Alternative Medicine Approaches for Women With Temporomandibular Disorders

NCT ID: NCT00009594

Last Updated: 2006-08-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

1999-09-30

Study Completion Date

2004-07-31

Brief Summary

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Temporomandibular disorders (TMD) are characterized by pain and tenderness in the muscles of mastication and/or the temporomandibular joint (TMJ), limitations of jaw opening often accompanied by deviations in mandibular path, and clicking, popping or grating TMJ sounds.

TMD is often found in association with other problems: depression, anxiety, sleep disturbances, gastrointestinal symptoms, frequent infections, etc. This project proposes to holistically address patient symptoms through three different approaches, Naturopathic Medicine (NM), Traditional Chinese Medicine (TCM), and usual care at KPNW. We will conduct a pilot test and Phase II trial to evaluate the two alternative healing approaches, TCM (n=50) and NM (n=50) delivered by TCM and NM practitioners, are as effective as usual TMD care (n=50) provided by dental clinicians in the KPNW TMD Clinic. Subjects will be females 25-55 years of age with multiple health problems (defined as patients who have had at least 4 organ system-grouped diagnoses in the past year, not including TMD). Subjects will be evaluated at baseline, 6 and 12 months after start of treatment. The primary endpoint is change from baseline in the Axis II Pain Related Disability and Psychological Status Scale. Clinical examinations, saliva samples to assess salivary cortisol levels, and responses to a series of questionnaires to assess pain, chronic pain, psychosocial functioning, and other physical symptoms will be used to assess outcomes. We will passively monitor health care utilization within KPNW using clinical, research, and administrative databases to determine whether the interventions have an impact on overall health care utilization. If either of these alternative interventions is shown to merit Phase III trial, our goal is to design and implement such a clinical trial to further evaluate the health consequences and costs of these alternative healing paradigms.

Detailed Description

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See brief summary

Conditions

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Temporomandibular Joint Disorders

Study Design

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Primary Study Purpose

DIAGNOSTIC

Interventions

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Naturopathic Medicine

Intervention Type PROCEDURE

Traditional Chinese Medicine

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

\- Patients who have had at least 4 organ system-grouped diagnoses in the past year, not including TMD
Minimum Eligible Age

25 Years

Maximum Eligible Age

55 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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National Center for Complementary and Integrative Health (NCCIH)

NIH

Sponsor Role lead

Principal Investigators

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Alexander White

Role: PRINCIPAL_INVESTIGATOR

Center for Health Research (CHR), Kaiser Foundation Hospitals

Locations

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Center for Health Research, Kaiser Foundation Hospitals

Portland, Oregon, United States

Site Status

Countries

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United States

Other Identifiers

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P50AT000076-01

Identifier Type: NIH

Identifier Source: secondary_id

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P50AT000076-01P2

Identifier Type: NIH

Identifier Source: org_study_id

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NCT00009282

Identifier Type: -

Identifier Source: nct_alias