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Randomized controlled clinical trial of cognitive behavioral therapy for chronic muscle pain in head, neck and shoulder regions

Research Project

Project/Area Number 17592020
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field 補綴理工系歯学
Research InstitutionOsaka University

Principal Investigator

MORISHIGE Emiko  Osaka University, Graduate School of Dentistry, Research associate (60397768)

Co-Investigator(Kenkyū-buntansha) YATANI Hirofumi  Osaka University, Graduate School of Dentistry, Professor (80174530)
ISHIGAKI Shoichi  Osaka University, Dental Hospital, Assistant Professor (40212865)
Project Period (FY) 2005 – 2006
Project Status Completed (Fiscal Year 2006)
Budget Amount *help
¥3,300,000 (Direct Cost: ¥3,300,000)
Fiscal Year 2006: ¥1,400,000 (Direct Cost: ¥1,400,000)
Fiscal Year 2005: ¥1,900,000 (Direct Cost: ¥1,900,000)
Keywordsrandomized / controlled clinical trial / chronic muscle pain / TMD / cognitive behavioral therapy / splint / 顎口腔機能異常 / 疼痛 / 無作為化臨床比較試験 / 筋痛 / 慢性痛 / 治療 / 口腔顔面痛
Research Abstract

Various treatment methods have been adopted to manage pain in mastication muscle. Stabilization splint (SS) is a conservative therapy, however, the effectiveness in chronic muscle pain is still controversy.
Since chronic muscle pain is enhanced by psychological and physical stressor, the cognitive behavioral therapy (CBT) is noteworthy in the management of symptoms of temporomandibular disorder (TMD). For instance, a biopsychosocial factor played an important role, and symptoms of about 85% patients improved in two months with no dental intervention.
The purpose of this study was to examine the non-inferiority of CBT compared with stabilization splint therapy for chronic muscle pain of TMD.
In a three-year period, we have constructed and started the system of randomized controlled clinical trial.
1. Study design
Parallel, randomized, central registration and open-but assessor are blinded
2. Objectives
Bio-equivalence
3. Intervention
Two groups : CBT only, and CBT and stabilization splint therapy
4. Eligibility
Patients who have had chronic pain in masticatory muscles more than 4 weeks and who ranked more than 40 mm on the 100 mm visual analogue scale.
5. Assessment
Effective rate of visual analogue scale for pain in masticatory muscle was assessed. (Effective: VAS decreased more than 50% of the initial degree.)

Report

(3 results)
  • 2006 Annual Research Report   Final Research Report Summary
  • 2005 Annual Research Report
  • Research Products

    (6 results)

All 2006 2005

All Journal Article (6 results)

  • [Journal Article] Clinical effectiveness of cognitive behavior therapy in the management of TMD2006

    • Author(s)
      Morishige E, Ishigaki S, Yatani H, Hirokawa M
    • Journal Title

      International Journal of Prosthodontics 19-1

      Pages: 31-33

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Clinical effectiveness of cognitive behavior therapy in the management of TMD2006

    • Author(s)
      Morishige E, Ishigaki S, Yatani H, Hirokawa M
    • Journal Title

      International Journal ofProsthodontics 19

      Pages: 31-33

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Clinical effectiveness of cognitive behavior therapy in the management of TMD2006

    • Author(s)
      Morishige E, Ishigaki S, Yatani H, Hirokawa M
    • Journal Title

      International Journal of Prosthodontics 19・1

      Pages: 31-33

    • Related Report
      2006 Annual Research Report
  • [Journal Article] Clinical effectiveness of cognitive behavior therapy in the management of TMD2006

    • Author(s)
      Emiko Morishige, Shoichi Ishigaki, Hirofumi Yatani, Masayuki Hirokawa
    • Journal Title

      International Journal of Prosthodontics 19(1)

      Pages: 31-33

    • Related Report
      2005 Annual Research Report
  • [Journal Article] Significance of biopsychosocial interface in the management of TMD & orofacial pain2005

    • Author(s)
      Ishigaki S, Morishige E, Egusa H Yatani H
    • Journal Title

      International Congress Series 1284

      Pages: 71-72

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Significance of biopsychosocial interface in the management of TMD & orofacial pain2005

    • Author(s)
      Ishigaki S, Morishige E, Egusa H, Yatani H
    • Journal Title

      International Congress Series 1284

      Pages: 71-72

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary

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Published: 2005-04-01   Modified: 2016-04-21  

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