Overview
Objective: check the effectiveness of visceral manual therapy on bruxist patients with gastroesophageal reflux.
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) and gastroesophageal reflux (evidenced by the GERDQ test).
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.
Eligibility
Inclusion Criteria:
- Subjects with bruxism diagnosed and referred by a dentist
- Subjects with gastroesophageal reflux: score >8 in the GerdQ test.
- Age: older than 18 years-old.
Exclusion Criteria:
- 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.
- 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