Hypermobile Ehlers-Danlos Syndrome
Conditions
Brief summary
The aim of this study is to analyze the effects of strictly defined physiotherapy in patients temporomandibular dysfunction (TMD) and hypermobile Ehlers-Danlos Syndrome (hEDS). Patients will be clinically examined before starting physiotherapy and fill in the questionnaires. Subsequently, it will be followed up whether changes occur as a result of physiotherapy. This study is a pilot study and is intended to be hypothesis generating in nature. Based on the resulting hypothesis, it will be verified by a study with a control group.
Interventions
PROCEDUREPhysiotherapy
Various physiotherapeutic techniques are used in three defined sessions. Before the first session, a dental examination is performed and a clinical functional status is obtained to assess the extent of temporomandibular dysfunction. The results are recorded on validated questionnaires.
Sponsors
German Society of Craniomandibular Function and Disorders in the DGZMK.
University Hospital Muenster
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. written consent to participate in the study 2. confirmed diagnosis of hEDS (based on the diagnostic criteria of the current classification of 2017). 3. pain in the area of the masticatory muscles and/or the temporomandibular joints 4. command of the German language, both spoken and written
Exclusion criteria
1. currently undergoing TMD-specific treatment (physiotherapy, pain therapy masticatory muscles and/or temporomandibular joint, orthopedic treatment, osteopathic treatment). 2. persons diagnosed with depression, anxiety or stress disorder 3. taking opiates 4. pregnant women 5. minors 6. persons with mental disability 7. persons who are not able to speak and write the German language 8. persons with legal representatives
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reduction of temporomandibular pain | Up to 3 months after the last physiotherapy intervention | The German version of the Graded chronic pain scale (GCS) is used to measure the level of pain. The score ranges from level 0-IV, 0 representing no pain, I-II functional pain, and level III-IV dysfunctional, chronic pain. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Effects on psychosocial impairment | Up to 3 months after the last physiotherapy intervention | The German version of the Depression Anxiety Stress Scale (DASS) is used to assess psychosocial impairment. The scale assesses the the dimensions Depression, Anxiety and Stress. The scale comprises a total of 21 questions, 7 questions for each of the named dimensions. Each question can be answered from 0-3, 0 for no impact and 3 for highest impact. The scores for each dimension are added. An increased probability for the occurrence of depression occurs with values from 10, for anxiety from 6 and for stress from 10. |
| Effects on oral health-related quality of life (OHRQoL) | Up to 3 months after the last physiotherapy intervention | The German version of the Oral Health Impact Profile (OHIP-G5) is used to assess OHRQoL. The questionnaire consists of 5 questions covering the 4 dimensions Oral Function, Orofascial Pain, Orofacial Appearance and Psychosocial impact. Each question can be answered from 0-4, where 0 stands for no impact and 4 for the highest impact. The values for the individual dimensions are formed and therefore range from 0-4 points; two questions address the Oral Function dimension, which is why values of 0-8 can be achieved here. |
Countries
Germany
Outcome results
None listed