Forward Head Posture Correction Impact on Temporomandibular Dysfunction

NCT ID: NCT06123351

Last Updated: 2024-03-15

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 63 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-10-31
• Study Completion Date: 2027-12-31

Brief Summary

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.

Detailed Description

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.

Conditions

Temporomandibular Disorder; Forward Head Posture

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Denneroll protocol

orthotic will be placed under participants' neck. Treatment session time begin with 3 minutes then increase of 2-3 minutes until they reach 15 to 20 minutes in each session.

Group Type: EXPERIMENTAL

Denneroll cervical traction orthodontic

Intervention Type: DEVICE

traction for 3 to 15 minutes once daily

Traditional protocol

consists of one strengthening exercise for 10 repetitions in 3 sets each, and two stretching exercises with a hold for 20-30 seconds.

Group Type: ACTIVE_COMPARATOR

stretching and strengthening exercises

Intervention Type: 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

Dental management

formed soft occlusal splint will be individually designed for the upper arch of each participant.

Group Type: ACTIVE_COMPARATOR

Vacuum-formed soft occlusal splint

Intervention Type: DEVICE

2 mm thick elastic rubber sheets

Interventions

Denneroll cervical traction orthodontic

traction for 3 to 15 minutes once daily

Intervention Type: DEVICE

stretching and strengthening exercises

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

Intervention Type: OTHER

Vacuum-formed soft occlusal splint

2 mm thick elastic rubber sheets

Intervention Type: DEVICE

Eligibility Criteria

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.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Shima Abdollah Mohammad Zadeh

OTHER

Sponsor Role: lead

Responsible Party

Shima Abdollah Mohammad Zadeh

Principal Investigator

Responsibility Role: SPONSOR_INVESTIGATOR

Principal Investigators

Shima Mohammad zadeh

Role: STUDY_DIRECTOR

University of Sharjah

Tamer Shousha

Role: PRINCIPAL_INVESTIGATOR

University of Sharjah

Locations

University of Sharjah

Sharjah city, , United Arab Emirates

Countries

United Arab Emirates

Central Contacts

Shima Mohammad Zadeh

Role: CONTACT

U22103961@sharjah.ac.ae

+971503077039

Tamer Shousha

Role: CONTACT

tshousha@sharjah.ac.ae

Facility Contacts

Tamer Shousha

Role: primary

tshousha@sharjah.ac.ae

References

Lee WY, Okeson JP, Lindroth J. The relationship between forward head posture and temporomandibular disorders. J Orofac Pain. 1995 Spring;9(2):161-7.

Reference Type: BACKGROUND

PMID: 7488986 (View on PubMed)

Salkar RG, Radke UM, Deshmukh SP, Radke PM. Relationship between temporomandibular joint disorders and body posture. Int J Dent Health Sci. 2015;2(6):1523-30.

Reference Type: BACKGROUND

Saddu SC, Dyasanoor S, Valappila NJ, Ravi BV. The Evaluation of Head and Craniocervical Posture among Patients with and without Temporomandibular Joint Disorders- A Comparative Study. J Clin Diagn Res. 2015 Aug;9(8):ZC55-8. doi: 10.7860/JCDR/2015/12830.6343. Epub 2015 Aug 1.

Reference Type: BACKGROUND

PMID: 26436048 (View on PubMed)

El-Hamalawy FA. Forward head correction exercises for management of myogenic tempromandibular joint dysfunction. 2011;7(8)

Reference Type: BACKGROUND

Tang Y, Xu LL, Fan S. [Control study of forward head posture between patients with temporomandibular disorders and healthy people]. Shanghai Kou Qiang Yi Xue. 2021 Apr;30(2):173-176. Chinese.

Reference Type: BACKGROUND

PMID: 34109357 (View on PubMed)

Xiao CQ, Wan YD, Li YQ, Yan ZB, Cheng QY, Fan PD, Huang Y, Wang XY, Xiong X. Do Temporomandibular Disorder Patients with Joint Pain Exhibit Forward Head Posture? A Cephalometric Study. Pain Res Manag. 2023 Feb 2;2023:7363412. doi: 10.1155/2023/7363412. eCollection 2023.

Reference Type: BACKGROUND

PMID: 36776487 (View on PubMed)

Minervini G, Franco R, Marrapodi MM, Crimi S, Badnjevic A, Cervino G, Bianchi A, Cicciu M. Correlation between Temporomandibular Disorders (TMD) and Posture Evaluated trough the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD): A Systematic Review with Meta-Analysis. J Clin Med. 2023 Apr 2;12(7):2652. doi: 10.3390/jcm12072652.

Reference Type: BACKGROUND

PMID: 37048735 (View on PubMed)

Other Identifiers

FHP-TMD

Identifier Type: -

Identifier Source: org_study_id