Comparison of the Effect of Pain Neuroscience Education Combined With Physiotherapy and Physiotherapy Alone in Temporomandibular Disorders
Led by Ainaz Shahedi · Updated on 2025-10-03
36
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
AI-Summary
Brief Title
Who Can Participate
AI-Screening
Your Study Journey
Trial Site Locations
Research Team
How is the study designed?
Similar Trials
Frequently Asked Questions
Research Publications
Sponsors
A
Ainaz Shahedi
Lead Sponsor
M
Medipol University
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are evaluating the impact of adding Pain Neuroscience Education (PNE) to a physiotherapy program for adults aged 18 to 65 with chronic temporomandibular joint disorders (TMD). The study aims to find out if combining PNE with physiotherapy improves pain levels, psychological health, and daily function more than physiotherapy alone. This research seeks to develop better patient-centered treatment strategies for managing chronic TMD pain.
Participants will be randomly assigned to one of two groups: the control group receiving only physiotherapy, and the PNE group receiving physiotherapy plus Pain Neuroscience Education. Physiotherapy includes therapeutic ultrasound, muscle relaxation, range of motion exercises, and joint and soft tissue mobilization. For the PNE group, educational sessions using metaphors, videos, and explanations about pain will be added during the first two weeks, delivered by trained physiotherapists.
Throughout the study, participants will be assessed using various questionnaires and scales at baseline, one month after starting treatment, immediately after treatment, and three months later. These include measures of pain intensity, disability, psychological well-being, fear of movement, pain knowledge, and exercise adherence. The main outcome is the Craniofacial Pain and Disability Inventory, which helps evaluate changes in pain and function over time.
CONDITIONS
Brief Title
Comparison of the Effect of Pain Neuroscience Education Combined With Physiotherapy, and Physiotherapy Alone in Temporomandibular Disorders
Who Can Participate
Age: 18Years - 65Years
All Genders
Eligibility Criteria
You may qualify if you...
Diagnosed with pain-related temporomandibular disorders (TMD) according to DC/TMD guidelines
Experiencing chronic TMD pain for at least six months and having felt pain in the last 30 days
Aged between 18 and 65 years
You will not qualify if you...
Illiterate patients
Severe depression diagnosed medically
Previous diagnosis of uncontrolled psychiatric disorders or neurodegenerative diseases
History of tumors in the craniofacial region
Patients in the post dental surgery period
Patients who received physical therapy or any health/pain education strategy in the past year
Pregnant women
Infections, whiplash-associated disorders, and chronic degenerative inflammatory or neurologic disorders
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Treatment
Duration - 1 month
Participants receive physiotherapy treatment programs which may include therapeutic ultrasound, muscle relaxation techniques, range of motion exercises, and joint and soft tissue mobilization. Some participants also receive Pain Neuroscience Education sessions combined with physiotherapy during the first two weeks.
Weekly visits for up to 4 weeks
Follow-up
Duration - 3 months after treatment ends
Participants are assessed for pain and disability outcomes to evaluate the effects of the treatments received.
Additional effects of therapeutic exercise and education on manual therapy for chronic temporomandibular disorders treatment: a randomized clinical trial.
Cristian Justribó-Manion, Juan Mesa-Jiménez, Javier Bara-Casaus...
Effects of Manual Therapy Plus Pain Neuroscience Education with Integrated Motivational Interviewing in Individuals with Chronic Non-Specific Low Back Pain: A Randomized Clinical Trial Study.
Konstantinos Kasimis, Thomas Apostolou, Ilias Kallistratos...
What does best practice care for musculoskeletal pain look like? Eleven consistent recommendations from high-quality clinical practice guidelines: systematic review.