Comparing the Effectiveness of Online vs. Face-to-face Physiotherapy for Treating Temporomandibular Disorders

NCT07474662 — Not applicable, Recruiting, 90 participants, Semmelweis University

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Comparing the Effectiveness of Online vs. One-on-one vs. Group Physiotherapy for Treating Myogenic Temporomandibular Disorders: A Randomized Controlled Trial

RegistryNCT07474662
StatusRecruiting
PhaseNot applicable
Study typeInterventional; randomized, parallel, masking: single, treatment
Enrollment90 (Estimated)
SponsorSemmelweis University (Other); collaborators: Bajcsy-Zsilinszky Hospital
ConditionsTemporomandibular Disorders (TMD), Orofacial Pain, Temporo-mandibular Dysfunction, Temporomandibular Joint and Muscle Disorder, TMD/Orofacial Pain, Temporomandibular Disorder (TMD), Temporomandibular Disorders (TMDs)
InterventionsIndividual physiotherapy, Group physiotherapy, Online physiotherapy (Procedure)
Datesstart 2026-03-01 (estimated), primary completion 2026-07-31 (estimated), completion 2026-07-31 (estimated), first posted 2026-03-16, last updated 2026-03-16
Locations2 sites in Hungary

Related Papers Related Patents Related Grants Related Experts
All trials for Temporomandibular Disorders (TMD) All trials for Orofacial Pain All trials of Individual physiotherapy All trials of Group physiotherapy

-Summary

Dentists and physiotherapists have two options for treating these conditions: splint therapy and physiotherapy. Right now, the gold standard is individual physiotherapy, which contains manual therapy and active exercises too. Since not many dentists and physiotherapists are experts in this area, patients have to wait for months or even years to get their treatment. Thanks to social media, patients can find many information about their condition while they are waiting, but it's our responsibility to provide safe and effective information. In view of this situation, our aim is to find out if online or group physiotherapy is as effective as individual physiotherapy.

Expand all sections  ·  Collapse all

+Arms and interventions

ArmTypeInterventionsDescription
Online physiotherapyExperimentalProcedure: Individual physiotherapy; Procedure: Group physiotherapyThese group of patients will get a well-detailed video about the exercises for treatment of temporomandibular disorders (TMDs). This video will be available during the whole 4-week treatment period.
Group physiotherapyExperimentalProcedure: Individual physiotherapy; Procedure: Online physiotherapyThis study group will have a 30-minute face-to-face physiotherapy appointment in small groups (5 person in one group). The physiotherapist will teach them how to perform the exercises correctly. At the end of the appointment, they will get a description about the exercises for the treatment of TMDs. They will practice the exercises at home for 4 weeks.
Individual physiotherapyActive comparatorProcedure: Group physiotherapy; Procedure: Online physiotherapyThis study group will have a 30-minute face-to-face physiotherapy appointment individually. The physiotherapist will teach them how to perform the exercises correctly. At the end of the appointment, they will get a description about the exercises for the treatment of TMDs. They will practice the exercises at home for 4 weeks.
  • Individual physiotherapy (Procedure): Been included in "arm descriptions"
  • Group physiotherapy (Procedure): Been included in "arm descriptions"
  • Online physiotherapy (Procedure): Been included in "arm descriptions"

+Outcome measures

Primary outcomes

  • Pain measured at Visual Analogue Scale [Before physiotherapy and one month after physiotherapy]: We will examine the level of pain experienced by patients at rest and when opening their mouths before and after the procedure.

Secondary outcomes

  • RDC/TMD results [1 month]: Dentists reassess patients after 1 month using the RDC/TMD

+Eligibility

Sex: All, ages: 18 Years to any

Inclusion Criteria:

* Patients with myalgia

Exclusion Criteria:

* Children, patients with systemic rheumatic diseases (RA, SLE..), previous jaw surgery or trauma

+Locations (2)

FacilityCityCountryStatus
Bajcsy-Zsilinszky HospitalBudapest, Pest CountyHungaryRecruiting
Department of Prosthodontics, Semmelweis UniversityBudapestHungaryRecruiting

+Publications

  • Basch CH, Yin J, Walker ND, de Leon AJ, Fung IC. TMJ online: Investigating temporomandibular disorders as "TMJ" on YouTube. J Oral Rehabil. 2018 Jan;45(1):34-40. doi: 10.1111/joor.12580. Epub 2017 Oct 24. PMID 28965355
  • van der Meer HA, de Pijper L, van Bruxvoort T, Visscher CM, Nijhuis-van der Sanden MWG, Engelbert RHH, Speksnijder CM. Using e-Health in the physical therapeutic care process for patients with temporomandibular disorders: a qualitative study on the perspective of physical therapists and patients. Disabil Rehabil. 2022 Feb;44(4):617-624. doi: 10.1080/09638288.2020.1775900. Epub 2020 Jun 16. PMID 32543903
  • Anastassaki Kohler A, Hugoson A, Magnusson T. Prevalence of symptoms indicative of temporomandibular disorders in adults: cross-sectional epidemiological investigations covering two decades. Acta Odontol Scand. 2012 May;70(3):213-23. doi: 10.3109/00016357.2011.634832. Epub 2011 Nov 30. PMID 22126531
  • Maixner W, Fillingim RB, Williams DA, Smith SB, Slade GD. Overlapping Chronic Pain Conditions: Implications for Diagnosis and Classification. J Pain. 2016 Sep;17(9 Suppl):T93-T107. doi: 10.1016/j.jpain.2016.06.002. PMID 27586833
  • Lung J, Bell L, Heslop M, Cuming S, Ariyawardana A. Prevalence of temporomandibular disorders among a cohort of university undergraduates in Australia. J Investig Clin Dent. 2018 Aug;9(3):e12341. doi: 10.1111/jicd.12341. Epub 2018 Mar 31. PMID 29604182
  • Jivnani HM, Tripathi S, Shanker R, Singh BP, Agrawal KK, Singhal R. A Study to Determine the Prevalence of Temporomandibular Disorders in a Young Adult Population and its Association with Psychological and Functional Occlusal Parameters. J Prosthodont. 2019 Jan;28(1):e445-e449. doi: 10.1111/jopr.12704. Epub 2017 Nov 14. PMID 29135060
  • Egészségügyi szakmai irányelv - A temporomandibuláris fájdalom és diszfunkció diagnosztikájáról és terápiájáról 2020