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Effects of a Thermoformable Mouthguard on Cervical Posture and Running Performance in Non-professional Runners

Effects of a Thermoformable Mouthguard on Cervical Posture and Running Performance in Non-professional Runners : A Prospective Within-subject Pilot Study

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07716631
Enrollment
10
Registered
2026-07-21
Start date
2025-10-01
Completion date
2026-05-25
Last updated
2026-07-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Craniovertebral Angle, Heart Rate, Occlusal Mouthguards, Posture

Keywords

Mouthguard, Posture, Craniovertebral angle

Brief summary

The stomatognathic system is functionally connected to the overall body system. Occlusal modification using intraoral devices may therefore influence postural alignment and physiological responses during exercise. However, evidence regarding the combined effects of mouthguard use on cervical posture and running performance remains limited. This study evaluates the effects of a thermoformable mouthguard on craniovertebral angle, heart rate, respiratory rate and running performance in non-professional runners.

Detailed description

A prospective within-subject pilot study was conducted in nine non-professional runners. Each participant was assessed under two conditions : natural occlusion and thermoformable mouthguard. Static cervical posture was evaluated using the craniovertebral angle. Running performance was assessed recording heart rate, respiratory rate and running pace.

Interventions

OTHERThermoformable mouthguard

The intervention consisted of a thermoformable mouthguard individually adapted to each participant. The device used was the Domyos Adult Bi-Material Mouthguard (Decathlon, France), composed of high-density ethylene-vinyl acetate and styrene-ethylene-butadiene-styrene.

Sponsors

Universidad Europea de Valencia
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SCREENING
Masking
NONE

Intervention model description

A prospective within-subject pilot study was conducted in nine non-professional runners enrolled at the Universidad Europea de Valencia, Spain. Each participant was assessed under two conditions : natural occlusion and thermoformable mouthguard. Static cervical posture was evaluated using the craniovertebral angle measured from standardized lateral photographs with the APECS system. Running performance was assessed during four 5-km running sessions per condition recording heart rate, respiratory rate and running pace. Non-parametric statistical methods were performed, and associations between changes in posture and performance were explored using Spearman correlation coefficients.

Eligibility

Sex/Gender
ALL
Age
18 Years to 25 Years
Healthy volunteers
Yes

Inclusion criteria

* Students from Universidad Europea de Valencia enrolled in dentistry and physiotherapy programs, aged between 18 and 25 years * Regularly engaged in running training, with at least one year of experience * Already participated in an official half marathon * Good general health status * Willingness to comply with the study protocol and provision of written informed consent prior to participation

Exclusion criteria

* Subjects reporting a history of muscular injuries, active inflammatory or infectious processes in the last 6 months * Known cardiovascular diseases * Pregnancy * Use of orthopedic shoe insoles * Use of mouthguard during running As I am unable to upload the flow chart image, I have provided its content in text format below. 1. Recruitment * Participants assessed for eligibility (n = 17) * Excluded (n = 8): * Declined participation due to lack of time (n = 3) * Did not meet the inclusion criteria (n = 5) 2. Allocation and follow-up * Participants included in the study (n = 9) * Assigned to both conditions (within-subject design): * Natural occlusion condition (n = 9) * Thermoformable mouthguard condition (n = 9) * Completed follow-up (n = 9) 3. Analysis - Participants included in the final analysis (n = 9)

Design outcomes

Primary

MeasureTime frameDescription
Effects on cervical posture (CVA)Measurements were taken during the training sessions (Day 1)The CVA served as the primary postural variable, reflecting head and cervical alignment. It was calculated from standardized photographs using the APECS system, based on the angle between a horizontal cervical reference line and a line extending from the tragion to the same point. Lower CVA values indicate a forward head posture.

Secondary

MeasureTime frameDescription
Heart RateMeasurements were taken during the training sessions (Day 1)It was recorded during the running test to evaluate the cardiovascular response under each occlusal condition.

Countries

Spain

Contacts

STUDY_DIRECTORMaria del Carmen Ferrer Serena

Universidad Europea de Valencia

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jul 28, 2026