Clinical trial NCT03778034: Effect of Forward Head Posture(FHP)on Temopromandibular Joint (TMJ) Proprioception in Post-pubertal Females
Official title: Effect of Forward Head Posture(FHP) on Temopromandibular Joint (TMJ) Proprioception in Post-pubertal Females
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Forward Head Posture
Lead sponsor: Cairo University
Sponsor class: OTHER
Collaborators: name: Cairo University
First posted: 2018-12-19
Enrollment: 100
Sex: FEMALE
Minimum age (years): 14
Maximum age (years): 19
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Observational model: OTHER
Time perspective: CROSS_SECTIONAL
Sampling method: PROBABILITY_SAMPLE
Study population: Proper assessment of TMJ proprioception may be critical for designing not only rehabilitation but also pre-habilitation interventions for patients with FHP aiming to prevent TMD. Therefore, this study will be the first one which aims to investigate the effect of FHP on TMJ proprioception in post-pubertal females. This study may expand the role of physiotherapy in woman's health.

Brief summary: No studies up to date has been evaluated the effect of FHP on TMJ proprioception.Therefore, this study will be the first one which aims to investigate the effect of FHP on TMJ proprioception in post-pubertal females

Detailed description: Forward head posture and temporomandibular disorder are two common problems in post-pubertal females. They are closely related to each other. Previous studies showed influences of head posture on the mandibular rest position, range of functional movements and the jaw and neck muscles work together during rhythmic movements. They affirm that patients with TMD present more alterations in head positioning than patients with no dysfunction .

However, no studies up to date has been evaluated the effect of FHP on TMJ proprioception. The proprioceptors in the human TMJ play important key role in identification of mandibular position when the teeth are not occluded. TMJ receptors provide the greater afferent activity regarding perceptual awareness of joint position and movement . Proper assessment of TMJ proprioception may be critical for designing not only rehabilitation but also pre-habilitation interventions for patients with FHP aiming to prevent TMD. Therefore, this study will be the first one which aims to investigate the effect of FHP on TMJ proprioception in post-pubertal females. This study may expand the role of physiotherapy in woman's health.

Eligibility criteria: Inclusion Criteria:

1. They should be at least 1 year post-puberty.
2. Their age will range from 14 to 19 years old.
3. Their body mass index (BMI) will range from 18-25 kg/m2.
4. They should spend long period of time with bad posture on computer, laptop or smart phones.

Exclusion Criteria:

* They shouldn't have headache, migraine, vertebra-basilar insufficiency,temporo mandibular disorders (TMD) ,uncorrected impairment of vision or audition, neck pain, fixed or mobile spinal deformity or history of fracture or surgery of the upper quadrant of the body

Primary outcomes:
measure: Testing TMJ proprioception
timeFrame: one month
Secondary outcomes:
measure: measuring the shoulder angle
timeFrame: one month
Other outcomes:
Locations:
Study officials:
affiliation: Cairo University
name: amel youssef, phd
role: PRINCIPAL_INVESTIGATOR
References: