Assessment of Temporomandibular Joint Mobility With Different Head Postures. Analysis of the Influence of Selected Manual Therapy Techniques on Temporomandibular Joint Mobility and Head Posture.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 100
- 主要终点
- CROM device
研究概览
简要总结
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.
详细描述
This study is designed to address the complex and often debated biomechanical relationship between craniocervical posture (head-to-neck alignment) and the function of the temporomandibular joint (TMJ). Clinical evidence suggests a strong link between forward head posture and temporomandibular disorders (TMDs). However, objective quantification of TMJ mobility changes induced purely by varying head position remains insufficiently documented. This trial seeks to establish a clear, quantifiable relationship and evaluate a targeted manual therapy intervention designed to optimize both head posture and TMJ function.
Objectives and Specific Aims
The overarching goal is to determine the dependence of temporomandibular joint mobility on the patient's head posture relative to the body, and to assess the impact of a defined physiotherapy program on these parameters.
Specific Aims include:
Functional Assessment: To perform a baseline functional evaluation of the TMJ in patients (aged 11 to 65) who are undergoing orthodontic treatment or require prosthetic reconstruction.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- 11 Years 至 65 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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.
排除标准
- •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).
结局指标
主要结局
CROM device
时间窗: Baseline and after 1 and 2 months
Cervical spine movements
JMA (Jaw Motion Analyzer) Axiograph
时间窗: Baseline and after 1 and 2 months
TMJ movements
次要结局
未报告次要终点