Forward Head Posture Correction Impact on Temporomandibular Dysfunction

Temporomandibular Disorder Clinical Trial

Official title:

Forward Head Posture Correction Impact on Temporomandibular Dysfunction: A Randomized Controlled Trial

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT06123351
• Other study ID #: FHP-TMD
• Status: Not yet recruiting
• Phase: N/A
• Start date: October 2025
• Est. completion date: December 2027

Study information

• Verified date: March 2024
• Source: University of Sharjah
• Contact: Shima Mohammad Zadeh
• Phone: +971503077039
• Email: U22103961[@]sharjah.ac.ae
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 63
• Est. completion date: December 2027
• Est. primary completion date: December 2027
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 50 Years

Eligibility

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.

Related Conditions & MeSH terms

• Forward Head Posture
• Temporomandibular Disorder
• Temporomandibular Joint Disorders
• Temporomandibular Joint Dysfunction Syndrome

Intervention

Device:
• Denneroll cervical traction orthodontic
traction for 3 to 15 minutes once daily

Other:
• 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

Device:
• Vacuum-formed soft occlusal splint
2 mm thick elastic rubber sheets

Locations

Country	Name	City	State
United Arab Emirates	University of Sharjah	Sharjah

Sponsors (1)

Lead Sponsor	Collaborator
Shima Abdollah Mohammad Zadeh

Country where clinical trial is conducted

United Arab Emirates, 

References & Publications (7)

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

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

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. — View Citation

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. — View Citation

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.

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. — View Citation

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. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Anamnestic questionnaire by Fonseca	To evaluate TMD by 10 questions with their corresponding scores from 0 to 1	Baseline (pre-treatment) and week 7 (post-treatment)
Primary	Craniocervical angle - CVA	photographic method to evaluate the angle where an angle less than 50 degrees will be considered as forward head posture	Baseline (pre-treatment) and week 7 (post-treatment)
Secondary	Boley Gauge	Electronic Digital Caliper to assess mouth opening (active/passive)	Baseline (pre-treatment) and week 7 (post-treatment)
Secondary	Numerical Rating Scale (NRS)	0-10 scale (zero represents no pain and 10 is the worst pain ever) to record orofacial pain	Baseline (pre-treatment) and week 7 (post-treatment)
Secondary	Mandibular Opening	Tape to measure the distance between the incisal edges of upper and lower teeth	Baseline (pre-treatment) and week 7 (post-treatment)