Additional Effect of Forward Head Posture Correction on Temporomandibular Dysfunction

NCT06156345 | Recruiting DMC

• 1 other identifier: Added FHP correction on TMD
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 2

Brief Summary

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

• whether the additional correction of nerd neck impact the 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 2 groups.
• Each group will be given the treatment sessions for 6 weeks.
• participants will come back after 6 weeks for another last assessment. Researchers will compare regular treatment for Jaw with new device, regular only and dental treatment groups to see if there is improvement in jaw characteristics.

Conditions

Temporomandibular Disorder; Forward Head Posture

Keywords

Temporomandibular dysfunction; Pain; Traction; conservative treatment

Outcome Measures

Primary Outcomes (2)

• Anamnestic questionnaire by Fonseca

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

  Baseline (pre-treatment), 3rd 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), 3rd and week 7 (post-treatment)

Secondary Outcomes (3)

• Boley Gauge

  Baseline (pre-treatment), 3rd and week 7 (post-treatment)

• Visual Analog Scale (VAS)

  Baseline (pre-treatment), 3rd and week 7 (post-treatment)

• Mandibular Opening

  Baseline (pre-treatment), 3rd and week 7 (post-treatment)

Study Arms (2)

Conservative

ACTIVE COMPARATOR

consists of teaching the patient the relaxed jaw position and stretching exercises for masseter and pterygoid muscles with hold of 20-30 seconds and 3-5 repetitions. In addition to placebo traction.

Other: Conservative

Conservative with Denneroll

EXPERIMENTAL

Participants will be supine lining with the 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 with the conservative management for TMD.

Device: Conservative with Denneroll

Interventions

Conservative with Denneroll DEVICE

Denneroll cervical traction orthodontic traction for 3 to 15 minutes once daily with conservative management of stretching and relaxation.

Conservative with Denneroll

Conservative OTHER

conservative management of stretching and relaxation with placebo traction.

Conservative

Eligibility Criteria

• Age: 18 Years - 40 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 (2)

University of Sharjah

Sharjah city, 0000, United Arab Emirates

RECRUITING

University of Sharjah

Sharjah city, 27272, United Arab Emirates

RECRUITING

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; Pain

Interventions

Conservative Treatment

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Therapeutics

Central Study Contacts

Shima AH Mohammadzadeh

CONTACT

+971503077039; U22103961@sharjah.ac.ae

Tamer Shousha

CONTACT

tshousha@sharjah.ac.ae

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• 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 (Conservative only and conservative with Denneroll cervical traction orthodontic). 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 24, 2023
• First Posted: December 5, 2023
• Study Start: March 1, 2024
• Primary Completion: February 1, 2025
• Study Completion: December 1, 2025
• Last Updated: May 23, 2024

Record last verified: 2024-05

Data Sharing

• IPD Sharing: Will not share

Locations

AE (2)