ClinicalTrials.gg
CompletedNCT07308145Updated Jul 21, 2026

The Effect of Bruxism on Balance

An observational study in Orthopedic Physical Therapy and Bruxism, sponsored by Istinye University. Completed at 1 site in Turkey (Türkiye). Open to participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-07-21.

Sponsored by Istinye University · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
54
Ages
18 Years to 50 Years
Sex
All
01

Study summary

This study will investigate the effect of bruxism on dynamic balance in desk-bound individuals. Participants will be divided into two groups based on whether they are diagnosed with bruxism or not. Dynamic balance and proprioception will be compared between individuals from each group.

Read the detailed description

This observational study will include two groups: a bruxism group (n=27) and a Non-bruxism control group (n=27). At baseline, all participants will undergo the following assessments: Overall health-related quality of life 'Short Form 36 (SF-36)', Sleep quality (Pittsburgh Sleep Quality Index), Anxiety levels 'Beck Anxiety Inventory (BAI)', Head and jaw joint pain 'Fonseca Anamnestic Index (FAI)', Pain level 'Visual Analog Scale (VAS)', Perceived Stress Scale, Trigger Point Evaluation by a digital algometer, Assessment of dynamic balance by 'TecnoBody Prokin 252', Evaluation of the Masseter Muscle by 'Myoton PRO'. All procedures will be performed under standardized conditions with instructions and demonstrations provided to participants. Our study will evaluate the effect of bruxism on dynamic balance in desk-bound individuals and aims to compare the dynamic balance performance between individuals with and without bruxism.

02

Conditions studied

  • Orthopedic Physical Therapy
  • Bruxism

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Keywords

  • Bruxism
  • Dynamic Balance
  • Desk Workers
  • Temporomandibular joint
03

In context

Bruxism

151 studies on the registry are indexed under Bruxism; 39 are open to participants now.

This study's enrollment of 54 is below the median of 89 across 55 observational studies indexed under Bruxism.

Browse Bruxism studies →

Lead sponsor

Istinye University is the lead sponsor of 221 studies on the registry; 94 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

This study will include adults aged 18-50 years old, Participants will be divided into two groups based on whether they're diagnosed with bruxism or not. Each group will contain 27 individuals. All participants must be able to follow instructions clearly and complete the study assessments.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age between 18 and 50 years,
  • Participants must be diagnosed with bruxism by a dentist,
  • Voluntary participation and signing the form,
  • The participant must have the cognitive capacity to communicate and understand instructions,
  • Desk work hours must be at least 4 hours.

Exclusion criteria

Exclusion Criteria:

  • Unable to cooperate,
  • Having active inflammatory arthritis,
  • Having had hip or knee surgery within the last 3 months,
  • Having a diagnosed psychiatric illness,
  • Having dentofacial anomalies,
  • Being pregnant,
  • Having a physical or cognitive condition that would prevent completion of the given test protocols,
  • Inability to comply with or cooperate with test procedures during the measurement period.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
54 participants (actual)
Patient registry
No

Groups and cohorts

  • Bruxism group

    Bruxism group: Adults aged 18-50 years who have bruxism symptoms. Participants will undergo assessments of Masseter muscle stiffness, trigger points, quality of life, sleep quality, and dynamic balance. No experimental interventions are assigned.

  • Non-bruxism group

    Non-bruxism group: Adults aged 18-50 years those who do not have bruxism symptoms. Participants will undergo assessments of Masseter muscle stiffness, trigger points, quality of life, sleep quality, and dynamic balance. No experimental interventions are assigned.

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What researchers measure

Primary outcomes

  1. Short Form 36 (SF-36)

    Quality of Life Scale/Short Form-36 (SF-36): SF-36 was developed by the Rand Corporation to obtain information about the health status of the individual. It was translated into Turkish by Koçyiğit and his colleagues, who conducted a validity and reliability study. It consists of eight sub-dimensions and 36 items. The sub-dimensions consist of physical function, social function, physical role difficulty, emotional state difficulty, mental health, energy/vitality, pain, and general perception of health. A score of "0" represents the worst health status, while "100" represents the best health status. Each sub-dimension is evaluated individually without calculating the total score.

