Trial Outcomes & Findings for The Effect of a Home-based Orofacial Exercise Program on Oral Aperture of Systemic Sclerosis Patients (NCT NCT04336475)

NCT ID: NCT04336475

Last Updated: 2020-04-29

Results Overview

the interincisal distance between the maxillary and mandibular central incisors in the midline

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

60 participants

Primary outcome timeframe

2 months

Results posted on

2020-04-29

Participant Flow

Participants were recruited based on randomization in outpatient rheumatology clinic. First patient was enrolled on March 2017 and the last participant was enrolled in October 2018.

156 patients were evaluated and 74 met inclusion criteria. 14 patients refused to participate. 60 patients were randomized.

Participant milestones

Participant milestones
Measure
Exercise + Oral Hygiene First, Then Oral Hygiene Only
Each exercise should be performed two times per day for 5 repetitions, holding each 10 seconds for one month duration in addition to oral hygiene care. After the first month, patients continue only with daily oral hygiene care. Exercise regimen includes: 1.The subject stretches the lips with fingers. 2. The subject inflates the cheeks. 3.The subject keeps maximal mouth opening. 4. The subject bites a wood stick with right \& left molars. 5.The subject pushes the chin to left and right sides.
Oral Hygiene Only First, Then Exercise + Oral Hygiene
patients only perform daily oral hygiene care advices for the first month. Patients start performing exercise program in addition to oral hygiene care advices in the second month. Each exercise should be performed two times per day for 5 repetitions, holding each 10 seconds. 1.The subject stretches the lips with fingers. 2. The subject inflates the cheeks. 3.The subject keeps maximal mouth opening. 4. The subject bites a wood stick with right \& left molars. 5.The subject pushes the chin to left and right sides.
Overall Study
STARTED
30
30
Overall Study
COMPLETED
28
28
Overall Study
NOT COMPLETED
2
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Exercise + Oral Hygiene First, Then Oral Hygiene Only
Each exercise should be performed two times per day for 5 repetitions, holding each 10 seconds for one month duration in addition to oral hygiene care. After the first month, patients continue only with daily oral hygiene care. Exercise regimen includes: 1.The subject stretches the lips with fingers. 2. The subject inflates the cheeks. 3.The subject keeps maximal mouth opening. 4. The subject bites a wood stick with right \& left molars. 5.The subject pushes the chin to left and right sides.
Oral Hygiene Only First, Then Exercise + Oral Hygiene
patients only perform daily oral hygiene care advices for the first month. Patients start performing exercise program in addition to oral hygiene care advices in the second month. Each exercise should be performed two times per day for 5 repetitions, holding each 10 seconds. 1.The subject stretches the lips with fingers. 2. The subject inflates the cheeks. 3.The subject keeps maximal mouth opening. 4. The subject bites a wood stick with right \& left molars. 5.The subject pushes the chin to left and right sides.
Overall Study
pain
1
0
Overall Study
upper respiratory infection
1
0
Overall Study
Lost to Follow-up
0
2

Baseline Characteristics

The Effect of a Home-based Orofacial Exercise Program on Oral Aperture of Systemic Sclerosis Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Exercise + Oral Hygiene First, Then Oral Hygiene Only
n=28 Participants
Each exercise should be performed two times per day for 5 repetitions, holding each 10 seconds for one month duration in addition to oral hygiene care. After the first month, patients continue only with daily oral hygiene care. Exercise regimen includes: 1.The subject stretches the lips with fingers. 2. The subject inflates the cheeks. 3.The subject keeps maximal mouth opening. 4. The subject bites a wood stick with right \& left molars. 5.The subject pushes the chin to left and right sides.
Oral Hygiene Only First, Then Exercise + Oral Hygiene
n=28 Participants
Patients only perform daily oral hygiene care advices for the first month. Patients start performing exercise program in addition to oral hygiene care advices in the second month. Each exercise should be performed two times per day for 5 repetitions, holding each 10 seconds. 1.The subject stretches the lips with fingers. 2. The subject inflates the cheeks. 3.The subject keeps maximal mouth opening. 4. The subject bites a wood stick with right \& left molars. 5.The subject pushes the chin to left and right sides.
Total
n=56 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
22 Participants
n=5 Participants
24 Participants
n=7 Participants
46 Participants
n=5 Participants
Age, Categorical
>=65 years
6 Participants
n=5 Participants
4 Participants
n=7 Participants
10 Participants
n=5 Participants
Age, Continuous
53.82 years
STANDARD_DEVIATION 9.63 • n=5 Participants
50.0 years
STANDARD_DEVIATION 11.4 • n=7 Participants
52 years
STANDARD_DEVIATION 11.0 • n=5 Participants
Sex: Female, Male
Female
27 Participants
n=5 Participants
26 Participants
n=7 Participants
53 Participants
n=5 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
28 Participants
n=5 Participants
28 Participants
n=7 Participants
56 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
Turkey
28 participants
n=5 Participants
28 participants
n=7 Participants
56 participants
n=5 Participants
oral aperture
31.17 milimeters
STANDARD_DEVIATION 4.90 • n=5 Participants
33.05 milimeters
STANDARD_DEVIATION 5.53 • n=7 Participants
32.11 milimeters
STANDARD_DEVIATION 5.26 • n=5 Participants

PRIMARY outcome

Timeframe: 2 months

the interincisal distance between the maxillary and mandibular central incisors in the midline

Outcome measures

Outcome measures
Measure
Exercise + Oral Hygiene First, Then Oral Hygiene Only
n=28 Participants
1. st month \> exercise + oral hygiene 2. nd month\> oral hygiene only
Oral Hygiene Only First, Then Exercise + Oral Hygiene
n=28 Participants
1. st month\> Oral Hygiene Only 2. nd month \> exercise + oral hygiene
Change From Baseline in Oral Aperture Measurement
1 st month
32.98 milimeters
Standard Deviation 5.01
32.92 milimeters
Standard Deviation 6.13
Change From Baseline in Oral Aperture Measurement
2 nd month
33.40 milimeters
Standard Deviation 5.33
34.37 milimeters
Standard Deviation 6.47

Adverse Events

Exercise + Oral Hygiene

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Oral Hygiene Only

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Exercise + Oral Hygiene
n=56 participants at risk
Each exercise should be performed two times per day for 5 repetitions, holding each 10 seconds for one month duration in addition to oral hygiene care.
Oral Hygiene Only
n=56 participants at risk
Patients only perform daily oral hygiene care advices
Musculoskeletal and connective tissue disorders
pain
1.8%
1/56 • Number of events 1 • 2 months
since this is not a drug study mortality and serious adverse events are not expected.
0.00%
0/56 • 2 months
since this is not a drug study mortality and serious adverse events are not expected.

Additional Information

Dr Nihan Cuzdan, MD, principal investigator

Cukurova University

Phone: 05052706846

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place