Assessing Motor Imagery Ability of Tongue and Mouth in Subjects With and With no Temporomandibular Disorders

NCT04102306 | Completed

• 1 other identifier: TMIQ
• Study Type: observational
• Target: 94
• Locations: 1 country
• Sites: 1

Brief Summary

Temporomandibular disorder (TMD) is the symptomatic expression of a muscular or an articular impairment at the manducatory tract. TMD affects between 30 to 65% of the population with a higher prevalence for young women. The patients with DTM report a decrease of their personal, social and professional quality of life. Treatment usually relies on physical therapy. Among the different technics that can be used in physical therapy, there is growing evidence advocating the efficacy of using motor imagery (i.e. imagining a movement with no concomitant physical execution) during rehabilitation. It has also been shown that the benefits of practicing motor imagery depend on the ability (i.e., the higher the ability, the greater the benefits). However, there is no investigation of the motor imagery ability of the tongue and mouth movements conditioning the use of motor imagery during TMD rehabilitation. The objective of the study is to investigate the ability of imagining tongue and mouth movements using the Tongue and Mouth Imagery Questionnaire (TMIQ) as compare to the gold-standard Kinesthetic and Visual Imagery Questionnaire (KVIQ - Malouin et al., 2007).

Conditions

Temporomandibular Disorder; Motor Imagery

Keywords

orofacial myotherapies;; physical therapy;; assessment;; questionnaire validation

Outcome Measures

Primary Outcomes (4)

• vividness score of imagined movements of the TMIQ for the DTM group

  Averaged vividness score (using a 5-point likert scale, 1=minimum vividness, 5=maximal vividness) for the TMIQ for the DTM group

  at study inclusion, i.e day 1

• vividness score of imagined movements of the TMIQ for the CTL group

  Averaged vividness score (using a 5-point likert scale, 1=minimum vividness, 5=maximal vividness) for the TMIQ for the DTM group

  at study inclusion, i.e day 1

• vividness score of imagined movements of the KVIQ for the DTM group

  Averaged vividness score (using a 5-point likert scale, 1=minimum vividness, 5=maximal vividness) for the KVIQ for the DTM group

  at study inclusion, i.e day 1

• vividness score of imagined movements of the KVIQ for the CTL group

  Averaged vividness score (using a 5-point likert scale, 1=minimum vividness, 5=maximal vividness) for the KVIQ for the DTM group

  at study inclusion, i.e day 1

Secondary Outcomes (5)

• vividness score of imagined movements of the TMIQ for the DTM group

  at study completion, between 8 days to 45 days after inclusion

• vividness score of imagined movements of the TMIQ for the CTL group

  at study completion, between 8 days to 45 days after inclusion

• Temporal coupling to imagined movements of the TMIQ for the DTM group

  at study completion, between 8 days to 45 days after inclusion

• Temporal coupling to imagined movements of the TMIQ for the CTL group

  at study inclusion, i.e day 1

• Temporal coupling to imagined movements of the TMIQ for the CTL group

  at study completion, between 8 days to 45 days after inclusion

Other Outcomes (4)

• mental representation of the maximal opening of the mouth for the DTM group

  at study inclusion, i.e day 1

• mental representation of the maximal opening of the mouth for the CTL group

  at study inclusion, i.e day 1

• Accuracy of tongue pointing against the wood examination stick for the DTM group

  at study inclusion, i.e day 1

Study Arms (2)

Temporomandibular disorder group (TMD)

Patients with temporomandibular disorder coming at the Cabinet Saint Alexandre for orofacial rehabilitation. Test 1: passation of the KVIQ questionnaire, followed by the passation of the TMIQ during a rehabilitation session supervised by the physical therapist (PT) Test 2: passation of the TMIQ during the next rehabilitation session supervised by the same PT(interval between PT session 1 and 2 is a maximum of 45 days). Questionnaires were performed during the course of the patient rehabilitation that was instructed not to perform imagined movement during the interval.

Other: reliability and validity construct of the TMIQ

Control healthy group (CTL)

Healthy individuals with no temporomandibular disorder (i.e., no orofacial medical consultation or rehabilitation) aged-matched and gender-matched to TMD group. Test 1: passation of the KVIQ questionnaire, followed by the passation of the TMIQ during a session supervised by the physical therapist (PT) Test 2: passation of the TMIQ during the next session supervised by the same PT(interval between PT session 1 and 2 is a maximum of 8 days). Questionnaires were performed with no additional rehabilitation and participants were instructed not to perform imagined movement during the interval.

Other: reliability and validity construct of the TMIQ

Interventions

reliability and validity construct of the TMIQ OTHER

comparison of the TMIQ to the gold-standard questionnaire (KVIQ) and test-retest

Control healthy group (CTL); Temporomandibular disorder group (TMD)

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

47 participants with DTM 47 participants with no DTM (healthy control) age-matched and gender-matched to participants with DTM.

You may qualify if:

• age between 18 and 75 years
• A voluntary individual who has given informed consent after receiving clear, fair and appropriate information about the study.
• For DTM group participants
• beneficiary of the social security scheme

You may not qualify if:

• The presence of a short tongue brake (Marchesan, 2005)
• Lingual immaturity evaluated by the Tardieu test (Jouannaud et al. 1972)
• Patients who had orthognathic surgery within 6 months post- operative, or facial fractures according to the same deadlines
• The presence of peripheral facial palsy
• Current participation in another research whose objective would be the evaluation of a therapeutic, drug or not, introducing an experimental bias.

Sponsors & Collaborators

• Cabinet de Kinesitherapie SCM Saint-Alexandre: lead
• University of Lyon: collaborator
• Hospices Civils de Lyon: collaborator

Study Sites (1)

Cabinet Saint Alexandre

Lyon, 69005, France

Location

Related Publications (1)

• Alvarado C, Arminjon A, Damieux-Verdeaux C, Lhotte C, Condemine C, Cousin AS, Sigaux N, Bouletreau P, Mateo S. Impaired tongue motor control after temporomandibular disorder: A proof-of-concept case-control study of tongue print. Clin Exp Dent Res. 2022 Apr;8(2):529-536. doi: 10.1002/cre2.549. Epub 2022 Feb 27.

  PMID: 35220688 DERIVED

MeSH Terms

Conditions

Temporomandibular Joint Disorders

Condition Hierarchy (Ancestors)

Craniomandibular Disorders; Mandibular Diseases; Jaw Diseases; Musculoskeletal Diseases; Joint Diseases; Muscular Diseases; Stomatognathic Diseases

Study Officials

• Caroline Alvarado-Faysse, PT

  Cabinet de kinésithérapie Saint Alexandre

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Target Duration: 45 Days
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 19, 2019
• First Posted: September 25, 2019
• Study Start: September 26, 2018
• Primary Completion: December 31, 2019
• Study Completion: December 31, 2019
• Last Updated: March 6, 2020

Record last verified: 2019-09

Locations

FR (1)