: Baseline pre-intervention

  9. Mandibular Mobility Change-1

    For the measurement of vertical opening and lateral deviation of the mandible, the TheraBite® range of motion™ will be used. 3 measurements will be made with a period of 30 seconds between measurements and we will obtain the average of the 3.

    Measured: Change from "Mandibular Mobility Baseline-1" immediately post-intervention

  10. Mandibular Mobility Baseline-2

    For the measurement of vertical opening and lateral deviation of the mandible, the TheraBite® range of motion™ will be used. 3 measurements will be made with a period of 30 seconds between measurements and we will obtain the average of the 3.

    Measured: Baseline pre-intervention at 7 days

  11. Mandibular Mobility Change-2

    For the measurement of vertical opening and lateral deviation of the mandible, the TheraBite® range of motion™ will be used. 3 measurements will be made with a period of 30 seconds between measurements and we will obtain the average of the 3.

    Measured: Change from "Mandibular Mobility Baseline-2" immediately post-intervention

  12. Mandibular Mobility Change-3

    For the measurement of vertical opening and lateral deviation of the mandible, the TheraBite® range of motion™ will be used. 3 measurements will be made with a period of 30 seconds between measurements and we will obtain the average of the 3.

    Measured: Change from "Mandibular Mobility Baseline-2" and "Mandibular Mobility Change-2" at 1 month

  13. Pittsburgh Sleep Quality Index (PSQI) Baseline

    It is a tool used to assess the quality of sleep in the last month.It consists of 7 items that are rated on a scale of 0 to 3. An overall Pittsburgh Sleep Quality Index score greater than 5 produced diagnostic sensitivity and specificity in distinguishing good and poor sleepers.

    Measured: Baseline

  14. PSQI Change

    It is a tool used to assess the quality of sleep in the last month.It consists of 7 items that are rated on a scale of 0 to 3. An overall Pittsburgh Sleep Quality Index score greater than 5 produced diagnostic sensitivity and specificity in distinguishing good and poor sleepers.

    Measured: Change from Baseline PSQI at 1 month

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Mar 2023
  2. Study start1 Mar 2023
  3. Primary completion1 Mar 2025 (estimated)
  4. Study completion1 Mar 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
68 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05751694
Sponsor's protocol ID
070223TDCNR
Status last verified
May 2024
First submitted
8 Feb 2023
Last updated
26 Feb 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Visceral manual treatment and Respiratory listening in people with Bruxism, run by University of Seville at 1 site in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 26 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Lourdes M Fernández Seguín, PhD (630258773 ext. +34, lfdez@us.es), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Pressure pain threshold (PPT) Baseline-1 (time frame: Baseline pre-intervention). The study lists 15 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Feb 2025.

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