ClinicalTrials.gg
Not yet recruitingNCT07670832Updated Jun 29, 2026

Effect of Osteopathic Technique on Maximum Mouth Opening Width, Masseter Muscle Tone and Stiffness

An interventional study of Osteopathic Intervention Techniques and Placebo Technique in Asymptomatic Condition, sponsored by Escola Superior de Tecnologia da Saúde do Porto. Not yet recruiting at 1 site in Portugal. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-06-29.

Sponsored by Escola Superior de Tecnologia da Saúde do Porto · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Aug 2026, 3 months ago, but the record still lists the study as not yet recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
32
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to assess the effect of compression and decompression thecnique on the temporomandibular joint on maximum mouth opening width, masseter muscle tone and stiffness in asymptomatic adults, compared with a control condition consisting of cranial listening touch without therapeutic intent. Evaluations will be conducted immediately after the intervention and one week later.

Read the detailed description

The purpose of this study is to assess the Effect of Compression and Decompression Technique on the Temporomandibular Joint on masseter muscle tone and stiffness (always assessed on the right side). Muscle properties will be evaluated using the Myoton device (Myoton AS, Tallinn, Estonia), a non-invasive instrument that measures biomechanical and viscoelastic properties of muscles, such as stiffness and tone (the parameters used in the results).

In addition, maximum mouth-opening width will be assessed by measuring the distance between the upper and lower central incisors using a universal caliper, recorded in millimeters.

These outcomes will be compared with a control condition consisting of cranial listening touch without therapeutic intent .

The study will include asymptomatic adults without diagnoses of systemic inflammatory diseases, cardiovascular diseases, respiratory diseases , central nervous system disorders, or rheumatic pathologies. Additional exclusion criteria include: use of fixed orthodontic appliances within the past 3 months; visual impairment affecting balance or proprioception; history of maxillofacial surgery; trauma to the cranial or cervical region within the last 6 months ; ongoing pharmacological treatments that may interfere with muscle tone or pain perception (e.g., muscle relaxants, tricyclic antidepressants, benzodiazepines) and third/fourth year osteopathy students.

Measurements of the tone/stiffness of the masseter muscle and maximum mouth opening width will conducted before, immediately after the intervention and one week later the study will be repeated in each participant.

02

Conditions studied

  • Asymptomatic Condition

Browse trials for

Keywords

  • Masseter
  • Maximum Mouth opening Width
  • muscle tone
  • TMJ
  • Temporomandibular joint
  • stiffness
03

In context

Asymptomatic Diseases

38 studies on the registry are indexed under Asymptomatic Diseases; 8 are open to participants now.

This study's planned enrollment of 32 is below the median of 50 across 28 interventional studies indexed under Asymptomatic Diseases.

Browse Asymptomatic Diseases studies →

Lead sponsor

Escola Superior de Tecnologia da Saúde do Porto is the lead sponsor of 39 studies on the registry; 20 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

  • Asymptomatic adults that signed the
  • Functional dentition
  • Preserved masticatory function

Exclusion criteria

Exclusion Criteria:

  • Diagnosis of inflammatory systemic disorders
  • Diagnosis of cardiovascular disorders
  • Diagnosis of respiratory disorders
  • Diagnosis of central nervous system disorders
  • Diagnosis of rheumatic disorders
  • Visual disturbance affecting balance or proprioception
Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
32 participants (estimated)

Study arms

  • Placebo comparator
    Control group

    In the control group, cranial listening touch without therapeutic intent using the par la voute hold was performed during 30 seconds.

    Other: Placebo Technique

  • Experimental
    Temporomandibular Compression and Decompression Technique

    The intervention consisted of two phases: The first one consisting in mandibular compression, applied for 30 seconds. The second phase is applied right after, consisting in mandibular decompression, applied for 30 seconds.

    Other: Osteopathic Intervention Techniques

Interventions

  • OtherOsteopathic Intervention Techniques

    The temporomandibular joint compression and decompression technique consists of, with the patient in the supine position and the investigator at the head, hooking the middle fingers beneath the angles of the mandible while the basal joints cover the joints and the palms cover the ears and temporal regions. First, a light cranially-directed pressure is applied to the mandible for 30 seconds to release restrictions and stretch the intracranial membrane. Subsequently, the vector is reversed, and a gentle caudally-directed traction is applied for another 30 seconds to free the joint space."

