Consequences of Temporomandibular Disorder on Balance Control

Study Overview
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Brief Summary
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To evaluate the effects of the temporomandibular disorder (TMD) and its therapeutic care on postural control in somato-sensory and visual sensitization compared to control subjects matched on age, sex and lifestyle. Parameters will be estimated by measures realized before the therapeutic care of the TMD (T0), then 2, 3 and 5 months after the starting care, both in TMD patients and control subjects. To evaluate also the effects of the TMD and its therapeutic care on balance control in various contexts of multi-sensory stimulation, orientation function, pain and tinnitus.

Detailed Description
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Primary objective: to evaluate the effects of the temporomandibular disorder (TMD) and its therapeutic care on postural control in somato-sensory and visual sensitization compared to control subjects matched on age, sex and lifestyle.

Official Title
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Consequences of Temporomandibular Disorder on Balance Control

Conditions
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Temporomandibular Disorder, Pathophysiology, Therapy

Intervention / Treatment
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* Diagnostic Test: Posturography


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient group: TMD patients, care: occlusal splint therapy, behavioral advices Control group: matched with TMD patients (age, sex, lifestyle). Exclusion Criteria: Patient group: treatment generating secondary effects in postural control (psychotrop, antidepressor, antihypertensive drugs); osteoarticular pathologies and recent trauma (< 4 months); vertigo and dysequilibrium (< 6 months), whiplash Control group: id. and TMD.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Temporomandibular disorder<br> | Diagnostic Test: Posturography<br>* Evaluation of postural control and of orientation function<br>* Other names: Orientation perception;|
| Other: Without temporomandibular disorder<br> | Diagnostic Test: Posturography<br>* Evaluation of postural control and of orientation function<br>* Other names: Orientation perception;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Postural control (before care for patients) | Postural control is evaluate by the average of condition 5 and 6 of the sensory organisation test (SOT) measured on Equitest plateform. | At inclusion (before care for patients) (first evaluation) | 
| Postural control (during care for patients) | Postural control is evaluate by the average of condition 5 and 6 of the sensory organisation test (SOT) measured on Equitest plateform. | 2 months after the first evaluation | 
| Postural control (during care for patients) | Postural control is evaluate by the average of condition 5 and 6 of the sensory organisation test (SOT) measured on Equitest plateform. | 3 months after the first evaluation | 
| Postural control (during care for patients) | Postural control is evaluate by the average of condition 5 and 6 of the sensory organisation test (SOT) measured on Equitest plateform. | 5 months after the first evaluation | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Balance function | Length and surface covered by the foot pressure center are measured | T0 and 2,3 and 5 months after the first evaluation | 
| Orientation function | Orientation is evaluated by the angle between the direction (of the gravity or of a part of his body) indicated by the subject and the real direction. It is evaluated with the road and frame test. | T0 and 2,3 and 5 months after the first evaluation | 
| Pain | Visual Analog Scale (1 to 10) | T0 and 2,3 and 5 months after the first evaluation | 
| Tinnitus | Questionnaire | T0 and 2,3 and 5 months after the first evaluation | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Balance control, Temporo-mandibular dysfunction, Orientation function