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Complementary Medicine Approaches to TMD Pain Management



Complementary Medicine Approaches to TMD Pain Management

For Condition: Temporomandibular Joint Disorders
Status: Recruiting
Sponsor(s): National Center for Complementary and Alternative Medicine (NCCAM) ,
Synopsis: Temporomandibular disorders are characterized by pain and tenderness in the muscles of mastication and/or the temporomandibular joint (TMJ), limitations of jaw opening often accompanied by deviations in mandibular path, and clicking, popping or grating TMJ sounds. This Phase II clinical trial will evaluate whether selected complementary approaches to TMD pain management-acupuncture (n=100), chiropractic therapy (n=50), and bodywork therapy (n=50)-delivered by complementary practitioners is as effective as usual TMD care (n=50) provided by clinicians in the KPNW TMD clinic. Subjects will be 18-70 years of age and psychologically functional TMD patients. Functional TMD patients are defined as minimally impacted by their TMD condition, reporting low-moderate pain that is not associated with activity limitation, undue reliance on health care, or psychological disturbance. Subjects will be evaluated at baseline, and six and 12 months post-intervention. Clinical examinations, saliva samples to assess salivary cortisol levels, and a series of questionnaires to assess pain and grade of dysfunctional pain, psychological functioning, and other physical symptoms will be used to assess outcomes. The investigators will passively monitor health care utilization within KPNW using clinical, research, and administrative databases. If these complementary interventions are shown to be effective, the goal is to design and implement a Phase III clinical trial to further evaluate the health consequences and cost of these therapies.
Details:
Eligibility:
Study Type:
  Interventional, Treatment, Randomized
Minimum Age/Maximum Age: 18 Years/70 Years
Genders: Both
Protocol Entry Criteria: Inclusion Criteria: - Psychologically functional TMD patients
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
AlexWhite,  Principal Investigator,  Center for Health Research (CHR), Kaiser Foundation Hospitals

Center for Health Research *Recruiting*
Portland,  Oregon,  97227-1110
United States
Recruiting  


Additional Information:
Study ID Numbers:
  1 P50 AT00076-01P1;  1 P50 AT00076-01
Study Start Date: 
Record last reviewed: January 2001
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00010621

Other Temporomandibular Joint Disorders Studies:
1. Complementary Medicine Approaches to TMD Pain Management

2. Alternative Medicine Approaches for Women with Temporomandibular Disorders.

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