Temporomandibular Disorder, Forward Head Posture
Conditions
Keywords
Traction, Exercise, Pain, Temporomandibular dysfunction
Brief summary
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.
Detailed description
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.
Interventions
traction for 3 to 15 minutes once daily
strengthening exercises with 10 repetitions twice per day 3 times per week stretching exercises with hold for 20 to 30 seconds 3 repetitions daily
DEVICEVacuum-formed soft occlusal splint
2 mm thick elastic rubber sheets
Sponsors
Shima Abdollah Mohammad Zadeh
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
Single blinded study where the participants will be blinded to the study different groups and the study hypothesis.
Intervention model description
Permuted block randomization to ensure an equal number of allocations in each of the three groups (traditional, Denneroll cervical traction orthodontic and dental treatment). Each random block was stored in opaque sealed envelopes consecutively numbered with a third researcher. Once each participant officially joins the study the researcher will open the subsequent envelop.
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* 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 \< 50. * 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.
Exclusion criteria
* Previous head, neck or TMJ traumas. * History of temporomandibular joint surgery.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Anamnestic questionnaire by Fonseca | 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 | 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 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Boley Gauge | Baseline (pre-treatment) and week 7 (post-treatment) | Electronic Digital Caliper to assess mouth opening (active/passive) |
| Numerical Rating Scale (NRS) | Baseline (pre-treatment) and week 7 (post-treatment) | 0-10 scale (zero represents no pain and 10 is the worst pain ever) to record orofacial pain |
| Mandibular Opening | Baseline (pre-treatment) and week 7 (post-treatment) | Tape to measure the distance between the incisal edges of upper and lower teeth |
Countries
United Arab Emirates
Contacts
Primary ContactShima Mohammad Zadeh
Backup ContactTamer Shousha
Outcome results
None listed