Randomized controlled clinical trial of cognitive behavioral therapy for chronic muscle pain in head, neck and shoulder regions
Grant-in-Aid for Scientific Research (C)
|Allocation Type||Single-year Grants |
|Research Institution||Osaka University |
MORISHIGE Emiko Osaka University, Graduate School of Dentistry, Research associate (60397768)
YATANI Hirofumi Osaka University, Graduate School of Dentistry, Professor (80174530)
ISHIGAKI Shoichi Osaka University, Dental Hospital, Assistant Professor (40212865)
|Project Period (FY)
2005 – 2006
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)
|Keywords||randomized / 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|
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
Two groups : CBT only, and CBT and stabilization splint therapy
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.
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)
Research Products (6 results)