Forward Head Posture Correction Impact on Temporomandibular Dysfunction

NCT06123351 | Not Yet Recruiting

• 1 other identifier: FHP-TMD
• Study Type: interventional
• Target: 63
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to test the effect of nerd neck correction on damaged jaw in people who suffers from jaw problems and nerd neck. The main question it aims to answer:

• whether there are different effects of traditional nerd neck correction exercises, device correction method and dental splints on jaw features of pain and function. Participants will:
• participants will be given the consent to sign first.
• participants will be assessed to check jaw pain and function.
• participants will be divided randomly into 3 groups.
• Each group will be given the treatment sessions for 6 weeks.
• participants will come back after 6 weeks for one last assessment. Researchers will compare traditional, new and dental treatment groups to see if there is improvement in jaw characteristics.

Conditions

Temporomandibular Disorder; Forward Head Posture

Keywords

Traction; Exercise; Pain; Temporomandibular dysfunction

Outcome Measures

Primary Outcomes (2)

• Anamnestic questionnaire by Fonseca

  To evaluate TMD by 10 questions with their corresponding scores from 0 to 1

  Baseline (pre-treatment) and week 7 (post-treatment)

• Craniocervical angle - CVA

  photographic method to evaluate the angle where an angle less than 50 degrees will be considered as forward head posture

  Baseline (pre-treatment) and week 7 (post-treatment)

Secondary Outcomes (3)

• Boley Gauge

  Baseline (pre-treatment) and week 7 (post-treatment)

• Numerical Rating Scale (NRS)

  Baseline (pre-treatment) and week 7 (post-treatment)

• Mandibular Opening

  Baseline (pre-treatment) and week 7 (post-treatment)

Study Arms (3)

Denneroll protocol

EXPERIMENTAL

orthotic will be placed under participants' neck. Treatment session time begin with 3 minutes then increase of 2-3 minutes until they reach 15 to 20 minutes in each session.

Device: Denneroll cervical traction orthodontic

Traditional protocol

ACTIVE COMPARATOR

consists of one strengthening exercise for 10 repetitions in 3 sets each, and two stretching exercises with a hold for 20-30 seconds.

Other: stretching and strengthening exercises

Dental management

ACTIVE COMPARATOR

formed soft occlusal splint will be individually designed for the upper arch of each participant.

Device: Vacuum-formed soft occlusal splint

Interventions

Denneroll cervical traction orthodontic DEVICE

traction for 3 to 15 minutes once daily

Denneroll protocol

stretching and strengthening exercises OTHER

strengthening exercises with 10 repetitions twice per day 3 times per week stretching exercises with hold for 20 to 30 seconds 3 repetitions daily

Traditional protocol

Vacuum-formed soft occlusal splint DEVICE

2 mm thick elastic rubber sheets

Dental management

Eligibility Criteria

• Age: 18 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• The participant experiencing one or more of TMD signs or symptoms and has been diagnosed with TMD beside having forward head posture with craniocervical (CVA) angle \< 50.
• The study will be limited to the patients in the dental clinic of the university of Sharjah.
• Participants experiencing mild to moderate myogenic TMD with symptoms of orofacial pain and limited range of jaw opening.

You may not qualify if:

• Previous head, neck or TMJ traumas.
• History of temporomandibular joint surgery.

Sponsors & Collaborators

• Shima Abdollah Mohammad Zadeh: lead

Study Sites (1)

University of Sharjah

Sharjah city, 0000, United Arab Emirates

Location

Related Publications (7)

• Lee WY, Okeson JP, Lindroth J. The relationship between forward head posture and temporomandibular disorders. J Orofac Pain. 1995 Spring;9(2):161-7.

  PMID: 7488986 BACKGROUND

• Salkar RG, Radke UM, Deshmukh SP, Radke PM. Relationship between temporomandibular joint disorders and body posture. Int J Dent Health Sci. 2015;2(6):1523-30.

  BACKGROUND

• Saddu SC, Dyasanoor S, Valappila NJ, Ravi BV. The Evaluation of Head and Craniocervical Posture among Patients with and without Temporomandibular Joint Disorders- A Comparative Study. J Clin Diagn Res. 2015 Aug;9(8):ZC55-8. doi: 10.7860/JCDR/2015/12830.6343. Epub 2015 Aug 1.

  PMID: 26436048 BACKGROUND

• El-Hamalawy FA. Forward head correction exercises for management of myogenic tempromandibular joint dysfunction. 2011;7(8)

  BACKGROUND

• Tang Y, Xu LL, Fan S. [Control study of forward head posture between patients with temporomandibular disorders and healthy people]. Shanghai Kou Qiang Yi Xue. 2021 Apr;30(2):173-176. Chinese.

  PMID: 34109357 BACKGROUND

• Xiao CQ, Wan YD, Li YQ, Yan ZB, Cheng QY, Fan PD, Huang Y, Wang XY, Xiong X. Do Temporomandibular Disorder Patients with Joint Pain Exhibit Forward Head Posture? A Cephalometric Study. Pain Res Manag. 2023 Feb 2;2023:7363412. doi: 10.1155/2023/7363412. eCollection 2023.

  PMID: 36776487 BACKGROUND

• Minervini G, Franco R, Marrapodi MM, Crimi S, Badnjevic A, Cervino G, Bianchi A, Cicciu M. Correlation between Temporomandibular Disorders (TMD) and Posture Evaluated trough the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD): A Systematic Review with Meta-Analysis. J Clin Med. 2023 Apr 2;12(7):2652. doi: 10.3390/jcm12072652.

  PMID: 37048735 BACKGROUND

MeSH Terms

Conditions

Temporomandibular Joint Disorders; Motor Activity; Pain

Condition Hierarchy (Ancestors)

Craniomandibular Disorders; Mandibular Diseases; Jaw Diseases; Musculoskeletal Diseases; Joint Diseases; Muscular Diseases; Stomatognathic Diseases; Behavior; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Shima Mohammad zadeh

  University of Sharjah

  STUDY DIRECTOR

• Tamer Shousha

  University of Sharjah

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Shima Mohammad Zadeh

CONTACT

+971503077039; U22103961@sharjah.ac.ae

Tamer Shousha

CONTACT

tshousha@sharjah.ac.ae

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Single blinded study where the participants will be blinded to the study different groups and the study hypothesis.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Principal Investigator

Model Details: Permuted block randomization to ensure an equal number of allocations in each of the three groups (traditional, Denneroll cervical traction orthodontic and dental treatment). Each random block was stored in opaque sealed envelopes consecutively numbered with a third researcher. Once each participant officially joins the study the researcher will open the subsequent envelop.

Study Record Dates

• First Submitted: November 2, 2023
• First Posted: November 8, 2023
• Study Start: October 1, 2025
• Primary Completion (Estimated): December 1, 2027
• Study Completion (Estimated): December 1, 2027
• Last Updated: March 15, 2024

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will not share

Locations

AE (1)