    Time frame: Single assessment during study visit (1 day)

  2. Pittsburgh Sleep Quality Index

    Pittsburgh Sleep Quality Index (PSQI): It is a 24-question scale developed by Buysse et al. in 1989 that evaluates sleep quality in the last month. A Turkish validity and reliability study was performed in 1996. The sum of the scores of seven components, subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbance, sleep medication use, and daytime dysfunction, gives the total score index. The total PSQI score ranges from 0 to 21; a score above 5 points indicates poor sleep quality; a score of 5 points or less indicates good sleep quality. The PSQI is one of the most commonly used scales for evaluating sleep quality. The validity of the use of this index in sleep disorders has been tested before, and it has been frequently used in studies on bruxism.

    Time frame: Single assessment during study visit (1 day)

  3. Beck Anxiety Inventory (BAI)

    This scale's 21 items describe the most typical symptoms of anxiety disorders. It was developed to measure the intensity of anxiety symptoms in clinical populations. It asks respondents to indicate how much they have been affected by each symptom during the last week, on a scale from 0 (Not at all) to 3 (Severely - I could barely stand it). Total scores are the sum of all item scores, and range from 0 to 63; higher scores indicate higher anxiety. When this instrument was developed, the goal was to more easily discriminate between anxiety disorders and depressive disorders, whose symptoms frequently overlap on other assessment tools.

    Time frame: Single assessment during study visit (1 day)

  4. Fonseca Anamnestic Index

    Fonseca Anamnestic Index (FAI): It was developed in 1994 by Fonseca et al. and consists of 10 questions investigating pain in the head and TMJ. Turkish validity and reliability of the test was performed by Kaynak et al. The questionnaire includes various questions about joint, head, and neck pain; joint movements; parafunctional habits; impaired occlusion; and emotional stress. Participants were asked to answer "Yes" , "Sometimes" , or "No" to each question, and TMD was classified as none, mild, moderate, or severe according to the total score.

    Time frame: Single assessment during study visit (1 day)

  5. Pain level-Visual Analog Scale (VAS)

    Pain level-Visual Analog Scale: A visual analog scale (VAS) was used to assess the severity of pain related to bruxism. A VAS line was drawn on a 10 cm long horizontal line (0 = no pain and 10 = most intense pain), and the patient was asked to mark the pain intensity they perceived at rest, active use, and at night on this VAS line.

    Time frame: Single assessment during study visit (1 day)

  6. Trigger Point Evaluation

    Trigger points in trapezius, masseter and temporalis muscles will be evaluated by algometre. Sudden reaction or vocal response of the patient with light pressure applied to this point and the presence of reflected pain in a region distant from this region indicated the presence of a trigger point (the minimum and maximum pressure sensitivity range varies from person to person, as it differs in sensitivity).

    Time frame: Single assessment during study visit (1 day)

  7. Perceived Stress Scale

    Perceived Stress Scale: It was developed by Cohen, Kamarck, and Mermelstein in 1983 and consists of 14 items. Its Turkish validity and reliability was performed by Eskin et al., and this scale has been used in many studies on bruxism. The scale consists of two subdimensions: stress/discomfort perception and self-efficacy perception. Participants rate the stress they perceive on the scale as "0" never, "1" almost never, "2" sometimes, "3" often, and "4" very often. The stress level perceived by individuals is determined by summing the scores obtained from the items. A score between 0-56 points is obtained from the scale, and the higher the score, the higher the perceived stress level.

    Time frame: Single assessment during study visit (1 day)

  8. Measurement of dynamic balance

    Balance assessments will be performed using Computerized Posturography (ProKin 252, Tecnobody, Dalmine, Italy), this device provides objectively measurable data for balance measurements. TecnoBody Prokin 252 will be used to measure and evaluate the patient's dinamik balance and proprioception levels in detail.

