Quality of Life and Sleep in Patients With Temporomandibular Disorders

NCT ID: NCT07056725

Last Updated: 2025-07-09

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-08-31

Study Completion Date

2026-01-31

Brief Summary

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The aim of this study is to evaluate and compare the effects of two physiotherapeutic intervention programs on the quality of life in patients with Temporomandibular Disorders (TMD).

Study design: Randomized, longitudinal, and prospective clinical trial with two intervention groups.

Population: Subjects aged 18-65 years with subacute temporomandibular disorders.

Detailed Description

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The study will be carried out at the Faculty of Nursing and Physiotherapy of the University of Alcalá. A total of 30 subjects with Temporomandibular Disorders (TMD) will be selected and randomly assigned into two intervention groups.

The first group will receive a physiotherapy treatment based on a Manual Therapy program targeting the orofacial region, combined with a Cervical Therapeutic Exercise program. In contrast, the second group will receive a physiotherapy treatment based on a Manual Therapy program for the orofacial region, combined with an Orofacial Therapeutic Exercise program.

Both groups will undergo a total of six treatment sessions over a period of six weeks (1 session per week). Each manual therapy session targeting the orofacial region will last 30 minutes. The manual therapy (MT) techniques will include a combination of neuromuscular and articular manual techniques.

The study will assess the following variables: quality of life, sleep quality, pressure pain threshold, maximum pain-free mouth opening, perceived pain, and treatment adherence.

Measurements will be taken pre-treatment, post-treatment and a follow-up at 8 weeks

Conditions

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Temporomandibular Disorders (TMDs)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

An experimental study is proposed in the form of a Randomized Controlled Trial (RCT), longitudinal and prospective in design, with two intervention groups.

Patients with Temporomandibular Disorders (TMD) will be randomly assigned to two intervention groups (G1 and G2), ensuring that participants in both groups present with similar baseline characteristics.

The 25 requirements proposed by the CONSORT declaration will be followed
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Group 1

Subjects in this group will receive physiotherapy treatment consisting of a Manual Therapy program targeting the orofacial region, combined with a Cervical Therapeutic Exercise program. The Cervical Therapeutic Exercise program focuses on co-contraction exercises of the flexor and extensor muscles, progressively increasing difficulty and resistance through the use of a latex band (Theraband), along with neural tissue techniques.

Group Type EXPERIMENTAL

Manual Therapy and Therapeutic Exercises Programs

Intervention Type OTHER

A treatment based on the combination of Manual Therapy targeting the orofacial region and a therapeutic exercise program focused on either the cervical or orofacial region

Group 2

Subjects in this group will receive physiotherapy treatment consisting of a Manual Therapy program targeting the orofacial region, combined with an Orofacial Therapeutic Exercise program. The Orofacial Therapeutic Exercise program focuses on coordination exercises of the masseter muscles, progressively increasing difficulty and resistance, and is combined with neural tissue techniques.

Group Type EXPERIMENTAL

Manual Therapy and Therapeutic Exercises Programs

Intervention Type OTHER

A treatment based on the combination of Manual Therapy targeting the orofacial region and a therapeutic exercise program focused on either the cervical or orofacial region

Interventions

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Manual Therapy and Therapeutic Exercises Programs

A treatment based on the combination of Manual Therapy targeting the orofacial region and a therapeutic exercise program focused on either the cervical or orofacial region

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adults between 18 and 65 years of age with subacute Temporomandibular Disorders (TMD).
* Diagnosis of TMD based on: The Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). And The Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD).
* Willingness to participate in the study and signing of the informed consent form.

Exclusion Criteria

* Individuals younger than 18 years or older than 65 years.
* Medical history or systemic conditions, including: Diagnosis of neurological or neuromuscular disorders (such as multiple sclerosis, facial paralysis, trigeminal neuralgia). Systemic or inflammatory joint diseases (e.g., rheumatoid arthritis, systemic lupus erythematosus, fibromyalgia). Presence of severe psychiatric disorders. Previous diagnosis of cancer in the craniofacial or cervical region.
* Previous interventions (e.g., surgery involving the TMJ or the orofacial and cervical regions).
* History of trauma in the region, including mandibular trauma, whiplash injuries, or fractures in the area.
* Pregnant or breastfeeding women.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Jaén

OTHER

Sponsor Role lead

Responsible Party

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Alexander Achalandabaso

Clinical Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Universidad de Alcalá De Henares

Madrid, Alcalá de Henares, Spain

Site Status

Countries

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Spain

Central Contacts

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Jaime Martínez Barros

Role: CONTACT

+ 34 686052159

Other Identifiers

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CEIM/2025/3

Identifier Type: -

Identifier Source: org_study_id

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