Complementary Medicine Approaches to TMD Pain Management
This study will determine whether selected complementary approaches to temporomandibular joint (TMJ) pain management-acupuncture are as effective as usual care.
Temporomandibular Joint Disorders
Procedure: chiropractic therapy
Procedure: bodywork therapy
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Primary Purpose: Treatment
|Official Title:||Complementary Medicine Approaches to TMD Pain Management|
|Study Start Date:||September 1999|
|Estimated Study Completion Date:||July 2004|
Temporomandibular disorders are characterized by pain and tenderness in the muscles of mastication and/or the (TMJ), limitations of jaw opening often accompanied by deviations in mandibular path, and clicking, popping or grating TMJ sounds. This study will compare the effectiveness of the complementary therapies chiropractic therapy and bodywork therapy to the standard of care for TMJ pain. If these complementary interventions are shown to be effective, the goal is to design and implement a Phase III clinical trial to further evaluate the health consequences and cost of these therapies.
Participants will be evaluated at baseline, and 6 and 12 months post-intervention. Clinical examinations, saliva samples to assess salivary cortisol levels, and a series of questionnaires to assess pain and grade of dysfunctional pain, psychological functioning, and other physical symptoms will be used to assess outcomes. The investigators will passively monitor health care utilization within KPNW using clinical, research, and administrative databases.
|United States, Oregon|
|Center for Health Research|
|Portland, Oregon, United States, 97227-1110|
|Principal Investigator:||Alex White||Center for Health Research (CHR), Kaiser Foundation Hospitals|