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NCT Number: NCT06123351

Forward Head Posture Correction Impact on Temporomandibular Dysfunction

The goal of this clinical trial is to test the effect of nerd neck correction on damaged jaw in people who suffers from jaw problems and nerd neck. The main question it aims to answer:

* whether there are different effects of traditional nerd neck correction exercises, device correction method and dental splints on jaw features of pain and function.

Participants will:

* participants will be given the consent to sign first. * participants will be assessed to check jaw pain and function. * participants will be divided randomly into 3 groups. * Each group will be given the treatment sessions for 6 weeks. * participants will come back after 6 weeks for one last assessment.

Researchers will compare traditional, new and dental treatment groups to see if there is improvement in jaw characteristics.

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Key information

Age range

18 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Sharjah

Sharjah city, 0000, United Arab Emirates

Location contact

Tamer Shousha

CONTACT

[email protected]

About this study

The relationship between the two conditions of forward head posture (FHP) and temporomandibular joint dysfunction (TMD) have been previously stated with comparing the craniocervical angle (CVA) of TMD patients to the healthy individuals, still a clear relationship couldn't be drawn due to different study limitations such as the lack of subdivision in the TMD patients based on their diagnostic subcategories in addition to, patients posture might have been altered while the photo was captured. Ever since, multiple researchers deliberately investigated the two conditions association and inferred the following: 1. FHP can be a risk factor resulting in TMD where any alteration in the head position produces more tension on the masticatory muscles by changing the mandible position 2. TMD origins from muscular component is more significant than articular component yet the correlation between head posture and TMD is still not clear enough, however, if FHP and myogenic TMD were linked preventive measures can be taken. recently, multiple studies established a relation between the occurrence of FHP in TMD patients which supported the hypothesized relation between them.

Till present, no study has investigated the FHP Denneroll cervical traction orthodontic (DCTO) correction impact alone on TMD and this is where the purpose of this study arises from.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • The participant experiencing one or more of TMD signs or symptoms and has been diagnosed with TMD beside having forward head posture with craniocervical (CVA) angle < 50.
  • The study will be limited to the patients in the dental clinic of the university of Sharjah.
  • Participants experiencing mild to moderate myogenic TMD with symptoms of orofacial pain and limited range of jaw opening.

Exclusion criteria

  • Previous head, neck or TMJ traumas.
  • History of temporomandibular joint surgery.

Treatment and study plan

Denneroll cervical traction orthodontic

Device

traction for 3 to 15 minutes once daily

stretching and strengthening exercises

Other

strengthening exercises with 10 repetitions twice per day 3 times per week stretching exercises with hold for 20 to 30 seconds 3 repetitions daily

Vacuum-formed soft occlusal splint

Device

2 mm thick elastic rubber sheets

Primary outcomes

  1. Anamnestic questionnaire by Fonseca

    Time frame: Baseline (pre-treatment) and week 7 (post-treatment)

    To evaluate TMD by 10 questions with their corresponding scores from 0 to 1

  2. Craniocervical angle - CVA

    Time frame: Baseline (pre-treatment) and week 7 (post-treatment)

    photographic method to evaluate the angle where an angle less than 50 degrees will be considered as forward head posture

Secondary outcomes

  1. Boley Gauge

    Time frame: Baseline (pre-treatment) and week 7 (post-treatment)

    Electronic Digital Caliper to assess mouth opening (active/passive)

  2. Numerical Rating Scale (NRS)

    Time frame: Baseline (pre-treatment) and week 7 (post-treatment)

    0-10 scale (zero represents no pain and 10 is the worst pain ever) to record orofacial pain

  3. Mandibular Opening

    Time frame: Baseline (pre-treatment) and week 7 (post-treatment)

    Tape to measure the distance between the incisal edges of upper and lower teeth

Study contacts

Contact information is provided by the study sponsor or research team.

Shima Mohammad Zadeh

CONTACT

[email protected]

+971503077039

Tamer Shousha

CONTACT

[email protected]

Sponsors and collaborators

Lead sponsor

Shima Abdollah Mohammad Zadeh

Other

Registry information

Official study title

Forward Head Posture Correction Impact on Temporomandibular Dysfunction: A Randomized Controlled Trial

Important dates

Study start
2025
Primary completion
2027
Study completion
2027
First posted
Nov 8, 2023
Registry last updated
Mar 15, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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