Biofeedback-Based Cognitive Behavioral Treatment for Temporomandibular Disorders
NCT ID: NCT00769561
Last Updated: 2013-12-30
Study Results
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View full resultsBasic Information
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COMPLETED
PHASE2/PHASE3
58 participants
INTERVENTIONAL
2008-08-31
2011-04-30
Brief Summary
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Detailed Description
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Assessment takes place at baseline, after treatment approximately 8 weeks later, 3 and 6 months follow up. The effects of the interventions are evaluated in terms of reduction in pain intensity, pain related disability, psychological variables such as somatoform symptoms, depression and pain related cognitive adjustment as well as nocturnal electromyographic (EMG) activity.
Additionally, the study aims at identifying variables that predict treatment outcome. Further analyses include initial changes in treatment motivation and illness perceptions and its influence on treatment success, as well as changes in psychophysiological stress reactivity through treatment.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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BFB-CBT
Biofeedback-based cognitive-behavioral treatment:
The biofeedback-based cognitive behavioral intervention comprises 8 individual sessions, each containing both cognitive behavioral and biofeedback elements. Treatment elements are education about the disorder, biofeedback training aimed at improving proprioceptive awareness and reversing parafunctional habits, relaxation techniques, and stress management. Furthermore patients receive portable biofeedback devices for EMG-biofeedback training during day and nighttime in order to reverse diurnal and nocturnal bruxing habits.
Biofeedback-Based Cognitive Behavioral Treatment
The biofeedback-based cognitive behavioral intervention comprises 8 individual sessions, each containing both cognitive behavioral and biofeedback elements. Treatment elements are education about the disorder, biofeedback training aimed at improving proprioceptive awareness and reversing parafunctional habits, relaxation techniques, and stress management. Furthermore patients receive portable biofeedback devices for EMG-biofeedback training during day and nighttime in order to reverse diurnal and nocturnal bruxing habits.
Occlusal Splint (OS)
Dental treatment with occlusal splints:
Maxillary or mandibular occlusal splints are made of hard acrylic after taking impressions of the upper and lower dental arches, face bow registration and recording of centric relation. Splints are adjusted to provide even occlusal contact during jaw closing and chewing, and canine and incisor contact during protrusive movements of the jaw. Patients are instructed to use the splint each night and during day time for a period of 7 weeks. One week after initial insertion of the splint patients are requested to return for adjustment.
Dental treatment with occlusal splint (OS)
Maxillary or mandibular occlusal splints are made of hard acrylic after taking impressions of the upper and lower dental arches, face bow registration and recording of centric relation. Splints are adjusted to provide even occlusal contact during jaw closing and chewing, and canine and incisor contact during protrusive movements of the jaw. Patients are instructed to use the splint each night and during day time for a period of 7 weeks. One week after initial insertion of the splint patients are requested to return for adjustment.
Interventions
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Biofeedback-Based Cognitive Behavioral Treatment
The biofeedback-based cognitive behavioral intervention comprises 8 individual sessions, each containing both cognitive behavioral and biofeedback elements. Treatment elements are education about the disorder, biofeedback training aimed at improving proprioceptive awareness and reversing parafunctional habits, relaxation techniques, and stress management. Furthermore patients receive portable biofeedback devices for EMG-biofeedback training during day and nighttime in order to reverse diurnal and nocturnal bruxing habits.
Dental treatment with occlusal splint (OS)
Maxillary or mandibular occlusal splints are made of hard acrylic after taking impressions of the upper and lower dental arches, face bow registration and recording of centric relation. Splints are adjusted to provide even occlusal contact during jaw closing and chewing, and canine and incisor contact during protrusive movements of the jaw. Patients are instructed to use the splint each night and during day time for a period of 7 weeks. One week after initial insertion of the splint patients are requested to return for adjustment.
Eligibility Criteria
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Inclusion Criteria
* symptoms persist at least 3 months
* sufficient language skills
Exclusion Criteria
* presence of a psychotic disorder
* presence of neurological disorders (e.g. dementia)
* alcohol or substance abuse
* presence of other pain condition of predominant severity
18 Years
70 Years
ALL
No
Sponsors
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Psychotherapie-Ambulanz Marburg e.V.
OTHER
Philipps University Marburg
OTHER
Responsible Party
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Winfried Rief
PhD
Principal Investigators
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Winfried Rief, Prof. Dr.
Role: STUDY_CHAIR
Department of Clinical Psychology and Psychotherapy, Philipps University Marburg, Germany
Gaby M Bleichhardt, Dr. (PhD)
Role: STUDY_DIRECTOR
Department of Clinical Psychology and Psychotherapy, Philipps University Marburg, Germany
Meike C Shedden Mora, Dipl. Psych.
Role: PRINCIPAL_INVESTIGATOR
Department of Clinical Psychology and Psychotherapy, Philipps University Marburg, Germany
Locations
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Department of Clinical Psychology and Psychotherapy, Philipps University Marburg
Marburg, , Germany
Department of Oral and Maxillofacial Surgery, Philipps University Marburg Medical Center
Marburg, , Germany
Countries
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References
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Shedden Mora MC, Weber D, Neff A, Rief W. Biofeedback-based cognitive-behavioral treatment compared with occlusal splint for temporomandibular disorder: a randomized controlled trial. Clin J Pain. 2013 Dec;29(12):1057-65. doi: 10.1097/AJP.0b013e3182850559.
Shedden Mora M, Weber D, Borkowski S, Rief W. Nocturnal masseter muscle activity is related to symptoms and somatization in temporomandibular disorders. J Psychosom Res. 2012 Oct;73(4):307-12. doi: 10.1016/j.jpsychores.2012.07.008. Epub 2012 Aug 29.
Shedden Mora, M., Bleichhardt, G., Weber, D., Neff, A., & Rief, W. (2010). Biofeedback bei kraniomandibulären Dysfunktionen. Psychotherapeut, 55(3), 217-224.
Related Links
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Department of Clinical Psychology and Psychotherapy
Other Identifiers
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TMD_Jue2008
Identifier Type: -
Identifier Source: org_study_id