    Time frame: Single assessment during study visit (1 day)

  9. Evaluation of the Masseter's muscle stiffness

    Masseter's muscle stiffness will be assessed with MyotonPRO. MyotonPRO (Muomeetria Ltd., Tallinn, Estonia) is a hand-held device used to quantify muscle stiffness. This device operates by generating a mechanical impulse on the skin overlying the muscle being assessed, followed by MyotonPRO measurements of the mechanical oscillations of muscles produced by the mechanical impulse. This method can determine the resistance of the muscle to deforming forces or muscle stiffness.

    Time frame: Single assessment during study visit (1 day)

07

Study locations

1 site
  • İstinye University
    Istanbul, 34522, Turkey (Türkiye)
08

References and documents

Publications

  • Chen Z, Shen Z, Ye X, Wu J, Wu H, Xu X. Association between Foot Posture Asymmetry and Static Stability in Patients with Knee Osteoarthritis: A Case-Control Study. Biomed Res Int. 2020 Jun 5;2020:1890917. doi: 10.1155/2020/1890917. eCollection 2020. PubMed 32596282 ↗
  • Silveira AM, Cericato GO, Meusel LDZV, Girotto LPDS, Bacchi A, Silva-Sousa YTC. Prevalence of temporomandibular disorders and associated factors: a population-based study in southern Brazil. Braz Oral Res. 2025 Sep 8;39:e092. doi: 10.1590/1807-3107bor-2025.vol39.092. eCollection 2025. PubMed 40929410 ↗
  • Divya M, Abinaya S, Alkousar Taz M, Manavalan N, Nivethitha L, Mooventhan A. Impact of yoga and naturopathy in a patient with unilateral Meniere's disease associated with pangastritis: A case report. J Bodyw Mov Ther. 2025 Dec;45:225-228. doi: 10.1016/j.jbmt.2025.08.032. Epub 2025 Aug 29. PubMed 41316580 ↗
  • Petzold Werle S, da Silveira J, de Azevedo Guimaraes AC. Effects of dance therapy on anxiety, stress, optimism and depressive symptoms in women undergoing breast cancer surgery: a randomized clinical trial. J Bodyw Mov Ther. 2025 Dec;45:516-523. doi: 10.1016/j.jbmt.2025.08.030. Epub 2025 Sep 4. PubMed 41316614 ↗
  • Huang D, Ke X, Jiang C, Song W, Feng J, Zhou H, Zhang R, Zhang A, Lan F. Effects of 12 weeks of Tai Chi on neuromuscular responses and postural control in elderly patients with sarcopenia: a randomized controlled trial. Front Neurol. 2023 Apr 28;14:1167957. doi: 10.3389/fneur.2023.1167957. eCollection 2023. PubMed 37188307 ↗
  • Luo W, Huang Z, Li H, Zhong T, Chen P, Min Y. Regulation of static and dynamic balance in healthy young adults: interactions between stance width and visual conditions. Front Bioeng Biotechnol. 2025 Jan 28;13:1538286. doi: 10.3389/fbioe.2025.1538286. eCollection 2025. PubMed 39935603 ↗
  • Luo W, Min Y, Chen P, Li H, Long Z, Sun J, Zhong T. Dual analysis of postural control in middle-aged and elderly patients with cervicogenic dizziness: Dynamic and static balance perspectives. Front Bioeng Biotechnol. 2025 Jul 22;13:1622648. doi: 10.3389/fbioe.2025.1622648. eCollection 2025. PubMed 40766971 ↗
  • Campos Lopez A, Estebanez-de-Miguel E, Camou Acedo T, Garcia-Pelagio KP, Albarova-Corral I, Malo Urries M, Villanueva-Melendez P. Reliability of myotonometry in the assessment of cervico-mandibular musculature: Inter/intra-examiner and inter/intra-session reliability study. Cranio. 2026 Mar;44(2):391-400. doi: 10.1080/08869634.2025.2528304. Epub 2025 Jul 7. PubMed 40620182 ↗
  • Ucar I, Kararti C, Dadali Y, Ozudogru A, Okcu M. Masseter Muscle Thickness And Elasticity in Bruxism After Exercise Treatment: A Comparison Trial. J Manipulative Physiol Ther. 2022 May;45(4):282-289. doi: 10.1016/j.jmpt.2022.07.004. Epub 2022 Aug 31. PubMed 36057478 ↗
