Physiotherapy Assessment for Jaw Pain

(TMD Trial)

PL
Overseen ByPhilip Lu
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: McGill University Health Centre/Research Institute of the McGill University Health Centre
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores a new method to assist individuals with jaw pain, focusing on temporomandibular joint (TMJ) issues. The researchers aim to determine if a physiotherapist-led assessment (a type of physical therapy evaluation) can expedite care and reduce the need for surgery. Participants should have TMJ pain and be new patients at the TMJ clinic in Quebec. This trial targets those who haven't had recent jaw surgery or are not in follow-up for ongoing issues. The goal is to streamline access to appropriate care. As an unphased trial, it offers patients the chance to contribute to innovative care strategies for TMJ pain.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

What prior data suggests that this physiotherapy assessment is safe for jaw pain?

Research has shown that physiotherapy is a safe treatment for jaw pain. Studies have found that it can significantly reduce pain for many individuals. For instance, one study revealed that over half of the participants experienced a pain reduction of more than 50%. Other research indicated that after three months of treatment, pain levels decreased noticeably. Reports of major side effects from physiotherapy for jaw problems are absent, suggesting it is well-tolerated. Physiotherapy helps ease pain and improve jaw function, making it a promising option for those with jaw issues.12345

Why are researchers excited about this trial?

Unlike standard treatments for jaw pain, which often involve medications like pain relievers or muscle relaxants, physiotherapy assessment focuses on understanding the root cause of the pain through detailed physical evaluations. Researchers are excited about this approach because it aims to tailor treatment plans specifically to the patient's needs, potentially leading to more effective and personalized care. Additionally, this method emphasizes non-invasive strategies, which can reduce reliance on medications and their associated side effects.

What evidence suggests that this physiotherapy assessment is effective for jaw pain?

Studies have shown that physiotherapy effectively reduces jaw pain and improves function in people with temporomandibular disorders (TMD). Research indicates that more than half of the participants experienced a reduction in pain intensity by over 50%. Specifically, evidence shows improvements in pain levels, jaw movement, and other outcomes after jaw exercises. Patients reported better jaw function and could open their mouths wider without pain after treatment. Overall, physiotherapy provides short-term benefits for reducing pain and improving function in TMD.12678

Are You a Good Fit for This Trial?

This trial is for adults in Quebec with new jaw pain or TMJ dysfunction, who are referred to the MUHC TMJ clinic and can speak French or English. People can't join if they've had recent TMJ surgery, urgent trauma, complex unrelated health issues, were referred by certain specialists, or are coming for a follow-up.

Inclusion Criteria

I have been referred to the MUHC TMJ clinic for jaw pain or problems.
Residents of the province of Quebec and beneficiaries of provincial universal health insurance coverage (Régie de l'Assurance Maladie du Québec - RAMQ)
I can understand and communicate in French or English.
See 1 more

Exclusion Criteria

I have had TMJ surgery in the last six months.
Referred directly from a recognized orofacial pain dentist or oral medicine specialist
Present with complex or multi-system pathology that could confound the diagnostic process and are not related to TMD
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Physiotherapy Assessment

Participants undergo assessment by an advanced practice physiotherapist to determine appropriate care pathway

1 day
1 visit (in-person)

Follow-up

Participants are monitored for satisfaction and outcomes after the initial assessment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Physiotherapy Assessment

Trial Overview

The study compares how well physiotherapists and surgeons agree on diagnosing jaw joint disorders using a physiotherapist-led assessment model. The goal is to see if this approach can improve access to care and reduce wait times.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: Physiotherapy AssessmentExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

McGill University Health Centre/Research Institute of the McGill University Health Centre

Lead Sponsor

Trials
476
Recruited
170,000+

Citations

Effectiveness of Physiotherapy in the Treatment of ... - PMC

After 3 months of treatment of the TMJs and cervical spine, pain decreased in both groups (p = 0001). Muscle testing at the cervical spine and ...

Physiotherapy Approaches for Temporomandibular Disorders

The results demonstrated that over 50% of participants in the experimental group experienced a reduction in pain intensity greater than 50%, ...

The effectiveness of mobilization in treating patients with ...

The evidence shows improvements in pain intensity, range of motion, and other patient-reported outcomes, following TMJ mobilization. These effects were observed ...

Effectiveness of non-invasive physiotherapy techniques in ...

Research indicates that 4 weeks and 6 months after treatment, patients reported improved pain-free inter-incisal distance (IID), jaw function, ...

a systematic review of pain and functional outcomes.

CONCLUSIONS: Physiotherapy provides short-term benefits in adults with TMD, especially in reducing pain and improving function. More robust research with larger ...

Assessment and Treatment of Temporomandibular Disorders

This page covers the TMD subjective and objective assessments and introduces essential treatment principles. This is a course page funded by Plus online ...

7.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/41805560/

a systematic review of pain and functional outcomes

Conclusions: Physiotherapy provides short-term benefits in adults with TMD, especially in reducing pain and improving function. More robust ...

Physical therapy for temporomandibular disorders: evidence ...

The purpose of this review paper is to describe novel evidence-based rehabilitative tools or concepts that can be used to improve the diagnosis and management ...