An interventional study of manual therapy and therapy by exercise in Temporomandibular Disorder, Temporomandibular Joint Disorders and Temporomandibular Joint Dysfunction Syndrome, sponsored by University of Nove de Julho. Recruiting at 1 site in Brazil. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2025-03-04.
Sponsored by University of Nove de Julho · Not applicable, Interventional, and Treatment
Temporomandibular disorder or TMD is characterized by a set of symptoms such as: pain, decreased range of motion and joint noise. It's origin is multifactorial, which may be related to biological aspects, environmental and psychosocial. The multimodal approach has been widely used in physiotherapy for the treatment of TMDs. Physiotherapy has been walking together with technology so that telerehabilitation can be a reality, contributing so that quality care reaches the patient, in the impossibility office-to-face service. The objective of this study is to verify the effect of telerehabilitation on pain outcomes, range of motion, functionality and biopsychosocial aspects in individuals with temporomandibular disorders. Will be a randomized, controlled and blinded clinical trial was carried out. The study will be divided into two moments: evaluation and intervention. Evaluations will be carried out using the Diagnostic Criteria for Temporomandibular Disorders: Clinical Protocol and Assessment Instruments (DC/TMD), the Fonseca Anamnesis Index (IAF), the Numerical Pain Scale (END) and the Functional Limitation Questionnaire (MFIQ). Individuals will be randomized into 2 groups: Group A (in person) Group B (telerehabilitation). Both groups will receive treatment physical therapy for 12 weeks. After collecting the data, they will be tabulated and analyzed using a 5% significance level.
54 studies on the registry are indexed under Temporomandibular Joint Dysfunction Syndrome; 14 are open to participants now.
This study's planned enrollment of 50 is close to the median of 49 across 43 interventional studies indexed under Temporomandibular Joint Dysfunction Syndrome.
Browse Temporomandibular Joint Dysfunction Syndrome studies →University of Nove de Julho is the lead sponsor of 246 studies on the registry; 52 are open to participants now.
Of its 8 completed or terminated interventional studies of FDA-regulated products, 1 (13%) have results posted.
Compared within Temporomandibular Joint Dysfunction Syndrome, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Temporomandibular Joint Disorders. The counts are of registry records indexed under each term, refreshed daily. How we classify →
The patient will be submitted to multimodal treatment, twice a week, for twelve weeks, totaling 24 face-to-face consultations lasting 40 minutes each. In the first session, the patient will be explained what is TMD, what is the correct placement of the tongue and teeth, influence of parafunctional and sleep habits in TMD signs and symptoms.Techniques of manual therapy and therapy by exercise. In general, extra-oral and intraoral massage, myofascial release in the cranio-cervical musculature, mobilization of the hyoid bone and may also receive unspecific joint mobilization. Will be mouth opening exercise will be also performed with the tongue on the palate, proprioceptive exercises with hyperboloid. In addition to these, additional exercises may be performed, according to the patient's need. The conducts will be adapted according to the needs of each patient. The use of post its may be indicated to help maintain the correct posture of the tongue and jaw, as well as sleep hygiene.
Other: manual therapy and therapy by exercise
The patient will be submitted to multimodal treatment, twice a week, for twelve weeks, by telerehabilitation lasting 40 minutes each.A physiotherapist through video call via WhatsApp application. In the first session, the patient will be explained what is TMD, what is the correct placement of the tongue and teeth, influence of parafunctional and sleep habits in TMD signs and symptoms. Patients will be instructed to perform extra-oral and intra-oral self-massage and in the cranio-cervical musculature, bone mobilization hyoid, which would replace the mobilization unspecific articulation performed in person.Exercise will also be carried out mouth opening with tongue on the palate, exercises proprioceptives with hyperboloid. The conducts will be adapted according to the needs of each patient.The conducts will be adapted according to the needs of each patient.The use of post its may be indicated to help maintain the correct posture of the tongue and jaw, as well as sleep hygiene
Other: manual therapy and therapy by exercise
In general, patients will receive extra-oral massage and intraoral massage, myofascial release in the cranio-cervical musculature, mobilization of the hyoid bone and may also receive unspecific joint mobilization. Will bemouth opening exercise was also performed with the tongue on the palate, proprioceptive lateralization and protrusion exercises with hyperboloid and exercises with combinations of movements of laterality and opening, or protrusion and opening.
Score in Numerical Pain Scale
intensity of pain
Time frame: The level of pain at 12 weeks
Score in Numerical Pain Scale
intensity of pain
Time frame: The level of pain at 6 months
measure range of motion
range of motion
Time frame: The range of motion at range of motion at 12 weeks .
measure range of motion
range of motion
Time frame: The range of motion at 6 months.
measure Functionality
Mandibular Functional Limitation Questionnaire
Time frame: The functionality at 12 weeks .
measure Functionality
Mandibular Functional Limitation Questionnaire
Time frame: The functionality at 6 months.
Biopsychosocial analysis.
Axis II of the diagnostic criterion for temporomandibular disorders
Time frame: The biopsychosocial analysis at 12 weeks .
Biopsychosocial analysis.
Axis II of the diagnostic criterion for temporomandibular disorders
Time frame: The biopsychosocial analysis at 6 months.
Plan to share: No — The data is confidential, but if any journal requests open data for publication for sure we will provide our database
No publications or documents are linked to this record.
Started Sep 2021 (actual). Primary completion is estimated for Dec 2026, 63 months after the start.
Of 24 interventional studies with no phase under Temporomandibular Joint Dysfunction Syndrome, half reached primary completion within 9 months of starting (the median), counting those still running; a quarter within 4 and three quarters within 29. This study's planned 63 months is above that.
How these figures are worked out, and which studies are left out of them.
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Temporomandibular Joint Dysfunction Syndrome →