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RecruitingNCT07237087Updated Nov 19, 2025

Masseter Muscle Stiffness After Heat Application and Percussion Therapy

An interventional study of massage gun and heat treatment in Healthy Participants, sponsored by University of Zurich. Recruiting at 1 site in Switzerland. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-11-19.

Sponsored by University of Zurich · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Mar 2026, 7 months ago, but the record still lists the study as recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the changes in the stiffness of the masseter muscle (a jaw muscle) before and after two types of treatment: applying commercial heat pads or using a commercial massage gun.

We will measure the muscle stiffness on the surface of the muscle using a special ultrasound probe, with a method called shear wave elastography.

When this muscle is too stiff, it's often linked to jaw pain and problems with the jaw joint - a condition known as Temporomandibular Disorder (TMD).

The goal is to find better treatment options for people with TMD and to collect data using this imaging technique.

Read the detailed description

In our study, participants will be randomly assigned to one of two groups. This is important to ensure reliable results and is called randomization.

The two groups are as follows:

Group A:

First, the stiffness of the masseter muscle in the cheek is measured using ultrasound. Then, we will assess the mouth opening, the muscle's sensitivity to pressure, bite force, and chewing efficiency using several short tests. After that, the masseter muscle will be treated with a massage gun with a soft attachment for 2 minutes. All tests will be repeated after the treatment.

Group B:

First, the stiffness of the masseter muscle in the cheek is measured using ultrasound. Then, we will assess the mouth opening, the muscle's sensitivity to pressure, bite force, and chewing efficiency using several short tests. After that, the masseter muscle will be treated with a heat pad for 20 minutes. The heat pad will be held in place with a strap, and participants may sit and read or relax during the treatment. All tests will be repeated after the treatment.

Each participant will receive both treatments (massage gun and heat pad), but in a different order depending on group assignment. There will be a two-week washout phase between the two treatments to ensure that the effects of the first treatment do not influence the second.

02

Conditions studied

  • Healthy Participants

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Keywords

  • TMD
  • shear wave elastography
  • ultrasound
  • elastography
  • Elasticity Imaging Techniques
  • heat pad
  • massage gun
  • heat treatment
  • percussion massage
03

In context

Fever

438 studies on the registry are indexed under Fever; 55 are open to participants now.

This study's planned enrollment of 40 is below the median of 123 across 271 interventional studies indexed under Fever.

Browse Fever studies →

Lead sponsor

University of Zurich is the lead sponsor of 1,049 studies on the registry; 133 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Willingness to participate to the study
  • Signed written

Exclusion criteria

Exclusion Criteria:

  • Inability to follow procedures or insufficient knowledge of project language, inability to give consent
  • a history of drug ingestion within the past week (e.g. pain relievers, muscle relaxants, botox and anti-inflammatory drugs)
  • systemic diseases
  • listed on the massage-gun instruction manual systemic and related to the use on the masseter area.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    Group A: First massage gun, then heat treatment

    The massage gun is the new treatment (experimental). Heat treatment is already commonly used for muscle stiffness and could be considered an active comparator. However, since its specific effects on the masseter muscle are not well established, it may also be classified as experimental.

    Device: massage gun · Device: heat treatment

  • Experimental
    Group B: first heat treatment, then massage gun

    The massage gun is the new treatment (experimental). Heat treatment is already commonly used for muscle stiffness and could be considered an active comparator. However, since its specific effects on the masseter muscle are not well established, it may also be classified as experimental.

    Device: massage gun · Device: heat treatment

Interventions

  • Devicemassage gun

    The massage gun used in this study will be equipped with a soft attachment designed for use on the face, ensuring safe and comfortable application to the masseter muscle.

  • Deviceheat treatment

    The heat treatment will be applied for 20min.

    Also known as: heat pad, heating pad

06

What researchers measure

Primary outcomes

  1. Masseter muscle stiffness

    Muscle stiffness will be assessed using shear wave elastography (SWE) via ultrasound. Results will be reported in kilopascals (kPa) and/or meters per second (m/s).

    Time frame: The time from the first appointment to the second (final) appointment will be two weeks.

Secondary outcomes

  1. Algometry of the Masseter Muscle

    Algometry is the quantitative assessment of pain sensitivity, performed using a pressure algometer to determine pressure pain thresholds (PPTs) at specific anatomical sites.

    Time frame: The time from the first appointment to the second (final) appointment will be two weeks.

  2. mouth opening

    The mouth opening will be measured with a ruler.

    Time frame: The time from the first appointment to the second (final) appointment will be two weeks.

  3. maximum bite force

    Maximum bite force can be measured with a bite sensor or an occlusal force-meter, that is placed between the patients' teeth. The patient is requested to bite on the bite sensor as hard as possible. Bite force is usually measured in Newton.

    Time frame: The time from the first appointment to the second (final) appointment will be two weeks.

  4. chewing efficiency

    Chewing efficiency will be measured with a two-coloured chewing gum. The person tested will take two chewing gums simultaneously, both with different colour. The gums must be chewed 20 times and after that the mass is pressed on a glass plate and is analysed how much the colours have mixed.

    Time frame: The time from the first appointment to the second (final) appointment will be two weeks.

07

Study locations

1 of 1 sites recruiting
  • Zentrum für Zahnmedizin
    Zurich, Canton of Zurich 8032, Switzerland
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Upon reasonable request from another research group, the raw IPD will be anonymized and shared.

Time frame: starting 6 months after publication

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Nov 2025; primary completion for Mar 2026, 4 months later.

Of 66 non-industry interventional studies with no phase under Fever, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 30. This study's planned 4 months is below that.

Counting every sponsor, half of 74 studies reached it within 16 months; a quarter within 6 and three quarters within 30.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 14, 2025
First posted
Nov 19, 2025
StartEst.
Nov 15, 2025
Primary completionEst.
Mar 31, 2026
CompletionEst.
Mar 31, 2026
Last update
Nov 19, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 19, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07237087
Collaborators
University Hospital, Zürich
Responsible party
Sponsor
First posted
Nov 19, 2025
Start date
Nov 15, 2025 (estimated)
Primary completion
Mar 31, 2026 (estimated)
Completion
Mar 31, 2026 (estimated)
Last update
Nov 19, 2025

Study contacts

Vera Colombo, PD Dr. sc. ETH
Contact
vera.colombo@zzm.uzh.ch
+41 (0)44 634 33 11
Nenad Lukic, Dr. med. Dr. med. dent.
Contact
nenad.lukic@zzm.uzh.ch
Mutlu Özcan, Prof. Dr. med. dent.
study chair · University of Zurich

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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