Investigation of the Effects of Different Treatment Approaches in Jaw (Temporomandibular) Joint D… (NCT07392671) | Clinical Trial Compass
CompletedNot Applicable
Investigation of the Effects of Different Treatment Approaches in Jaw (Temporomandibular) Joint Disorders
Turkey (Türkiye)60 participantsStarted 2023-12-15
Plain-language summary
Temporomandibular joint disorders (TMD) are common conditions that may cause jaw pain, limited jaw movement, and reduced quality of life. Individuals with TMD can also experience neck-related problems, balance impairments, emotional changes, and sleep disturbances.
This interventional study aims to investigate the effects of a combined physiotherapy and rehabilitation program in individuals with temporomandibular joint dysfunction. The intervention consists of conventional manual therapy techniques applied to the temporomandibular joint and cervical region, combined with specific manual therapy techniques targeting the limbic system, along with therapeutic exercise applications.
The study will evaluate the effects of this combined treatment approach on pain, jaw range of motion, joint position sense, balance, emotional status, patient satisfaction, and quality of life and sleep in individuals with TMD.
Who can participate
Age range
18 Years – 60 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
Aged between 18 and 60 years
Diagnosed with temporomandibular joint dysfunction (TMD - disc displacement or degenerative joint disease) by an Oral and Maxillofacial Surgery specialist
Clinical findings consistent with temporomandibular joint dysfunction
Presence of symptoms and pain related to TMD for at least 6 months
No history of acute trauma, infection, or neurological disease
No limitation of joint range of motion in the angles assessed for joint position sense
No history of any treatment or physiotherapy for TMD within the last 6 months
Not using occlusal splints, orthodontic appliances, and/or medications for pain
Use of no more than one fixed prosthetic restoration (bridge or implant-supported crown) in a single region
Voluntary participation and provision of written informed consent
Exclusion Criteria:
History of jaw and/or cervical region surgery or trauma within the last 6 months
Presence of rheumatological or psychiatric disorders
History of fracture involving the temporomandibular joint, cervical, or upper thoracic region
Presence of acute cervical disc pathology or other acute conditions affecting the cervical region
Presence of skin infection or open wounds
Presence of perceptual or communication disorders
Partial edentulism classified as Kennedy Class I, II, or III, or multiple missing teeth that impair masticatory function, except for single-tooth loss
Presence of fixed prosthetic restorations for more than one missing t…
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
What they're measuring
1
Pain Intensity at Rest (Visual Analog Scale)
Timeframe: Baseline and after 6 weeks
2
Pressure Pain Threshold (Algometry)
Timeframe: Baseline and after 6 weeks
3
Cervical Joint Position Sense
Timeframe: Baseline and after 6 weeks
4
Temporomandibular Joint Range of Motion
Timeframe: Baseline and after 6 weeks
5
Cervical Joint Range of Motion
Timeframe: Baseline and after 6 weeks
6
Static Balance (Flamingo Balance Test)
Timeframe: Baseline and after 6 weeks
7
Dynamic Balance (Y Balance Test)
Timeframe: Baseline and after 6 weeks
8
Pain Intensity During Chewing (Visual Analog Scale)