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RecruitingNCT07474662Updated Mar 16, 2026

Comparing the Effectiveness of Online vs. Face-to-face Physiotherapy for Treating Temporomandibular Disorders

An interventional study of Individual physiotherapy and Group physiotherapy in Temporomandibular Disorders (TMD), Orofacial Pain and Temporo-mandibular Dysfunction, sponsored by Semmelweis University. Recruiting at 2 sites in Hungary. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-16.

Sponsored by Semmelweis University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
90
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Dentists and physiotherapists have two options for treating these conditions: splint therapy and physiotherapy. Right now, the gold standard is individual physiotherapy, which contains manual therapy and active exercises too. Since not many dentists and physiotherapists are experts in this area, patients have to wait for months or even years to get their treatment. Thanks to social media, patients can find many information about their condition while they are waiting, but it's our responsibility to provide safe and effective information. In view of this situation, our aim is to find out if online or group physiotherapy is as effective as individual physiotherapy.

02

Conditions studied

  • Temporomandibular Disorders (TMD)
  • Orofacial Pain
  • Temporo-mandibular Dysfunction
  • Temporomandibular Joint and Muscle Disorder
  • TMD/Orofacial Pain
  • Temporomandibular Disorder (TMD)
  • Temporomandibular Disorders (TMDs)

Keywords

  • Temporomandibular Disorders (TMDs)
  • Physiotherapy
  • Manual therapy
  • Online
  • Group physiotherapy
  • Individual physiotherapy
  • Video exercises
  • Telemedicine
  • Teledentistry
03

In context

Temporomandibular Joint Disorders

609 studies on the registry are indexed under Temporomandibular Joint Disorders; 160 are open to participants now.

This study's planned enrollment of 90 is above the median of 46 across 434 interventional studies indexed under Temporomandibular Joint Disorders.

Browse Temporomandibular Joint Disorders studies →

Lead sponsor

Semmelweis University is the lead sponsor of 136 studies on the registry; 54 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients with myalgia

Exclusion criteria

Exclusion Criteria:

  • Children, patients with systemic rheumatic diseases (RA, SLE..), previous jaw surgery or trauma
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
90 participants (estimated)

Study arms

  • Experimental
    Online physiotherapy

    These group of patients will get a well-detailed video about the exercises for treatment of temporomandibular disorders (TMDs). This video will be available during the whole 4-week treatment period.

    Procedure: Individual physiotherapy · Procedure: Group physiotherapy

  • Experimental
    Group physiotherapy

    This study group will have a 30-minute face-to-face physiotherapy appointment in small groups (5 person in one group). The physiotherapist will teach them how to perform the exercises correctly. At the end of the appointment, they will get a description about the exercises for the treatment of TMDs. They will practice the exercises at home for 4 weeks.

    Procedure: Individual physiotherapy · Procedure: Online physiotherapy

  • Active comparator
    Individual physiotherapy

    This study group will have a 30-minute face-to-face physiotherapy appointment individually. The physiotherapist will teach them how to perform the exercises correctly. At the end of the appointment, they will get a description about the exercises for the treatment of TMDs. They will practice the exercises at home for 4 weeks.

    Procedure: Group physiotherapy · Procedure: Online physiotherapy

Interventions

  • ProcedureIndividual physiotherapy

    Been included in "arm descriptions"

  • ProcedureGroup physiotherapy

    Been included in "arm descriptions"

  • ProcedureOnline physiotherapy

    Been included in "arm descriptions"

06

What researchers measure

Primary outcomes

  1. Pain measured at Visual Analogue Scale

    We will examine the level of pain experienced by patients at rest and when opening their mouths before and after the procedure.

    Time frame: Before physiotherapy and one month after physiotherapy

Secondary outcomes

  1. RDC/TMD results

    Dentists reassess patients after 1 month using the RDC/TMD

    Time frame: 1 month

07

Study locations

2 of 2 sites recruiting
  • Bajcsy-Zsilinszky Hospital
    Budapest, Pest County 1106, Hungary
    Recruiting
  • Department of Prosthodontics, Semmelweis University
    Budapest, 1088, Hungary
    Recruiting
08

References and documents

Publications

  • Basch CH, Yin J, Walker ND, de Leon AJ, Fung IC. TMJ online: Investigating temporomandibular disorders as "TMJ" on YouTube. J Oral Rehabil. 2018 Jan;45(1):34-40. doi: 10.1111/joor.12580. Epub 2017 Oct 24. PubMed 28965355 ↗
  • van der Meer HA, de Pijper L, van Bruxvoort T, Visscher CM, Nijhuis-van der Sanden MWG, Engelbert RHH, Speksnijder CM. Using e-Health in the physical therapeutic care process for patients with temporomandibular disorders: a qualitative study on the perspective of physical therapists and patients. Disabil Rehabil. 2022 Feb;44(4):617-624. doi: 10.1080/09638288.2020.1775900. Epub 2020 Jun 16. PubMed 32543903 ↗
  • Anastassaki Kohler A, Hugoson A, Magnusson T. Prevalence of symptoms indicative of temporomandibular disorders in adults: cross-sectional epidemiological investigations covering two decades. Acta Odontol Scand. 2012 May;70(3):213-23. doi: 10.3109/00016357.2011.634832. Epub 2011 Nov 30. PubMed 22126531 ↗
  • Maixner W, Fillingim RB, Williams DA, Smith SB, Slade GD. Overlapping Chronic Pain Conditions: Implications for Diagnosis and Classification. J Pain. 2016 Sep;17(9 Suppl):T93-T107. doi: 10.1016/j.jpain.2016.06.002. PubMed 27586833 ↗
  • Lung J, Bell L, Heslop M, Cuming S, Ariyawardana A. Prevalence of temporomandibular disorders among a cohort of university undergraduates in Australia. J Investig Clin Dent. 2018 Aug;9(3):e12341. doi: 10.1111/jicd.12341. Epub 2018 Mar 31. PubMed 29604182 ↗
  • Jivnani HM, Tripathi S, Shanker R, Singh BP, Agrawal KK, Singhal R. A Study to Determine the Prevalence of Temporomandibular Disorders in a Young Adult Population and its Association with Psychological and Functional Occlusal Parameters. J Prosthodont. 2019 Jan;28(1):e445-e449. doi: 10.1111/jopr.12704. Epub 2017 Nov 14. PubMed 29135060 ↗
  • Egészségügyi szakmai irányelv - A temporomandibuláris fájdalom és diszfunkció diagnosztikájáról és terápiájáról 2020

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07474662
Lead sponsor
Semmelweis University
Collaborators
Bajcsy-Zsilinszky Hospital
Responsible party
Kovácsné Dr. Körmendi Katalin (Associate Professor, Semmelweis University) — Principal investigator
First posted
Mar 16, 2026
Start date
Mar 1, 2026 (estimated)
Primary completion
Jul 31, 2026 (estimated)
Completion
Jul 31, 2026 (estimated)
Last update
Mar 16, 2026

Study contacts

Szandra Katalin Körmendi, Dr
Contact
kormendi.szandra@semmelweis.hu
+36 1 338 4380
Dorottya Német
Contact
nemet.dorottya99@gmail.com
+36 30 365 5684

Oversight

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

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