  • Galczynska-Rusin M, Pobudek-Radzikowska M, Gawriolek K, Czajka-Jakubowska A. Gender-Related Biomechanical Properties of Masseter Muscle among Patients with Self-Assessment of Bruxism: A Comparative Study. J Clin Med. 2022 Feb 5;11(3):845. doi: 10.3390/jcm11030845. PubMed 35160297 ↗
  • Yagci I, Tasdelen Y, Kivrak Y. Childhood Trauma, Quality of Life, Sleep Quality, Anxiety and Depression Levels in People with Bruxism. Noro Psikiyatr Ars. 2020 Mar 2;57(2):131-135. doi: 10.29399/npa.23617. eCollection 2020 Jun. PubMed 32550779 ↗
  • Machado NAG, Costa YM, Quevedo HM, Stuginski-Barbosa J, Valle CM, Bonjardim LR, Garib DG, Conti PCR. The association of self-reported awake bruxism with anxiety, depression, pain threshold at pressure, pain vigilance, and quality of life in patients undergoing orthodontic treatment. J Appl Oral Sci. 2020 Mar 27;28:e20190407. doi: 10.1590/1678-2019-0407. eCollection 2020. PubMed 32236355 ↗
  • Santos Miotto Amorim C, Firsoff EF, Vieira GF, Costa JR, Marques AP. Effectiveness of two physical therapy interventions, relative to dental treatment in individuals with bruxism: study protocol of a randomized clinical trial. Trials. 2014 Jan 7;15:8. doi: 10.1186/1745-6215-15-8. PubMed 24398115 ↗
  • Abasiyanik Z, Kopruluoglu M, Ucurum SG, Kahraman T, Kurt M, Keskin M, Kaya DO. Association Between Spinal Curvature and Mobility and Balance Abilities in Young Soccer Players. Percept Mot Skills. 2025 Oct;132(5):988-1004. doi: 10.1177/00315125251338539. Epub 2025 May 13. PubMed 40364574 ↗
  • Yu JF, Chang TT, Zhang ZJ. The Reliability of MyotonPRO in Assessing Masseter Muscle Stiffness and the Effect of Muscle Contraction. Med Sci Monit. 2020 Nov 2;26:e926578. doi: 10.12659/MSM.926578. PubMed 33137025 ↗
  • Kadioglu MB, Sezer M, Elbasan B. Effects of Manual Therapy and Home Exercise Treatment on Pain, Stress, Sleep, and Life Quality in Patients with Bruxism: A Randomized Clinical Trial. Medicina (Kaunas). 2024 Dec 4;60(12):2007. doi: 10.3390/medicina60122007. PubMed 39768887 ↗
  • Vazquez Morejon AJ, Vazquez-Morejon Jimenez R, Zanin GB. Beck Anxiety Inventory: psychometric characteristics in a sample from the clinical Spanish population. Span J Psychol. 2014 Oct 28;17:E76. doi: 10.1017/sjp.2014.76. PubMed 26055653 ↗

Individual participant data

Plan to share: Undecided — At this time, there is no finalized plan to share individual participant data (IPD). Data may contain sensitive personal information, and sharing will require additional ethical approvals and anonymization. Decisions regarding data sharing will be made after the study is completed.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2025 to primary completion in Feb 2026, 1 month.

Of 13 observational studies under Bruxism, half reached primary completion within 15 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 28. This study's 1 month is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 15, 2025
First posted
Dec 29, 2025
StartActual
Dec 31, 2025
Primary completionActual
Feb 27, 2026
CompletionActual
Mar 30, 2026
Last update
Jul 21, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07308145
Lead sponsor
Istinye University
Responsible party
Sponsor
First posted
Dec 29, 2025
Start date
Dec 31, 2025
Primary completion
Feb 27, 2026
Completion
Mar 30, 2026
Last update
Jul 21, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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