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临床试验/NCT06123351
NCT06123351尚未招募不适用

Forward Head Posture Correction Impact on Temporomandibular Dysfunction: A Randomized Controlled Trial

Shima Abdollah Mohammad Zadeh1 个研究点 分布在 1 个国家目标入组 63 人开始时间: 2025年10月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
尚未招募
发起方
入组人数
63
试验地点
1
主要终点
Anamnestic questionnaire by Fonseca

研究概览

简要总结

The goal of this clinical trial is to test the effect of nerd neck correction on damaged jaw in people who suffers from jaw problems and nerd neck. The main question it aims to answer:

  • whether there are different effects of traditional nerd neck correction exercises, device correction method and dental splints on jaw features of pain and function.

Participants will:

  • participants will be given the consent to sign first.
  • participants will be assessed to check jaw pain and function.
  • participants will be divided randomly into 3 groups.
  • Each group will be given the treatment sessions for 6 weeks.
  • participants will come back after 6 weeks for one last assessment.

Researchers will compare traditional, new and dental treatment groups to see if there is improvement in jaw characteristics.

详细描述

The relationship between the two conditions of forward head posture (FHP) and temporomandibular joint dysfunction (TMD) have been previously stated with comparing the craniocervical angle (CVA) of TMD patients to the healthy individuals, still a clear relationship couldn't be drawn due to different study limitations such as the lack of subdivision in the TMD patients based on their diagnostic subcategories in addition to, patients posture might have been altered while the photo was captured. Ever since, multiple researchers deliberately investigated the two conditions association and inferred the following: 1. FHP can be a risk factor resulting in TMD where any alteration in the head position produces more tension on the masticatory muscles by changing the mandible position 2. TMD origins from muscular component is more significant than articular component yet the correlation between head posture and TMD is still not clear enough, however, if FHP and myogenic TMD were linked preventive measures can be taken. recently, multiple studies established a relation between the occurrence of FHP in TMD patients which supported the hypothesized relation between them.

Till present, no study has investigated the FHP Denneroll cervical traction orthodontic (DCTO) correction impact alone on TMD and this is where the purpose of this study arises from.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Single (Participant)

盲法说明

Single blinded study where the participants will be blinded to the study different groups and the study hypothesis.

入排标准

年龄范围
18 Years 至 50 Years(Adult)
性别
All
接受健康志愿者
否

入选标准

  • •The participant experiencing one or more of TMD signs or symptoms and has been diagnosed with TMD beside having forward head posture with craniocervical (CVA) angle <
  • •The study will be limited to the patients in the dental clinic of the university of Sharjah.
  • •Participants experiencing mild to moderate myogenic TMD with symptoms of orofacial pain and limited range of jaw opening.

排除标准

  • •Previous head, neck or TMJ traumas.
  • •History of temporomandibular joint surgery.

研究组 & 干预措施

Denneroll protocol

Experimental

orthotic will be placed under participants' neck. Treatment session time begin with 3 minutes then increase of 2-3 minutes until they reach 15 to 20 minutes in each session.

干预措施: Denneroll cervical traction orthodontic (Device)

Dental management

Active Comparator

formed soft occlusal splint will be individually designed for the upper arch of each participant.

干预措施: Vacuum-formed soft occlusal splint (Device)

Traditional protocol

Active Comparator

consists of one strengthening exercise for 10 repetitions in 3 sets each, and two stretching exercises with a hold for 20-30 seconds.

干预措施: stretching and strengthening exercises (Other)

结局指标

主要结局

Anamnestic questionnaire by Fonseca

时间窗: Baseline (pre-treatment) and week 7 (post-treatment)

To evaluate TMD by 10 questions with their corresponding scores from 0 to 1

Craniocervical angle - CVA

时间窗: Baseline (pre-treatment) and week 7 (post-treatment)

photographic method to evaluate the angle where an angle less than 50 degrees will be considered as forward head posture

次要结局

  • Boley Gauge(Baseline (pre-treatment) and week 7 (post-treatment))
  • Numerical Rating Scale (NRS)(Baseline (pre-treatment) and week 7 (post-treatment))
  • Mandibular Opening(Baseline (pre-treatment) and week 7 (post-treatment))

研究者

发起方
Shima Abdollah Mohammad Zadeh
申办方类型
Other
责任方
Sponsor Investigator
主要研究者

Shima Abdollah Mohammad Zadeh

Principal Investigator

University of Sharjah

研究点 (1)

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