Bruxism and Pelvic Floor Dysfunction in Young Women: A Cross-Sectional Questionnaire Study Examining the Relationship Between Orofacial Parafunction and Pelvic Floor Symptoms
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Bruxism Assessment Section
研究概览
简要总结
Bruxism and Pelvic Floor Dysfunction in Young Women
详细描述
Bruxism and Pelvic Floor Dysfunction in Young Women: A Cross-Sectional Questionnaire Study Examining the Relationship Between Orofacial Parafunction and Pelvic Floor Symptoms
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 30 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Female individuals aged 18-30 years
- •Voluntary agreement to participate in the study and approval of the online informed consent form
- •For the bruxism group:
- •Self-reported teeth clenching and/or grinding behavior during wakefulness or sleep within the past 6 months
- •Presence of clinical findings supporting bruxism (e.g., tooth wear patterns, masseter/temporalis muscle tenderness) identified during a clinical examination conducted at the Faculty of Dentistry
- •For the non-bruxism group:
- •No self-reported teeth clenching or grinding behavior
- •Absence of clinical findings supporting bruxism upon examination
- •Bruxism classification will be performed in accordance with the current international consensus, based on self-report combined with clinical findings, within the framework of "probable bruxism" (Verhoeff et al., 2025).
排除标准
- •Diagnosed temporomandibular joint (TMJ) dysfunction or significant jaw pain syndromes
- •History of major pelvic surgery; early postpartum period (<1 year) or current pregnancy
- •Neurological disorders (e.g., multiple sclerosis, peripheral neuropathies)
- •Presence of active urogenital or colorectal infection/disease
- •Diagnosed pelvic floor pathologies (e.g., advanced pelvic organ prolapse, severe urinary/fecal incontinence)
- •Chronic use of opioids, anticholinergic agents, or muscle relaxants
- •Severe psychiatric disorders (e.g., diagnosed major depressive disorder, generalized anxiety disorder)
- •Receipt of any bruxism-related treatment within the past 6 months (e.g., occlusal splint therapy, botulinum toxin injections, intensive physiotherapy)
研究组 & 干预措施
Bruxism Group
Women who has bruksizm
干预措施: Questionnaire and Physical Exam (Diagnostic Test)
Non-bruksizm Group
Control group
干预措施: Questionnaire and Physical Exam (Diagnostic Test)
结局指标
主要结局
Bruxism Assessment Section
时间窗: 6 months
Sleep and awake bruxism will be evaluated according to the bruxism diagnostic criteria established by the American Academy of Sleep Medicine (AASM) in 2023. Bruxism-related pain will be subjectively assessed using the Visual Analog Scale (VAS). The Visual Analogue Scale (VAS) is a 10-cm used to measure pain intensity, where 0 represents "no pain" and 10 represents the "worst imaginable pain. Patients mark their pain level, which is measured in cm or mm to determine the score.
Jaw Function Assessment Section
时间窗: 6 months
Jaw function will be evaluated using the Jaw Functional Limitation Scale-20 (JFLS-20). The Jaw Functional Limitation Scale-20 (JFLS-20) scores range from 0 to 200 (or 0-10 average per item), with higher scores indicating more severe jaw functional limitation. It measures 20 items across three constructs-mastication, vertical mobility, and verbal/emotional expression-using a 0-10 scale, with 0 meaning "no limitation" and 10 meaning "severe limitation
Pelvic Floor Assessment Section
时间窗: 6 months
Pelvic floor symptoms will be assessed using the Pelvic Floor Distress Inventory-20 (PFDI-20) and the relevant items of the Pelvic Pain Impact Questionnaire. The Pelvic Floor Distress Inventory-20 (PFDI-20) is a questionnaire measuring the severity of pelvic floor dysfunction, with total scores ranging from 0 to 300 (0 = no distress, 300 = maximum distress). It includes three subscales-POPDI-6, UDI-6, and CRADI-8-each scored from 0 to 100, calculated by multiplying the mean of answered items (0-4) by 25
次要结局
- Anxiety Assessment Section(6 months)
研究者
Alime Buyuk
PhD,Akdeniz University, Physiotherapy and Rehabilitation Department
Akdeniz University