Orofacial pain is one of the most common dysfunctions among wind musicians, a population with a high incidence of temporomandibular disorder (TMD). Regarding the treatment of TMD, the efficacy of manual therapy and therapeutic exercise has been studied, but there is a lack of high quality research supporting its implementation. There is, however, an agreement on the need of combining the treatment of the temporomandibular joint and the cervical spine, due to their close biomechanical relation. Aims of the study: To analyse the efficacy of an evidence-based manual therapy protocol alone or in combination with an exercise program on the treatment of orofacial pain during musical practice on wind musicians. Furthermore, this study aims at observing whether if said treatment is more effective in the short, medium, or long term, and which variables are the most influenced.
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Orofacial pain
Timeframe: Change from baseline at 2 months
Pressure Pain Threshold
Timeframe: Change from baseline at 2 months
Range of Temporo mandibular Movement
Timeframe: Change from baseline at 2 months
cervical range of movement (CROM)
Timeframe: Change from baseline at 2 months