Long-term Efficacy of Physical Therapy for TMDs

NCT05781607 | Unknown

• 1 other identifier: SH9H-2022-T162-2
• Study Type: observational
• Target: 189
• Locations: 1 country
• Sites: 1

Brief Summary

Physical therapy is one of the initial conservative treatments for TMD. Many studies and previous studies in our department have proved that it can improve the pain, mouth opening and mandibular function of patients with TMD. However, the current research on physical therapy for TMD has a short follow-up period, which cannot prove that the patients' long-term mandibular function has improved, and few studies have analyzed the relevant factors affecting the curative effect. Therefore, this study is intended to adopt a retrospective cohort study to include TMD patients who received physical therapy in our department from 2016.01-2021.12. The patients' pain, joint area noise, mandibular range of motion, mandibular function and other conditions will be followed up by remote telephone or online questionnaire, and the patients' demography, clinical symptoms, pain, oral habits, depression, anxiety, sleep status, head and neck posture and other information will be collected. The multiple regression analysis model will be used to compare and analyze the relevant factors affecting the prognosis of patients, and to intervene in advance the factors that have a significant impact on the prognosis of the disease, so as to improve the treatment effect.

Conditions

Temporomandibular Joint Disorders

Keywords

temporomandibular joint disorders; physical therapy

Outcome Measures

Primary Outcomes (1)

• Long term effective rate

  Long-term effective rate=number of effective cases/total number of cases

  12 months

Study Arms (2)

PE

Patient education combined with drug therapy group

Combination Product: Patient education combined with drug therapy

PT

Individualized comprehensive physical therapy group

Combination Product: Individualized comprehensive physical therapy

Interventions

Patient education combined with drug therapy COMBINATION_PRODUCT

Receive a health education by a specialist therapist, including explaining the anatomy and function of TMJ; Explain the etiology, prognosis, treatment plan and prognosis of TMD; Correct the patients' daily oral habits, such as unilateral chewing, habitual clenching, eating too much hard food, etc; Instruct the patient to understand the rest position of the temporomandibular joint and correct the bad posture of the neck and shoulder. At the same time, corresponding medication should be given, and NSAIDS should be taken orally or externally for patients with pain.

PE

Individualized comprehensive physical therapy COMBINATION_PRODUCT

Physical factor therapy and/or manual therapy

PT

Eligibility Criteria

• Age: 12 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

TMD patients who received patient education or physical therapy in the Department of Rehabilitation Medicine of the Ninth People's Hospital affiliated to Shanghai Jiaotong University Medical College from January to December 2016

You may qualify if:

• The first-episode TMD patients with pain, limited mouth opening and abnormal noise in the joint area; 12-80 years old; regardless of gender; The patient received physical therapy in the outpatient department; MRI or CBCT imaging was completed before enrollment

Sponsors & Collaborators

• Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University: lead
• Shanghai Jiao Tong University School of Medicine: collaborator

Study Sites (1)

Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine

Shanghai, 200011, China

RECRUITING

Related Publications (1)

• Jin L, Yao Y, Fang Z, Fan S, Cai B, Xu L, Liu S. Long-Term Prognosis and Influencing Factors of Chinese Adolescents With Temporomandibular Disorder After Physical Therapy. J Oral Rehabil. 2024 Dec;51(12):2611-2621. doi: 10.1111/joor.13865. Epub 2024 Sep 20.

  PMID: 39305035 DERIVED

MeSH Terms

Conditions

Temporomandibular Joint Disorders

Interventions

Drug Therapy

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Therapeutics

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 12, 2023
• First Posted: March 23, 2023
• Study Start: April 7, 2023
• Primary Completion: April 6, 2024
• Study Completion: June 6, 2024
• Last Updated: November 30, 2023

Record last verified: 2023-03

Locations

CN (1)