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An Investigation of Cranio-Cervico-Mandibular Factors Predicting the Severity of Temporomandibular Disorders

18 juni 2026 uppdaterad av: sevilay seda bas
This cross-sectional study will examine the relationship between mandibular dysfunction, cervical joint position sense, craniovertebral angle, neck pain, and temporomandibular dysfunction (TMD) severity. TMD severity, mandibular function, cervical proprioception, craniovertebral angle, and neck pain history will be assessed using standardized clinical tools and questionnaires. The study will evaluate the associations between these variables and determine the factors that may predict TMD severity.

Studieöversikt

Status

Rekrytering

Intervention / Behandling

Studietyp

Observationell

Inskrivning (Beräknad)

60

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

  • Namn: Sevilay Seda BAŞ, PhD
  • Telefonnummer: +90 (312) 906 1683
  • E-post: ssbas@aybu.edu.tr

Studieorter

      • Ankara, Turkiet (Türkiye)
        • Rekrytering
        • Ankara Yıldırım Beyazıt University, Department of Physiotherapy and Rehabilitation
        • Kontakt:

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Vuxen

Tar emot friska volontärer

Nej

Testmetod

Icke-sannolikhetsprov

Studera befolkning

Adults aged 18 years or older with a Fonseca Anamnestic Index (FAI) score of 20 or higher who gave written consent were included. Participants were people with jaw (TMJ) and/or neck complaints. People were excluded if they had recent treatment (last 6 months) for the jaw or neck, used pain or muscle relaxant drugs, had previous neck or jaw surgery or major trauma, jaw dislocation or subluxation, missing teeth or dental prostheses, or neurological, rheumatologic, or systemic inflammatory diseases.

Beskrivning

Inclusion Criteria:

  • Fonseca Anamnestic Index score > 15
  • aged 18 years and older

Exclusion Criteria:

  • Received medical, orthodontic, or physiotherapy treatment targeting the temporomandibular joint and/or cervical region within the past six months
  • used analgesic, anti-inflammatory, or muscle relaxant medications
  • history of cervical spine or cranio-cervical surgery or major trauma
  • a history of facial or TMJ trauma, TMJ subluxation or dislocation
  • partial or complete dental prostheses
  • had missing teeth
  • neurological, rheumatological, or systemic inflammatory diseases

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

Kohorter och interventioner

Grupp / Kohort
Intervention / Behandling
TMD Symptomatic Participants
Participants with temporomandibular dysfunction (TMD) symptoms will be included in the study. All participants will undergo clinical and questionnaire-based assessments to evaluate mandibular function, cervical joint position sense, craniovertebral angle, neck pain history, and TMD severity.
No intervention was applied.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Temporomandibular Dysfunction Severity
Tidsram: Single assessment at baseline (cross-sectional evaluation)
TMD severity will be assessed using the Fonseca Anamnestic Index, which evaluates the severity of temporomandibular dysfunction symptoms. It is a 10-item self-report questionnaire. Each item is scored as "Yes" (10 points), "Sometimes" (5 points), or "No" (0 points), with a total score calculated by summing all items.
Single assessment at baseline (cross-sectional evaluation)

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Cervical Extension Joint Position Sense
Tidsram: Single assessment at baseline (cross-sectional evaluation)
Cervical extension joint position sense will be assessed in a sitting position using an Acumar dual digital inclinometer. Participants will be asked to actively move their neck to 30° of cervical extension, memorize the target position, and then reproduce the same angle. The procedure will be repeated three times, and the average absolute error will be recorded.
Single assessment at baseline (cross-sectional evaluation)
Cervical Flexion Joint Position Sense
Tidsram: Single assessment at baseline (cross-sectional evaluation)
Cervical flexion joint position sense will be assessed in a sitting position using an Acumar dual digital inclinometer. Participants will be asked to actively move their neck to 30° of cervical flexion, memorize the target position, and then reproduce the same angle. The procedure will be repeated three times, and the average absolute error will be recorded.
Single assessment at baseline (cross-sectional evaluation)
Cervical Lateral Flexion Joint Position Sense
Tidsram: Single assessment at baseline (cross-sectional evaluation)
Cervical lateral flexion joint position sense will be assessed in a sitting position using an Acumar dual digital inclinometer. Participants will be asked to actively move their neck to 30° of lateral flexion, memorize the target position, and then reproduce the same angle. The procedure will be repeated three times, and the average absolute error will be recorded.
Single assessment at baseline (cross-sectional evaluation)
Cervical Rotation Joint Position Sense
Tidsram: Single assessment at baseline (cross-sectional evaluation)
Cervical rotation joint position sense will be assessed in a supine position using an Acumar dual digital inclinometer. Participants will be asked to actively rotate their head to 50° of cervical rotation, memorize the target position, and then reproduce the same angle. The procedure will be repeated three times, and the mean absolute error will be recorded.
Single assessment at baseline (cross-sectional evaluation)
Craniovertebral Angle
Tidsram: Single assessment at baseline (cross-sectional evaluation)
Craniovertebral angle will be measured using a two-dimensional image analysis method with Kinovea software from standardized lateral photographs. The tragus and C7 vertebra will be used as anatomical reference points to calculate the angle, and the mean of three measurements will be recorded for each participant.
Single assessment at baseline (cross-sectional evaluation)
Neck Musculoskeletal Symptoms
Tidsram: Single assessment at baseline (cross-sectional evaluation)
Musculoskeletal symptoms will be assessed using the Standardized Nordic Musculoskeletal Questionnaire. The questionnaire evaluates the presence of symptoms in different body regions over the past 12 months and past 7 days. Only neck pain-related variables will be used for analysis in line with the study objectives, while other data will be reported descriptively.
Single assessment at baseline (cross-sectional evaluation)
Mandibular Function Impairment Questionnaire
Tidsram: Single assessment at baseline (cross-sectional evaluation)
Mandibular function will be assessed using the Mandibular Function Impairment Questionnaire (MFIQ). The MFIQ is a 17-item self-report scale evaluating functional limitations during activities such as chewing, speaking, and yawning. Each item is scored on a 0-4 Likert scale, with higher scores indicating greater impairment.
Single assessment at baseline (cross-sectional evaluation)

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

19 juni 2026

Primärt slutförande (Beräknad)

10 juli 2026

Avslutad studie (Beräknad)

10 juli 2026

Studieregistreringsdatum

Först inskickad

18 juni 2026

Först inskickad som uppfyllde QC-kriterierna

18 juni 2026

Första postat (Faktisk)

24 juni 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

24 juni 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

18 juni 2026

Senast verifierad

1 juni 2026

Mer information

Termer relaterade till denna studie

Läkemedels- och apparatinformation, studiedokument

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Nej

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Nej

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