Telerehabilitation for TMD

NCT ID: NCT05318313

Last Updated: 2026-01-06

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 207 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2022-06-17
• Study Completion Date: 2024-07-01

Brief Summary

This study will compare after physical therapy for Temporomandibular Disorders (TMD) performed either in-person or virtually using telerehabilitation. Comparing diagnostic reliability and quality-of-life outcomes in each group will determine (based on a 10% margin) whether delivering physical therapy via telerehabilitation is as good as standard in-person care for these individuals. Long term outcomes including patient satisfaction, cost-effectiveness analysis, and functional status will describe the feasibility of telerehabilitation as a management intervention for this population.

Conditions

Temporomandibular Disorder; TMJ Disc Displacement With Reduction; TMJ Disc Displacement Without Reduction; Masticatory Myofascial Pain; TMJ Arthralgia; TMD Headache

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Study Groups

Telerehabilitation only

Participants choose to have all of their physical therapy provided virtually throughout the length of the study

Telerehabilitation

Intervention Type: OTHER

The TR PT evaluation and follow-up visits will be performed via Zoom software

In-person only

Participants choose to have all of their physical therapy provided in-person throughout the length of the study

No interventions assigned to this group

Hybrid 1

The TR PT evaluation and follow-up visits in the initial 6 weeks will be performed via Zoom software and subsequent follow-up visits will switch to in person after 6 weeks

Telerehabilitation

Intervention Type: OTHER

The TR PT evaluation and follow-up visits will be performed via Zoom software

Hybrid 2

The PT evaluation and follow-up visits in the initial 6 weeks will be performed in person and will switch to TR via Zoom software after 6 weeks

Telerehabilitation

Intervention Type: OTHER

The TR PT evaluation and follow-up visits will be performed via Zoom software

Interventions

Telerehabilitation

The TR PT evaluation and follow-up visits will be performed via Zoom software

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• 18-70 years old
• Referred to PT with ≥1 TMD subtype diagnosis
• PI has no previous knowledge of the participant's diagnosis
• Email access
• Possession of any device that can be positioned for hands-free TR visits (TR group only)
• Willingness and ability to comply with all study requirements and PT program
• Able to provide informed consent

Exclusion Criteria

• Non-English speakers
• Permanent residence outside of the state of Minnesota (TR group only)
• Women in the last trimester of pregnancy
• Referred for post-surgical rehabilitation
• Severe chronic pain as identified by level 4 classification on the GCPS
• Current diagnosis or existence of the following conditions that can limit response to PT and participation in study activities:

1. Neuropathic pain

2. Fibromyalgia and/or generalized widespread pain on both sides of the body in ≥3 areas above and below the waist

3. Rheumatoid arthritis or juvenile idiopathic arthritis

4. Dystonia or other movement disorder

5. Fractures and/or recent jaw or facial trauma

6. Malignancies

7. Current substance abuse

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 70 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of Minnesota

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Emily Kahnert

Role: PRINCIPAL_INVESTIGATOR

University of Minnesota

Locations

University of Minnesota

Minneapolis, Minnesota, United States

Countries

United States

Other Identifiers

DENT-2022-30141

Identifier Type: -

Identifier Source: org_study_id