Forward Head Posture Correction Impact on Temporomandibular Dysfunction

March 14, 2024 updated by: Shima Abdollah Mohammad Zadeh

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

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.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

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.

Study Type

Interventional

Enrollment (Estimated)

63

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

Study Contact Backup

Study Locations

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

  • Adult

Accepts Healthy Volunteers

No

Description

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.

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: Denneroll protocol
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.
Device: Denneroll cervical traction orthodontic
traction for 3 to 15 minutes once daily
Active Comparator: Traditional protocol
consists of one strengthening exercise for 10 repetitions in 3 sets each, and two stretching exercises with a hold for 20-30 seconds.
Other: stretching and strengthening exercises
strengthening exercises with 10 repetitions twice per day 3 times per week stretching exercises with hold for 20 to 30 seconds 3 repetitions daily
Active Comparator: Dental management
formed soft occlusal splint will be individually designed for the upper arch of each participant.
Device: Vacuum-formed soft occlusal splint
2 mm thick elastic rubber sheets

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Anamnestic questionnaire by Fonseca
Time Frame: Baseline (pre-treatment) and week 7 (post-treatment)
To evaluate TMD by 10 questions with their corresponding scores from 0 to 1
Baseline (pre-treatment) and week 7 (post-treatment)
Craniocervical angle - CVA
Time Frame: 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
Baseline (pre-treatment) and week 7 (post-treatment)

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Boley Gauge
Time Frame: Baseline (pre-treatment) and week 7 (post-treatment)
Electronic Digital Caliper to assess mouth opening (active/passive)
Baseline (pre-treatment) and week 7 (post-treatment)
Numerical Rating Scale (NRS)
Time Frame: 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
Baseline (pre-treatment) and week 7 (post-treatment)
Mandibular Opening
Time Frame: Baseline (pre-treatment) and week 7 (post-treatment)
Tape to measure the distance between the incisal edges of upper and lower teeth
Baseline (pre-treatment) and week 7 (post-treatment)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Shima Abdollah Mohammad Zadeh

Investigators

  • Study Director: Shima Mohammad zadeh, University of Sharjah
  • Principal Investigator: Tamer Shousha, University of Sharjah

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

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 (Estimated)

October 1, 2025

Primary Completion (Estimated)

December 1, 2027

Study Completion (Estimated)

December 1, 2027

Study Registration Dates

First Submitted

November 2, 2023

First Submitted That Met QC Criteria

November 7, 2023

First Posted (Actual)

November 8, 2023

Study Record Updates

Last Update Posted (Actual)

March 15, 2024

Last Update Submitted That Met QC Criteria

March 14, 2024

Last Verified

March 1, 2024

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • FHP-TMD

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

No plan to make individual participant data (IPD) available to other researchers.

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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