Temporomandibular Disorders Physiotherapy

NCT06994910 | Completed DMC

• 1 other identifier: CAMS/PTBR/3/127
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to investigate the effectiveness of the Maitland joint mobilization technique in alleviating symptoms related to (temporomandibular disorders) TMD and to investigate its influence on patient clinical outcomes, including pain intensity, TMJ range of motion (ROM), functional limitations, disability, and oral behaviors.

Conditions

Temporomandibular Disorders (TMD)

Keywords

Temporomandibular Disorders; Physiotherapy; Maitland Mobilization Technique

Outcome Measures

Primary Outcomes (4)

• Pain intensity

  Pain intensity will be assessed using a 10-centimeter Visual Analogue Scale (VAS), where 0 represents "no pain" and 10 represents "worst imaginable pain." Participants will be asked to indicate the average intensity of their jaw-related pain experienced over the past week. This tool is used to evaluate the effect of the intervention on subjective pain levels in patients diagnosed with temporomandibular disorders.

  Pain will be measured at baseline (pre-intervention) and after completion of the 4-week intervention (post-intervention)

• Temporomandibular joint range of motion

  The range of motion (ROM) of the temporomandibular joint will be measured using the TheraBiteⓇ Range of Motion Scales, a standardized tool designed to accurately assess mandibular movements including maximum mouth opening, lateral excursion, and protrusion. Measurements will be taken in millimeters by trained assessors to evaluate functional improvement following the intervention in patients with temporomandibular disorders.

  Temporomandibular joint range of motion will be assessed at baseline (pre-intervention) and after the 4-week intervention (post-intervention).

• Jaw functional disability

  Jaw functional disability will be evaluated using the Jaw Functional Limitation Scale (JFLS-20), a validated and reliable questionnaire designed to assess limitations in jaw function across three domains: mastication, jaw movements, and verbal communication. Patients will self-report the degree of difficulty experienced during specific functional activities related to the temporomandibular joint. This measure will assess the impact of the intervention on improving jaw function in patients with temporomandibular disorders.

  Jaw functional disability will be assessed at baseline (pre-intervention) and after the 4-week intervention (post-intervention).

• Oral behaviors

  Oral behaviors will be evaluated using the Oral Behavior Checklist (OBC), a validated self-report questionnaire designed to assess the frequency and type of oral behaviors during waking hours and sleep. This includes activities such as clenching, grinding, and other parafunctional habits that may influence temporomandibular disorder symptoms. The OBC will help determine changes in oral behaviors as a result of the intervention.

  Oral behaviors will be assessed at baseline (pre-intervention) and after the 4-week intervention (post-intervention).

Study Arms (2)

Before Maitland joint mobilization

EXPERIMENTAL

Participants with temporomandibular joint dysfunction received Maitland mobilization techniques applied to the TMJ over a defined treatment period. Outcomes were assessed at baseline (pre-intervention) and after completion of the intervention (post-intervention)

Other: Maitland mobilization techniques

After Maitland joint mobilization

EXPERIMENTAL

Participants with temporomandibular joint dysfunction received Maitland mobilization techniques applied to the TMJ over a defined treatment period. Outcomes were assessed at baseline (pre-intervention) and after completion of the intervention (post-intervention).

Other: Maitland mobilization techniques

Interventions

Maitland mobilization techniques OTHER

Participants with temporomandibular joint dysfunction received Maitland mobilization techniques applied to the TMJ over a defined treatment period. Outcomes were assessed at baseline (pre-intervention) and after completion of the intervention (post-intervention)

After Maitland joint mobilization; Before Maitland joint mobilization

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Diagnosis: individuals diagnosed with TMD, whether it is unilateral or bilateral.
• Myofascial pain and myo-spasm.
• Anterior disk displacement with reduction and anterior disk displacement without reduction.
• Craniofacial and craniomandibular pain.
• Myofascial pain with or without limited mouth opening.

You may not qualify if:

• Patients with a documented history of surgical procedures involving the TMJ.
• Patients with a confirmed diagnosis of systemic diseases (e.g., rheumatic and metabolic diseases).
• Patients with congenital or developmental craniofacial anomalies, including conditions like as ankylosis.
• Patients with diagnosed cancer.
• Patients with mental, physical disorders and language difficulties.
• Patients with diagnosed neuropathic and dental pain.
• Patients with diagnosed general myopathy (e.g., fibromyalgia).

Sponsors & Collaborators

• Palestine Polytechnic University: lead

Study Sites (1)

Palestine Polytechnic University

Hebron, Palestinian Territories

Location

Related Links

• Related Info

MeSH Terms

Conditions

Temporomandibular Joint Disorders

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: A single group of participants received the intervention. Outcomes were measured before and after the intervention within the same group to assess changes over time

Study Record Dates

• First Submitted: May 20, 2025
• First Posted: May 29, 2025
• Study Start: August 7, 2023
• Primary Completion: October 30, 2024
• Study Completion: December 24, 2024
• Last Updated: May 29, 2025

Record last verified: 2025-05

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
• Time Frame: Data will be available starting 6 months after publication of the main results, for a period of 3 years
• Access Criteria: IPD and supporting documents (such as the study protocol and statistical analysis plan) will be made available to qualified researchers upon reasonable request. Requests must include a clear research purpose and be approved by an independent ethics committee or institutional review board. Requests can be submitted by email to Dr. Mohammad Al-Talahma at \[mtalahma@ppu.edu\], and approved data will be shared via secure electronic transfer.

Locations

PA (1)