Temporomandibular Joints Mobility and Head Posture: Influence of Manual Therapy and Exercises in Dental Patients.

NCT07297251 | Not Yet Recruiting

• 1 other identifier: Resolution No. 5-II/2024
• Study Type: interventional
• Target: 100
• Locations: 0 countries
• Sites: N/A

Brief Summary

Goal: This clinical study aims to investigate how the range of motion of the temporomandibular joints (TMJ) changes in relation to the patient's head posture. Furthermore, we will assess the efficacy of a specific physiotherapy program in improving TMJ mobility and influencing head alignment in patients undergoing orthodontic treatment or prosthetic reconstruction. Scope: The project will evaluate TMJ function and head alignment in orthodontic or prosthetic patients aged 11-65. The core focus is to analyze the correlation between head posture and TMJ mobility and to measure changes in these parameters before and after the manual physiotherapy intervention.

Conditions

Temporomandibular Joint Disorders

Keywords

temporomandibular joint; range of motion; cervical spine; kinematic; manual therapy; exercices

Outcome Measures

Primary Outcomes (2)

• CROM device

  Cervical spine movements

  Baseline and after 1 and 2 months

• JMA (Jaw Motion Analyzer) Axiograph

  TMJ movements

  Baseline and after 1 and 2 months

Study Arms (1)

Manual therapy

OTHER

Manual therapy, exercises

Other: Manual therapy

Interventions

Manual therapy OTHER

1. Performance of 2 manual therapy techniques immediately following the participant's initial examination. The participant remains secured in the device. The examiner performs manual therapy on each temporomandibular joint (TMJ) sequentially. The following procedures are performed consecutively: 6 sec. of Grade II distraction (traction) according to F. Kaltenborn on the TMJ, repeated 6 times; 6 seconds of Grade II lateral glide on the TMJ, repeated 6 times. Following the completed physiotherapy intervention, the digital axiograph examination is performed again. A comparative analysis of the performed examinations will be conducted 2. Instruction on homework exercises performed by the patient. The exercises are performed 6 times per day, each in a series of 6 repetitions, for a period of 4 to 6 weeks. They include: a) Head flexion in the cranio-cervical joint - Standing position near a door frame; the patient performs maximum head flexion while simultaneously resting the occiput against

Manual therapy

Eligibility Criteria

• Age: 11 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients aged 11 to 13 years with a confirmed occlusion class (Class I, II, or III) with parental/legal guardian consent.
• Patients aged 13 to 17 years with personal assent and parental/legal guardian consent.
• Adult patients (up to 65 years of age) who have provided informed consent.

You may not qualify if:

• Inability to perform required study tests or procedures.
• Positive safety tests indicating contraindications to manual intervention.
• History of surgeries or trauma to the maxillofacial region.
• Genetic defects or neurological disorders.
• Current orthodontic treatment with fixed appliances.
• Current splint therapy.
• Pregnancy.
• Lack of consent from a parent or legal guardian (for minors).
• Lack of cooperation from the participant (especially children).

Sponsors & Collaborators

• The Jerzy Kukuczka Academy of Physical Education in Katowice: lead

Related Publications (1)

• Kaczmarek B, Kaczmarek L, Mysliwiec A, Lipowicz A, Dowgierd K. Kinematic Relationship Between Temporomandibular and Cervical Spine Joints. J Oral Rehabil. 2025 Sep;52(9):1496-1504. doi: 10.1111/joor.14015. Epub 2025 May 9.

  PMID: 40346746 BACKGROUND

MeSH Terms

Conditions

Temporomandibular Joint Disorders

Interventions

Musculoskeletal Manipulations

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Central Study Contacts

Łukasz Kaczmarek

CONTACT

+48785992512; lukaszkaczmarek@holimedica.pl

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: DIAGNOSTIC
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 8, 2025
• First Posted: December 22, 2025
• Study Start: January 20, 2026
• Primary Completion (Estimated): December 30, 2027
• Study Completion (Estimated): December 30, 2027
• Last Updated: December 22, 2025

Record last verified: 2025-12

Data Sharing

• IPD Sharing: Will not share