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Joint Diseases clinical trials

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NCT ID: NCT05827263 Completed - Clinical trials for Temporomandibular Joint Disorders

Temporary Hydrostatic Splint Therapy and Its Effects on Occlusal Forces

Start date: December 1, 2021
Phase: N/A
Study type: Interventional

The goal of this non-randomized controlled trial is to analyze and compare occlusal force distribution patterns using T-Scan III before and after hydrostatic splint therapy on both healthy subjects and subjects with temporomandibular disorders. The main questions it aims to answer are: - Do occlusal forces for individual teeth differ before and after hydrostatic splint therapy? - Does the percentage distribution of forces across different sectors differ before and after hydrostatic splint therapy? Participants will: - Perform occlusal analysis using the T-Scan III device; - Use a hydrostatic splint for 30 minutes; - Perform a second occlusal analysis after using the hydrostatic splint. Researchers will compare healthy subjects and subjects with temporomandibular disorders to see if hydrostatic splint therapy makes a difference in the distribution patterns of occlusal forces.

NCT ID: NCT05802368 Completed - Hemophilia Clinical Trials

Hemophilic Knee Arthropathy Virtual Reality

hemophilia
Start date: November 10, 2021
Phase: N/A
Study type: Interventional

This study intended to examine the effect of a physical rehabilitation program incorporating Kinect-based virtual reality on gait characteristics, functional ability, and physical activity level in adolescents with hemophilic knee arthropathy.

NCT ID: NCT05786118 Completed - Clinical trials for Chronic Low-back Pain

The Effects of Sacroiliac Joint Dysfunction on Gait and Disability

Start date: March 21, 2023
Phase:
Study type: Observational [Patient Registry]

It has been reported that gait coordination changes in patients with chronic low back pain, walking slower, taking shorter steps and having asymmetrical stride lengths compared to their healthy peers. In addition to many factor cause gait dysfunction, sacroiliac joint dysfunction might be one of reason of these problems. A study examining the effects of sacroiliac joint dysfunction on gait and disability in individuals with chronic low back pain has not been found in the literature. Therefore, the aim of this study is to evaluate the gait parameters and disability of individuals with chronic low back pain and to reveal their relationship with sacroiliac joint dysfunction.

NCT ID: NCT05740826 Completed - Clinical trials for Temporomandibular Joint Disorders

Correlation Between Cervical Spine Muscle Disorders and the Occurrence of Symptoms of Temporomandibular Joint Dysfunction

Start date: September 8, 2022
Phase:
Study type: Observational

This study evaluated the correlation between the occurrence of disorders of selected muscles of the cervical spine and the occurrence of symptoms of TMJ dysfunction

NCT ID: NCT05709340 Completed - Clinical trials for Temporomandibular Joint Disorders

PNF Exercises on Treatment of Temporomandibular Dysfunction

Start date: January 25, 2023
Phase: N/A
Study type: Interventional

Temporomandibular joint dysfunction (TMJD) is an important health problem that occurs approximately in 22 to 35 percent of adults, different physiotherapy methods are reported as treatment options for management of TMJD. Although that, there is no previous studies about the efficacy of PNF exercises in treatment of TMJD in patients with forward head posture. So, the purpose of the present double-blind, randomized, controlled trial is to investigate the efficacy of PNF exercises in treatment of TMJD in patients with forward head posture.

NCT ID: NCT05696418 Completed - Clinical trials for Arthroplasty Complications

Anterior Knee Pain in Mobile Bearing Versus Fixed Bearing in TKA

Start date: January 15, 2021
Phase: N/A
Study type: Interventional

Osteoarthritis is the most common cause of chronic joint disease, and its incidence has increased due to the high average life expectancy, in addition to the high incidence of obesity. Total knee arthroplasty is currently an accepted treatment for severe degenerative conditions and there are various implant systems with special features depending on component geometry, degree of fit of the articular surfaces, and fixation techniques. A tibial component with mobile polyethylene has been developed as an alternative to fixed polyethylene because it has theoretical advantages in terms of increasing the range of motion, reducing wear conditions, and reducing the incidence of anterior knee pain when the articular surface of the patella is not resurfaced.

