- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04210921
Clinical Efficacy of Acupuncture in the Treatment of Temporomandibular Disorders (TMD)
December 24, 2019 updated by: Li bin, Beijing Hospital of Traditional Chinese Medicine
Clinical Efficacy of Acupuncture in the Treatment of Temporomandibular Disorders(TMD)
This is a single-blinded, randomized controlled trial to explore the effectiveness of acupuncture in the treatment of the pain due to TMD using the latest diagnostic criteria combined with subjective and objective indexes.
Study Overview
Status
Unknown
Conditions
Intervention / Treatment
Detailed Description
This is a single-blinded, randomized controlled clinical trial.
A total of 60 participants will be randomly assigned to two different groups.
The treatment group will receive acupuncture with real penetration of the needle, while participants in the control group will be treated with the Park sham needle.
All participants will be given for 4 weeks of treatment and 4 weeks of follow-up.The primary end-point is the reducing in intensity of pain due to TMD, which will be evaluated before treatment, 4 weeks after treatment and follow-up (4 weeks after treatment) by using 0-10 visual analogue score.
Secondary end points include Graded Chronic Pain Scale Version 2.0(GCPS 2.0),Jaw Functional Limitations Scale - 20-item (JFLS-20),Depression, Anxiety and Stress Scales (DASS-21),Pittsburgh sleep quality index (PSQI),Pressure Pain Threshold (PPT),Surface electromyogram(sEMG).
Study Type
Interventional
Enrollment (Anticipated)
60
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Bin Li Dr
- Phone Number: 0086-18910781852
- Email: libin@bjzhongyi.com
Study Contact Backup
- Name: Lu Liu Dr
- Phone Number: 0086-13520788752
- Email: liu_lu1985@aliyun.com
Study Locations
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Beijing, China
- Recruiting
- Beijing Hospital of Traditional Chinese Medicine affiliated to the Capital Medical University
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 80 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Pain disorders in accordance with Diagnostic Criteria for Temporomandibular Disorders (DC/TMD)
- Pain in the jaw, temple, in the ear, in front of ear or headache in the temple at any sides, and pain or headache modified (remission or aggravation) with movement at least 3 months.
- Cooperated in completing the clinical trial successfully without language and mental disorders.
Exclusion Criteria:
- Conditions that result in regional pain in temporomandibular joint.
- Autoimmune diseases that result in regional pain in the temporomandibular joint.
- Mental illness or substance abuse.
- Pregnant women.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Treatment group
In the treatment group, the Park needle with a real acupuncture will be penetrated in an appropriate angle into a depth of 10-15 mm.
Acupuncture manually manipulated by lifting, thrusting, and twirling methods to produce a characteristic sensation known as "De Qi" (feeling of needle sensation refers to tenseness around the needle felt by the practitioner and numbness, distension, soreness, and heaviness around the point felt by the patient), and needles will be stimulated manually at least 10 s, then the needles will be retained for 30 minutes.
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The acupuncture will be penetrated in an appropriate angle into a depth of 10-15 mm.
Acupuncture manually manipulated by lifting, thrusting, and twirling methods to produce a characteristic sensation known as "De Qi" .
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Placebo Comparator: Control group
In the control group, the Park sham needle will instead of the real needle.
It is retractile and adopts the sleeve type blunt needle design.
When the blunt needle goes through the adhesive and contact with skin, it will move back into the hollow centre of the handle rather than penetrate into skin.
The sham needle may be manipulated by lifting, thrusting or twirling as the real one, but it will not insert into the skin authentically.
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When the blunt needle goes through the adhesive and contact with skin, it will move back into the hollow centre of the handle rather than penetrate into skin.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Visual analogue scale(VAS)
Time Frame: Baseline,Week- 4(treatment period) and Week-8(follow-up period)
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VAS is an international scale which reflects pain intensity and it has a 10-cm line ranging from 0 cm (no pain at all) to 10 cm (extremely painful).
Pain intensity or pain relief in the tempormandibular joints will be measured by VAS.
And then the investigators will compare the change of different time frames.The total score of this index is 10, and the better effect with the lower score.
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Baseline,Week- 4(treatment period) and Week-8(follow-up period)
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Graded Chronic Pain Scale Version 2.0(GCPS 2.0)
Time Frame: Baseline,Week- 4(treatment period) and Week-8(follow-up period)
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This scale includes the description of the degree of pain, a description of function, and a description of the time period of pain, which will provide effective data of the degree of pain within 1 month.The result of the index is divided into 5 grades.
The less pain and influence with the lower the grade.
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Baseline,Week- 4(treatment period) and Week-8(follow-up period)
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Jaw Functional Limitations Scale - 20-item (JFLS-20)
Time Frame: Baseline,Week- 4(treatment period) and Week-8(follow-up period)
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This scale includes the evaluation of mastication limitation, the evaluation of vertical mobility limitation, the evaluation of verbal and nonverbal communication limitation.There are 20 items in this index, with a total score of 200 points.
The better the mandibular function with the lower the score.
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Baseline,Week- 4(treatment period) and Week-8(follow-up period)
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Depression, Anxiety and Stress Scales (DASS-21)
Time Frame: Baseline,Week- 4(treatment period) and Week-8(follow-up period)
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This scale consists of three parts, 21 items in total.
The total score of each part is 21 points.
Less emotional distress with the lower the score.
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Baseline,Week- 4(treatment period) and Week-8(follow-up period)
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Pittsburgh sleep quality index (PSQI)
Time Frame: Baseline,Week- 4(treatment period) and Week-8(follow-up period)
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The total score of this scale is 21.
The better the sleep quality with the lower score.
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Baseline,Week- 4(treatment period) and Week-8(follow-up period)
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Pressure Pain Threshold (PPT)
Time Frame: Baseline and Week- 4(treatment period)
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Participants will sit comfortably and relax their muscles during this measurement.
A needle will be pressed at a constant speed perpendicular to the skin (0.5kg /cm2/second).The evaluator will be informed as soon as the participants feel pain and then record the results of measurement.
The treatment is effective If the participants show elevated PPT after 4 weeks of treatment.
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Baseline and Week- 4(treatment period)
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Surface electromyogram(sEMG)
Time Frame: Baseline and Week- 4(treatment period)
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The electrodes will be placed parallel to the muscle fibers of the specify what muschemuscle.EMG signal acquisition will be performed in three tasks: mandibular resting position (MR), during maximal voluntary contraction (MVC), and during habitual chewing (HC).
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Baseline and Week- 4(treatment period)
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
April 1, 2019
Primary Completion (Anticipated)
June 30, 2020
Study Completion (Anticipated)
June 30, 2020
Study Registration Dates
First Submitted
November 8, 2019
First Submitted That Met QC Criteria
December 24, 2019
First Posted (Actual)
December 26, 2019
Study Record Updates
Last Update Posted (Actual)
December 26, 2019
Last Update Submitted That Met QC Criteria
December 24, 2019
Last Verified
December 1, 2019
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2018BL-060-01
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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