The Frequency Forward Head Posture in Subjects With Temporomandibular Disorder - Full Text View

Purpose

The aim of this study was to verify the frequency of the forward head posture in subjects with temporomandibular disorder and to compare them with control group

Condition	Intervention
Temporomandibular Disorder	Other: The measure of the cervical posture

MedlinePlus related topics:

Temporomandibular Joint Dysfunction

U.S. FDA Resources

Study Type:	Observational
Study Design:	Case Control, Prospective

Official Title:	The Frequency Forward Head Posture in Subjects With Temporomandibular Disorder

Further study details as provided by Federal University of Mato Grosso do Sul:

Primary Outcome Measures:

Outcome Measure: frequency of the forward head posture [ Time Frame: one year ] [ Designated as safety issue: No ]

Biospecimen Retention: None Retained

Biospecimen Description:

Enrollment:	100
Study Start Date:	October 2006
Study Completion Date:	December 2007

Groups/Cohorts	Assigned Interventions
1 Study-group: The volunteers were selected on a randomized form among the individuals who went to the clinic of orofacial pain and temporomandibular disorders of São Paulo Hospital.	Other: The measure of the cervical posture The investigation of the cervical position consisted of locating the individual in side view with the parallel feet in erect position and tracing an imprisoned plumb wire to the ceiling and tangent to the kyphosis curve of the thoracic column. With a ruler it was verified at a distance of this line until the point deepest of the cervical lordosis curve.
2 Control-group: The volunteers were selected on a randomized form among the individuals who went to the dental offices of the researchers.	Other: The measure of the cervical posture The investigation of the cervical position consisted of locating the individual in side view with the parallel feet in erect position and tracing an imprisoned plumb wire to the ceiling and tangent to the kyphosis curve of the thoracic column. With a ruler it was verified at a distance of this line until the point deepest of the cervical lordosis curve.

Detailed Description:

Postural habit is defined as "the attitude of the body" being characterized as good when the parts of the body muscles and bones are lined up and work together in a harmonious form protecting the body of injury or gradual deformity and independently the attitude. The bad posture is a bad habit, but it can be which results in the disagreement of some parts of the body. These are at risk of injury or pain due to and increased tension that the disagreement imposes to the support structures. Several study confirm this occurrence relating that this the attitude can alter itself principally if a discomfort occurs. When it occurs there will be the installation of alterations, limitation of movements or even deformity, leading it to the development of an abnormal of posture of the body which will be able to reduce the functional capacity of various structures and organs of the human body.

The forward head posture is a common abnormality in cervical spine that can contribute to perpetuation the trigger points in muscles of the head as well as some kinds of temporomandibular disorder. It was suggested its influence in the treatment of patients with orofacial pain and TMD the FHP may occur a result of an acute trauma or if develop itself gradually because of an inadequate position.

Eligibility

Ages Eligible for Study:	18 Years to 65 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	Yes
Sampling Method:	Probability Sample

Study Population

The study was randomized with one hundred subjects that were divided fifty for study group and fifty of the control group with age between 18 and 65 years old, of both sexes. The volunteers were selected among the individuals who went to the clinic of orofacial pain and TMD of São Paulo Hospital and the dental offices of the researchers

Criteria

Inclusion Criteria:

Study group

The criteria of inclusion of the individuals for this group were:

Individuals whose main complaint were pain in the muscles of the chew or the TMJ
To present pain of the muscle or to articulate during the functional tests
Maximum opening interincisal equal or minor than 40 mm

Crontrol group

The criteria of inclusion of the individuals for this group were:

Individuals who underwent routine dental treatment
Individuals without TMD complaint
Maximum opening interincisal bigger than 40 mm

Exclusion Criteria:

There are not

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00743223

Locations


Brazil
	Federal University of SÃO Paulo
	SÃO PAULO, Brazil, 04023-062

Sponsors and Collaborators

Federal University of Mato Grosso do Sul

Investigators


Principal Investigator:	GUSTAVO VINHOLI, DENTIST	Federal University of São Paulo

More Information

Okeson JP, Lee WY, Lindroth J. The relationship between forward head posture and temporomandibular disorders. J Orofacial Pain; 1995;9(2):161-167 This link exits the ClinicalTrials.gov site

This link exits the ClinicalTrials.gov site

Sonnesen L, Bakke M, Solow B. Temporomandibular disorders in relation to craniofacial dimensions, head posture and bite force in children selected for orthodontic treatment. Europen J Orthodontics 2001;23:179-92 This link exits the ClinicalTrials.gov site

Makofsky HW. The effect of head posture on muscles contact position: the sliding cranium theory. J Craniomand Pract 1989;7(4):286-92 This link exits the ClinicalTrials.gov site

Barros TP, Campolongo GD, Novaes AP, Amantéa DV. The importance of the postural evaluation in patients with temporomandibular joint dysfunction. Acta ortop. Bras, 2004;12(3),jul/set:155-59 This link exits the ClinicalTrials.gov site

Responsible Party:	Federal University of Mato Grosso do Sul ( GUSTAVO HELDER VINHOLI )
Study ID Numbers:	CEP-UNIFESP1175/06
First Received:	August 26, 2008
Last Updated:	August 27, 2008
ClinicalTrials.gov Identifier:	NCT00743223
Health Authority:	Brazil: National Committee of Ethics in Research

Keywords provided by Federal University of Mato Grosso do Sul:

temporomandibular disorder

orofacial pain

posture of the head

Study placed in the following topic categories:

Temporomandibular Joint Disorders

Muscular Diseases

Musculoskeletal Diseases

Temporomandibular Joint Dysfunction Syndrome

Myofascial Pain Syndromes

Fibromyalgia

Craniomandibular Disorders

Joint Diseases

Pain

Stomatognathic Diseases

Additional relevant MeSH terms:

Mandibular Diseases

Pathologic Processes

Disease

Jaw Diseases

ClinicalTrials.gov processed this record on December 03, 2008

Sponsored by:	Federal University of Mato Grosso do Sul
Information provided by:	Federal University of Mato Grosso do Sul
ClinicalTrials.gov Identifier:	NCT00743223