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A Comparison of Collagen, Lidocaine and Saline, in Trigger Points in Masseter Muscle.

NCT03323567 — Early Phase 1, Completed, 43 participants, Medical University of Silesia

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A Comparison of Collagen, Lidocaine and Saline Intramuscular Injections, in Myofascial Pain Patients With Trigger Points in Masseter Muscle.

RegistryNCT03323567
StatusCompleted
PhaseEarly Phase 1
Study typeInterventional; randomized, crossover, masking: double, treatment
Enrollment43 (Actual)
SponsorMedical University of Silesia (Other)
ConditionsTemporomandibular Disorder
InterventionsMD Muscle GUNA collagen, Lidocaine 2% Injectable Solution, Saline Solution, Hypertonic (Drug)
Datesstart 2016-01-10, primary completion 2017-10-04, completion 2017-10-12, first posted 2017-10-27, last updated 2018-01-04
Locations1 site in Poland

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-Summary

An intramusclular injection of three solutions were performed( collagen, lidocaine, saline) in musculoskeletal trigger points, in patients suffering from temporomandibular disorders(TMD). Best results were observed in collagen group: reduction of 59,2% sEMG activity of masseter muscles and 53,75% reduction of pain intensity in VAS scale.

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+Detailed description

Collagen is an important component, building myocytes and extracellular matrix of skeletal muscles. The novel treatment option for trigger point therapy and muscle regeneration in TMD patients are intramuscular collagen injections. The aim of the study was to evaluate the efficacy of intramuscular injections of Collagen MD Muscle(Guna) 2 ml, 2 ml of Lidocainum 2% without vasoconstrictor and 2 ml of Saline (0,9 % NaCl). 43 patients were enrolled to the study (17 male and 26 female, 40 +/- 3,8 years old). The masseter muscle activity was measured with sEMG Neurobit Optima 4 (Neurobit System). Visual Analogue Scale was used to determine pain intensity changes between follow-up visits in each group. Trigger points were localized with palpation of masseter muscle. Electromyographic activity of masseter muscle was measured before injections on each visit: 0, 7,14 days. In our analysis sEMG masseter muscle activity was significantly decreased: in collagen group 59,2%, in lidocainum group 39,3% and in saline group14%. Pain intensity reduction in VAS scale was 53,75% in collagen group, in lidocainum group 25% and in saline group 20,1%.

+Arms and interventions

ArmTypeInterventionsDescription
MD Muscle Collagen groupExperimentalDrug: MD Muscle GUNA collagenGroup with collagen intramuscular injections
Lidocaine 2% groupExperimentalDrug: Lidocaine 2% Injectable SolutionGroup with 2% Lidocaine intramuscular injections
SalinePlacebo comparatorDrug: Saline Solution, HypertonicGroup with 0,9% NaCl intramuscular injections
  • MD Muscle GUNA collagen (Drug), also known as intramuscular MD Muscle collagen injection: intramusclular injections of MD Muscle collagen
  • Lidocaine 2% Injectable Solution (Drug), also known as intramuscular Lidocaine 2% injection: intramuscular Lidocaine 2% injection
  • Saline Solution, Hypertonic (Drug), also known as intramuscular Saline injection: intramuscular Saline injection

+Outcome measures

Primary outcomes

  • sEMG reduction of masseter muscle in TMD patients [14 days]: reduction of electromyograpic activity of masseter muscle

+Eligibility

Sex: All, ages: 18 Years to 70 Years

Inclusion Criteria:

\- sleep bruxism, DC/TMD myofascial pain, myofascial pain with referral

Exclusion Criteria:

* younger than 18years old, active orthodonctic treatment,neurological treatment, post radiotherapy, after head trauma within 2 years, patients with unsupported occlusal contacts, addicted to analgesic drugs, with the fear of needle

+Locations (1)

FacilityCityCountryStatus
Department of TMD and Orthodontics Silesian Medical UniversityZabrzePoland

+Publications

  • Turo D, Otto P, Hossain M, Gebreab T, Armstrong K, Rosenberger WF, Shao H, Shah JP, Gerber LH, Sikdar S. Novel Use of Ultrasound Elastography to Quantify Muscle Tissue Changes After Dry Needling of Myofascial Trigger Points in Patients With Chronic Myofascial Pain. J Ultrasound Med. 2015 Dec;34(12):2149-61. doi: 10.7863/ultra.14.08033. Epub 2015 Oct 21. PMID 26491094
  • Jarvholm U, Palmerud G, Styf J, Herberts P, Kadefors R. Intramuscular pressure in the supraspinatus muscle. J Orthop Res. 1988;6(2):230-8. doi: 10.1002/jor.1100060210. PMID 3343629
  • Lehto M, Sims TJ, Bailey AJ. Skeletal muscle injury--molecular changes in the collagen during healing. Res Exp Med (Berl). 1985;185(2):95-106. doi: 10.1007/BF01854894. PMID 3992061
  • Sorichter S, Mair J, Koller A, Gebert W, Rama D, Calzolari C, Artner-Dworzak E, Puschendorf B. Skeletal troponin I as a marker of exercise-induced muscle damage. J Appl Physiol (1985). 1997 Oct;83(4):1076-82. doi: 10.1152/jappl.1997.83.4.1076. PMID 9338413
  • Cescon M, Gattazzo F, Chen P, Bonaldo P. Collagen VI at a glance. J Cell Sci. 2015 Oct 1;128(19):3525-31. doi: 10.1242/jcs.169748. Epub 2015 Sep 16. PMID 26377767
  • Results publication: Nitecka-Buchta A, Walczynska-Dragon K, Kempa WM, Baron S. Platelet-Rich Plasma Intramuscular Injections - Antinociceptive Therapy in Myofascial Pain Within Masseter Muscles in Temporomandibular Disorders Patients: A Pilot Study. Front Neurol. 2019 Mar 19;10:250. doi: 10.3389/fneur.2019.00250. eCollection 2019. PMID 30941095

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