Prevalence of Temporomandibular Joint Disorders in Wind Musicians (TMD-WIND)

March 9, 2025 updated by: Maria Blanco Diaz, University of Oviedo

Prevalence of Temporomandibular Joint Disorders in Wind Musicians and Their Relationship with Instrument Type

This study aims to analyze the prevalence of temporomandibular joint disorders (TMD) in wind musicians, differentiating the impact by instrument type (woodwind vs. brass) and identifying potential risk factors (embouchure, posture, practice time). A cross-sectional observational design will be used, including professional and student musicians from orchestras and conservatories.

Study Overview

Status

Not yet recruiting

Detailed Description

This observational cross-sectional study aims to assess the prevalence of temporomandibular joint disorders (TMD) in wind musicians and analyze the impact of instrument type (woodwind vs. brass) on TMD prevalence. Additionally, the study will explore potential risk factors such as embouchure, posture, and practice time.

The study will recruit professional and student wind musicians from orchestras and conservatories. Participants will complete a validated questionnaire (DC/TMD) and undergo a clinical assessment to evaluate mandibular mobility, the presence of joint sounds (clicking, crepitus), and symptoms related to TMD.

The data collection will take place in a single session per participant, estimated between March 1, 2025, and April 15, 2025. The collected data will be analyzed to compare TMD prevalence between different instrument groups and assess correlations with practice habits and postural factors.

All data will be anonymized and stored securely according to applicable data protection regulations (LOPD 3/2018, GDPR 2016/679). Participation in the study is voluntary, and written informed consent will be obtained from all participants, or from their legal guardians in the case of minors.

Study Type

Observational

Enrollment (Estimated)

50

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

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

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Sampling Method

Non-Probability Sample

Study Population

The study population consists of professional and student wind musicians from different orchestras and conservatories. Participants play either woodwind or brass instruments and will be assessed for the prevalence of temporomandibular joint disorders (TMD) and related risk factors. The study includes musicians of any age, with parental consent required for minors.

Description

Inclusion Criteria:

  • Wind musicians (professional or student).
  • Any age (if under 18, parental/legal guardian consent is required).
  • Signed informed consent.

Exclusion Criteria:

  • History of maxillofacial surgery.
  • Presence of neurological disorders affecting mandibular function.
  • Recent treatment for TMD.
  • Severe bruxism diagnosis.

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

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Wind Woodwind Musicians
Musicians playing woodwind instruments (clarinet, saxophone, oboe, fagot, flute).
Not applicable (Observational Study)
Wind Brass Musicians
Musicians playing brass instruments (trumpet, trombone, tuba, horn).
Not applicable (Observational Study)

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Prevalence of Temporomandibular Joint Disorders (TMD) in Wind Musicians
Time Frame: Data will be collected in a single session per participant during the study period, estimated from March 1, 2025, to April 15, 2025.
Percentage of musicians diagnosed with TMD based on the DC/TMD questionnaire and clinical examination.
Data will be collected in a single session per participant during the study period, estimated from March 1, 2025, to April 15, 2025.

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Comparison of TMD prevalence between woodwind and brass musicians
Time Frame: Data will be collected in a single session per participant during the study period, estimated from March 1, 2025, to April 15, 2025.
Analysis of differences in TMD prevalence between musicians playing woodwind vs. brass instruments.
Data will be collected in a single session per participant during the study period, estimated from March 1, 2025, to April 15, 2025.
Association between practice hours per week and TMD symptoms
Time Frame: Data will be collected in a single session per participant during the study period, estimated from March 1, 2025, to April 15, 2025.
Exploration of the correlation between weekly practice time and severity of TMD symptoms based on questionnaire responses.
Data will be collected in a single session per participant during the study period, estimated from March 1, 2025, to April 15, 2025.
Mandibular Mobility Comparison in Musicians with and without TMD
Time Frame: Data will be collected in a single session per participant during the study period, estimated from March 1, 2025, to April 15, 2025.
Assessment of differences in maximal mouth opening and mandibular deviation between musicians with and without TMD. Mandibular mobility will be measured using a digital caliper to assess maximal mouth opening (in millimeters) and mandibular deviation. These measurements will be compared between participants diagnosed with TMD and those without TMD
Data will be collected in a single session per participant during the study period, estimated from March 1, 2025, to April 15, 2025.

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 (Estimated)

March 15, 2025

Primary Completion (Estimated)

March 30, 2025

Study Completion (Estimated)

April 15, 2025

Study Registration Dates

First Submitted

February 3, 2025

First Submitted That Met QC Criteria

February 6, 2025

First Posted (Actual)

March 25, 2025

Study Record Updates

Last Update Posted (Actual)

March 25, 2025

Last Update Submitted That Met QC Criteria

March 9, 2025

Last Verified

March 1, 2025

More Information

Terms related to this study

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

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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