  • OtherPlacebo Technique

    Cranial listening touch without therapeutic intent consists of, with the patient in the supine position and the investigator at the head of the bed, the investigator placing bilateral contacts on the patient's skull with the first fingers in contact with each other, without contacting the skull, the second fingers on the greater wing of the sphenoid, the third fingers anterior to the ear, the fourth fingers posterior to the ear, and the fifth fingers in contact with the squamous part of the occipital bone. In addition, after placing the contacts, the investigator asks the patient not to contact the maxillary teeth with the mandibular teeth.

06

What researchers measure

Primary outcomes

  1. Maximum Mouth Opening Width

    For the assessment of the maximum mouth opening width was measured the distance between the upper and lower central incisors was measured in millimeters (mm) using a universal caliper.

    Time frame: Immediately after the intervention. Since the protocol has two interventions, the total time frame is one week.

  2. Masseter Muscle Tone

    The assessment of masseter muscle tone was performed using Myoton (Myoton AS Talin, Estonia), a non-invasive approach to comprehensively evaluate the biomechanical and viscoelastic properties of muscles. Muscle tone is calculated using the maximum frequency of oscillation and tissue deformation detected by the transducer (Hz).

    Time frame: Immediately after the intervention. Since the protocol has two interventions, the total time frame is one week.

  3. Masseter muscle stiffness

    The assessment of masseter muscle stiffness was performed using Myoton (Myoton AS Talin, Estonia), a non-invasive approach to comprehensively evaluate the biomechanical and viscoelastic properties of muscles. Muscle stiffness is calculated based on equations calculated from the acceleration of the testing probe during oscillations (N/m).

    Time frame: Immediately after the intervention. Since the protocol has two interventions, the total time frame is one week.

07

Study locations

1 site
  • Escola Superior de Saúde (E2S)
    Porto, 4200-072, Portugal
08

References and documents

Publications

  • Oliveira-Campelo NM, Rubens-Rebelatto J, Marti N-Vallejo FJ, Alburquerque-Sendi N F, Fernandez-de-Las-Penas C. The immediate effects of atlanto-occipital joint manipulation and suboccipital muscle inhibition technique on active mouth opening and pressure pain sensitivity over latent myofascial trigger points in the masticatory muscles. J Orthop Sports Phys Ther. 2010 May;40(5):310-7. doi: 10.2519/jospt.2010.3257. PubMed 20436241 ↗
  • Murphy MK, MacBarb RF, Wong ME, Athanasiou KA. Temporomandibular disorders: a review of etiology, clinical management, and tissue engineering strategies. Int J Oral Maxillofac Implants. 2013 Nov-Dec;28(6):e393-414. doi: 10.11607/jomi.te20. PubMed 24278954 ↗
  • Goulet JP, Clark GT, Flack VF, Liu C. The reproducibility of muscle and joint tenderness detection methods and maximum mandibular movement measurement for the temporomandibular system. J Orofac Pain. 1998 Winter;12(1):17-26. PubMed 9656895 ↗
  • Dimitroulis G. Temporomandibular disorders: a clinical update. BMJ. 1998 Jul 18;317(7152):190-4. doi: 10.1136/bmj.317.7152.190. No abstract available. PubMed 9665905 ↗
  • Cuccia A, Caradonna C. The relationship between the stomatognathic system and body posture. Clinics (Sao Paulo). 2009;64(1):61-6. doi: 10.1590/s1807-59322009000100011. PubMed 19142553 ↗
  • Aird L, Samuel D, Stokes M. Quadriceps muscle tone, elasticity and stiffness in older males: reliability and symmetry using the MyotonPRO. Arch Gerontol Geriatr. 2012 Sep-Oct;55(2):e31-9. doi: 10.1016/j.archger.2012.03.005. Epub 2012 Apr 13. PubMed 22503549 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 29, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07670832
Lead sponsor
Escola Superior de Tecnologia da Saúde do Porto
Responsible party
Natália Maria Oliveira Campelo (Doctor Teacher, Escola Superior de Tecnologia da Saúde do Porto) — Principal investigator
First posted
Jun 26, 2026
Start date
Jun 2026 (estimated)
Primary completion
Aug 2026 (estimated)
Completion
Sep 2026 (estimated)
Last update
Jun 29, 2026

Study contacts

Natália MO Campelo, PhD
Contact
nmc@ess.ipp.pt
+351 222 061 000
Natália MO Campelo
principal investigator · E2S

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion