Additional Effects of Therapeutic Exercises Under a Behavioral Umbrella for Chronic Temporomandibular Disorders Treatment
CompletedNot applicableNCT03596606
View the official record on ClinicalTrials.gov Recruiting status changes often. Contact the study team listed on ClinicalTrials.gov, and talk to your doctor before joining a study.
This study has no listed site in Canada in this snapshot. It is included as part of the worldwide chronic pain corpus.
Brief summary (from the registry)
Temporomandibular dysfunction (TMD) It's one of the main causes of oro-facial chronic pain. The psychological aspects of patients with TMD have a huge importance, affecting their ability to manage pain and interfering with the resolution of the picture. Different studies analyse Manual therapy (MT) and motor control exercises (MC) as a whole or separately. In these cases, MT with MC shows promising results. Despite this, MC do not suggest adding significant improvement at least at short term. In the other side, according to a recent research line, MC with education is the clue for chronic pain management. This leads us to think that it should be studied more carefully if MC performed with a cognitive approach adds beneficial effect to MT not only in purely mechanical aspects but also in psycho-social aspects of the individual and at longer term. HYPOTHESIS The combination of MT and MC is more effective than MT applied in a unique way for the treatment of pain, function and psycho-social symptoms associated with chronic TMD.
Study details
- Official title
- Additional Effects of Therapeutic Exercises Under a Behavioral Umbrella for Chronic Temporomandibular Disorders Treatment. A Double-blind Randomized Clinical Trial
- Conditions
- Temporomandibular Joint Dysfunction Syndrome
- Interventions
- Procedure: Manual Treatment
- Procedure: Myofunctional Motor control exercises
- Sponsor
- Maxilofacial Institute Bara Gaseni
- Start date
- 2019-09-16
- Primary completion
- 2023-01-28
- Sex
- All
- Age range
- from 5 Years to 100 Years
- Results posted
- No results posted in this snapshot
- Countries
- Spain
- Total sites listed
- 1
Eligibility criteria
Show eligibility criteria (verbatim from the registry)
Inclusion Criteria: * Primary diagnosis of TMD type: I myofascial and or II displacement of disc and or III other arthralgias. According to the diagnostic criteria of Dworkin S. Et al. The clinical examination and algorithms that will be carried are the ones included in the the axis I of the Diagnostic criteria for TMD (DC/TMD). We will use the Spanish version. * 6 months of TMD evolution and pain in the last 30 days. * Signs of pain and disability of at least 7 points on the CF-PDI. * Normal neurological examination. * Normal orthopantomography (without fracture or severe joint bone disease). * To accept the participation and sign the informed consent. Exclusion Criteria: * Severe dermatological or intrabuccal problems, head or neck injuries. * Orthopantomography with recent fractures or severe articular bone pathology. * Previous treatment (three months before) with manual therapy splints or acupuncture. * Previous diagnosis of severe psychiatric disorder. * Systemic, rheumatologic or neurodegenerative diseases. * Previous diagnosis of primary headache or unilateral neck pain of recent appearance. * Associated clinic of neurological pain, radiculopathy or myelopathy. * Not understanding Castilian or Catalan.
Source: ClinicalTrials.gov (US National Library of Medicine), snapshot October 2026. Check the registry for current recruiting status. Record: https://clinicaltrials.gov/study/NCT03596606