The Condition of the Temporomandibular Joint in Hemiplegia

NCT07698184 | Active Not Recruiting

• 1 other identifier: ACHBİLKENTAUBAYKUT004
• Study Type: observational
• Target: 70
• Locations: 1 country
• Sites: 1

Brief Summary

Stroke is one of the leading causes of acquired disability worldwide and frequently results in medical complications and long-term sequelae. Depending on the size of the lesions and the cerebral structures affected, sensory, motor, and cognitive impairments, as well as sensory-motor deficits related to the stomatognathic system, may be present after a stroke. The stomatognathic system is a functional complex comprised of structures located in the oral and craniofacial cavities, including skeletal components, head and neck muscles, ligaments, soft tissues, the temporomandibular joint, dental arches, salivary glands, and masticatory muscles. Understanding stomatognathic system disorders is crucial for early diagnosis and implementing rehabilitation approaches to promote functional recovery. Ultrasonography is a widely available, low-cost, non-invasive, and safe medical imaging method that provides real-time observation. It offers several advantages for dentomaxillofacial imaging, including portability, dynamic and repeatable examination capabilities, patient comfort, and accessibility. It is a useful tool in identifying various pathological processes such as temporomandibular joint structures, articular disc displacement, joint effusion, and cortical erosion. There are few studies in the literature specifically on jaw disorders in stroke. The literature is quite limited in examining the jaw structure, muscles, and ligaments, as well as investigating the effect of chewing function on the clinical picture. The investigators aimed to evaluate the temporomandibular joint and chewing function in patients who developed stroke following a cerebrovascular event, and to investigate their relationship with clinical parameters.

Conditions

Hemiplegia; Temporomandibular Disorder (TMD)

Keywords

hemiplegia; Temporomandibular Joint Disorders

Outcome Measures

Primary Outcomes (1)

• temporomandibular joint disc thickness,

  Bilateral temporomandibular joint ultrasound measurement: Participants were asked to keep their mouths closed, and then images of the right and left joint areas were taken. The joint space between the condyle and the fossa was measured.

  Baseline

Secondary Outcomes (3)

• Ultrasound measurement of temporal muscle thickness

  Baseline

• Ultrasound measurement of masseter muscle thickness.

  Baseline

• mouth opening measurements

  Baseline

Eligibility Criteria

• Age: 18 Years - 95 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

stroke patients

You may qualify if:

• Patients who have had a stroke Ages 18-95 Those who agreed to participate in the study

You may not qualify if:

• Patients who have previously received treatment for jaw problems
• Those who have undergone jaw surgery
• Those whose jaw area has been affected by trauma
• Those who declined to participate in the study

Sponsors & Collaborators

• Ayşe Ukbe Baykut: lead

Study Sites (1)

Ankara Bilkent City Hospital

Ankara, Çankaya, 06800, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Hemiplegia; Temporomandibular Joint Disorders

Condition Hierarchy (Ancestors)

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

Study Officials

• Ayşe U Baykut

  Ankara City Hospital Bilkent

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: principal investigator

Study Record Dates

• First Submitted: June 26, 2026
• First Posted: July 13, 2026
• Study Start: January 2, 2026
• Primary Completion: July 7, 2026
• Study Completion: July 15, 2026
• Last Updated: July 13, 2026

Record last verified: 2026-07

Locations

TU (1)