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Trial registered on ANZCTR
Registration number
ACTRN12616001327471
Ethics application status
Approved
Date submitted
12/01/2016
Date registered
22/09/2016
Date last updated
22/09/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Effectiveness of combined treatment on cervical spine and masticatory muscles on temporomandibular disorders. A pilot study.
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Scientific title
Effectiveness of combined treatment on cervical spine and masticatory muscles on temporomandibular disorders. A Randomized Controlled Trial.
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Secondary ID [1]
288283
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None
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Universal Trial Number (UTN)
None
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Trial acronym
.
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Temporomandibular disorders
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Condition category
Condition code
Musculoskeletal
297449
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0
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Other muscular and skeletal disorders
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Physical Medicine / Rehabilitation
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0
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Physiotherapy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
In this trial, patients with Temporomandibular Disorders are randomly assigned to one of four groups (three of them are treatment, and the other one is placebo). The first treatment group receives postero-anterior slow mobilizations in high cervical spine (C2) in four sets of 45 seconds each, with 15 seconds rest in between each set. The second one receives dry-needling in masseter muscle until the patient tolerates or during 60 seconds maximum. The third one receives both treatments. The treatments were administrated by two accredited physiotherapists with 2 and 5 years of experience.
The treatment is based in two sessions spaced two weeks apart. Prior to each treatment session, pain intensity (Visual Analog Scale), pressure sensitivity (with Algometer) and maximum mouth opening (mm interincisor distance) are measured. Furthermore, there is a follow-up assessment, four weeks after last treatment session, with the same variable measurement. To monitor the adherence to the intervention, it is checked at each session that all the patients have attended.
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Intervention code [1]
293576
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Rehabilitation
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Comparator / control treatment
The comparator group has the same number of patients and receives the same number of treatment sessions and follow-up assessments. The placebo administrated in this comparator group is fake dry-needling in the masseter muscle during 60 seconds maximum.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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The primary outcome is pain assessed by visual analogue scale.
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Assessment method [1]
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Timepoint [1]
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Immediately prior to first session, at second session (2 weeks after first session), and at third session (one month after second session).
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Secondary outcome [1]
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The secondary outcome is mouth opening, measured using measuring tape by treating physiotherapist.
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Assessment method [1]
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Timepoint [1]
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Immediately prior to first session, at second session (2 weeks after first session), and at third session (one month after second session).
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Secondary outcome [2]
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Pressure sensibility, assessed using mechanical algometer.
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Assessment method [2]
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Timepoint [2]
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Immediately prior to first session, at second session (2 weeks after first session), and at third session (one month after second session).
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Eligibility
Key inclusion criteria
Patients diagnosed with temporomandibular disorder.
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Minimum age
20
Years
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Maximum age
50
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients with presence of other pathologies than musculoskeletal, either genetic (Down syndrome, etc.) or neurological (ICTUS, etc.). Patients that have not been treated by dry needling any time before.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Central randomisation by computer.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using table created by a computer software (Epidat).
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
6/02/2016
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Date of last participant enrolment
Anticipated
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Actual
31/07/2016
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Date of last data collection
Anticipated
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Actual
9/09/2016
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Sample size
Target
60
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Accrual to date
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Final
17
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Recruitment outside Australia
Country [1]
7507
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Spain
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State/province [1]
7507
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Madrid
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Universidad Alcala de Henares
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Address [1]
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Plaza de San Diego, s/n,28801 Alcala de Henares,Madrid
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Country [1]
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Spain
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Primary sponsor type
University
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Name
Universidad Alcala de Henares
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Address
Plaza de San Diego, s/n,28801 Alcala de Henares,Madrid
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Country
Spain
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Secondary sponsor category [1]
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None
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Name [1]
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None
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Address [1]
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None
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Country [1]
291380
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Comite de Etica de la Investigacion y de Experimentacion animal de la Universidad Alcala de Henares
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Ethics committee address [1]
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Plaza de San Diego, s/n, 28801 Alcala de Henares, Madrid
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Ethics committee country [1]
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Spain
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Date submitted for ethics approval [1]
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23/11/2015
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Approval date [1]
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23/11/2015
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Ethics approval number [1]
294132
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Summary
Brief summary
The aim of this study is to prove that a combined treatment with postero-anterior mobilisations in the high cervical spine and dry needling in masseter muscles is better than this two therapies on their own in patients with temporomandibular disorders diagnosed. The secondary aims are to improve the pain, the mouth opening and the pressure sensibility. It is a Randomized Controlled Trial with blinded evaluator in which the study population are adults between 20 and 50 years old. Patients will be divided in four groups, one control and three experimental groups. In the control group fake dry needling will be apply in masseter muscle. In the experimental group 1, the treatment will be postero-anterior mobilisations in high cervical spine. The experimental group 2, will receive dry needling in masseter muscle. And the experimental group 3, will receive both, mobilisations and dry needling, treatments. The work plan will be distributed in the next way: First evaluation before the first treatment session. Second evaluation and second session two weeks later from the first one. Third and last evaluation. This is a control evaluation one month later than the last treatment session. In all the evaluation the patients will be identified as a number, so the evaluator will not know which patient belongs to one experimental group and which one to the control group. After the data collection, these will be analysed by the SPSS 17.0 program.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Miss Pilar Moreu Peso
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Address
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Plaza de San Diego, s/n,28801 Alcala de Henares,Madrid, University of Alcala de Henares.
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Country
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Spain
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Phone
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+34 600 63 23 91
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Sandra García Valero
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Address
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Plaza de San Diego, s/n,28801 Alcala de Henares, University of Alcala de Henares
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Country
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Spain
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Phone
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+34 687 72 20 01
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Guillermo Gil Palop
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Address
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Plaza de San Diego, s/n,28801 Alcala de Henares,Madrid, University of Alcala de Henares.
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Country
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Spain
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Phone
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+34 651 40 63 99
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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