NCT ID: NCT05671549 Completed - Clinical trials for Temporomandibular Joint Disorders

Combined Arthrocentesis and Occlusal Splint Therapy for Closed Locks of the TMJ

Start date: May 29, 2019
Phase: N/A
Study type: Interventional

The goal of this prospective cohort study is to evaluate the effectiveness of combined arthrocentesis and occlusal stabilization splint therapy in patients diagnosed with disc displacement without reduction of temporomandibular joint-induced closed locks. The main questions it aims to answer are: - Is there a difference in the treatment response between chronic and acute closed-lock conditions? - On which dimensions of pain did the treatment have positive effects? Participants will be preoperatively examined and assigned to one of the two study groups. - All participants undergo a single session of TMJ arthrocentesis. - Following the arthrocentesis session, all participants will use preoperatively fabricated occlusal splints. - Participants will be recalled in one week to evaluate the outcomes. Researchers will compare acute and chronic closed-lock groups to see if there are differences between pain intensities and mouth-opening amounts postoperatively.

NCT ID: NCT05651256 Completed - Clinical trials for Temporomandibular Joint Disorder Bilateral

Efficacy of Botulinum Toxin in Temporomandibular Disorders

TMD
Start date: March 1, 2021
Phase: Phase 2/Phase 3
Study type: Interventional

Temporomandibular disorders (TMDs) represent a multifactorial pathological group that gives rise to a varied and complex symptomatology that includes decreased jaw movement, muscle and joint pain, joint crepitation and limitation or functional deviation of the jaw opening. All this is sometimes accompanied by headache and other painful symptoms in the neck musculature, incapacitating for many patients and at considerable public health expense. Intramuscular and intra-articular injections of botulinum toxin are a simple treatment that has proven to be effective in the treatment of the painful symptoms of these disorders, being a therapeutic option in situations of failure of conventional treatments, without presenting adverse effects. Our study presents the preliminary results of twenty patients treated with this therapy

NCT ID: NCT05650970 Completed - Joint Diseases Clinical Trials

Radial Nerve Mobilization in Hand Thumb Osteoarthritis Patients

Start date: November 5, 2022
Phase: N/A
Study type: Interventional

Hand-thumb carpometacarpal (1st CMC) joint osteoarthritis is defined as the degeneration occurring between the articular surfaces of the 1st metacarpal bone and the trapezium bone. This degeneration causes deterioration in the cartilage tissue that forms the joint structure, and as a result, patients primarily complain of pain and related loss of function. Clinical observations and studies have shown that the level of pain expressed by patients is not always compatible with the amount of degeneration in the joint. In addition, it has been clearly stated in the studies that the pain complaints of the patients are not only due to the changes in the joint, but the irritation of the nerves that receive the sensation of this joint is also effective in the level of pain. In line with the findings of the studies on this subject, mobilization exercise for the relevant nerve is included in the treatment programs of patients diagnosed with 1st CMC joint osteoarthritis in the clinic for a while. The investigators observed that the radial nerve mobilization exercise given during the process contributed to the improvement in the pain level of the patients. The investigators planned our study because there was no publication in the literature examining this effect. This study aims to investigate the effect of radial nerve mobilization exercise on pain level, functional status, and grip strength of patients diagnosed with 1st CMC joint osteoarthritis.

NCT ID: NCT05638386 Completed - Clinical trials for Complication of Surgical Procedure

Effect of Plugging the Registration Pin Tract in Robotic-assisted Knee Surgery

Start date: December 1, 2022
Phase:
Study type: Observational

Introduction: Complications of robotic-assisted total knee arthroplasty (TKA) seem to be rare and consist mainly of infections or fractures. In the Reinier Haga Orthopedisch Centrum (RHOC), postoperative bleeding is experienced to be a complication that often occurs, mainly at the tibial wounds of the registration pins used in robotic-assisted TKA. This often results in longer hospital stay and might interfere with the current fast track knee surgery by a delayed discharge. To overcome this complication, nowadays bone plugs are used in the two drill-holes. Currently, it is unknown whether these bone plugs reduces the incidence of postoperative bleeding. Objective: To evaluate the incidence of postoperative bleeding in patients that underwent a robotic-assisted TKA and received bone plugs in the two drill-holes in the tibia, compared to patients that underwent the same operation but did not receive bone plugs. Study design: Retrospective, inventory study Study population: All patients that underwent a robotic-assisted TKA in the RHOC from December 2020 till October 2022. Intervention: In the past, some patients that underwent a robotic-assisted TKA received a bone plug in the two tibial drill-holes. This bone is collected from the excess bone that is removed during the operation. Main study parameters/endpoints: Incidence of postoperative bleeding in both groups.