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Temporomandibular Disorders (TMD)NCT07474662

Comparing the Effectiveness of Online vs. Face-to-face Physiotherapy for Treating Temporomandibular Disorders

A study testing Individual physiotherapy, Group physiotherapy and Online physiotherapy in people with Temporomandibular Disorders (TMD) and Orofacial Pain, run by Semmelweis University at 2 sites in Hungary.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Dentists and physiotherapists have two options for treating these conditions: splint therapy and physiotherapy. Right now, the gold standard is individual physiotherapy, which contains manual therapy and active exercises too. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Individual physiotherapy, Group physiotherapy and Online physiotherapy
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
90 participants
Where
2 sitesHungary
Study dates
1 Mar 2026to 31 Jul 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients with myalgia

Who cannot join

  • Children, patients with systemic rheumatic diseases (RA, SLE..), previous jaw surgery or trauma

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Szandra Katalin Körmendi, Dr contact

+36 1 338 4380

kormendi.szandra@semmelweis.hu

Dorottya Német contact

+36 30 365 5684

nemet.dorottya99@gmail.com

Hungary2 sites, 2 recruiting

  • Bajcsy-Zsilinszky Hospital

    Budapest, Pest County, 1106

    Dorottya Német, +36 30 365 5684, nemet.dorottya99@gmail.com

    Recruiting

  • Department of Prosthodontics, Semmelweis University

    Budapest, 1088

    Szandra Katalin Körmendi, Dr, +36 1 338 4380, kormendi.szandra@semmelweis.hu

    Recruiting

Other trials in Hungary

About this study

Official title: Comparing the Effectiveness of Online vs. One-on-one vs. Group Physiotherapy for Treating Myogenic Temporomandibular Disorders: A Randomized Controlled Trial

Dentists and physiotherapists have two options for treating these conditions: splint therapy and physiotherapy. Right now, the gold standard is individual physiotherapy, which contains manual therapy and active exercises too. Since not many dentists and physiotherapists are experts in this area, patients have to wait for months or even years to get their treatment. Thanks to social media, patients can find many information about their condition while they are waiting, but it's our responsibility to provide safe and effective information. In view of this situation, our aim is to find out if online or group physiotherapy is as effective as individual physiotherapy.

Being tested
Individual physiotherapy, Group physiotherapy, Online physiotherapy
Keywords
Temporomandibular Disorders (TMDs), Physiotherapy, Manual therapy, Online, Group physiotherapy, Individual physiotherapy, Video exercises, Telemedicine, Teledentistry
Medical subject headings
Temporomandibular Joint Disorders, Facial Pain, Muscular Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Individual physiotherapyProcedure or surgery

    Been included in "arm descriptions"

  • Group physiotherapyProcedure or surgery

    Been included in "arm descriptions"

  • Online physiotherapyProcedure or surgery

    Been included in "arm descriptions"

Study groups in NCT07474662
Study groupRoleWhat they receive
Online physiotherapyExperimentalThese group of patients will get a well-detailed video about the exercises for treatment of temporomandibular disorders (TMDs). This video will be available during the whole 4-week treatment period.
Receives: Procedure: Individual physiotherapy; Procedure: Group physiotherapy
Group physiotherapyExperimentalThis study group will have a 30-minute face-to-face physiotherapy appointment in small groups (5 person in one group). The physiotherapist will teach them how to perform the exercises correctly. At the end of the appointment, they will get a description about the exercises for the treatment of TMDs. They will practice the exercises at home for 4 weeks.
Receives: Procedure: Individual physiotherapy; Procedure: Online physiotherapy
Individual physiotherapyActive comparatorThis study group will have a 30-minute face-to-face physiotherapy appointment individually. The physiotherapist will teach them how to perform the exercises correctly. At the end of the appointment, they will get a description about the exercises for the treatment of TMDs. They will practice the exercises at home for 4 weeks.
Receives: Procedure: Group physiotherapy; Procedure: Online physiotherapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Pain measured at Visual Analogue Scale

    We will examine the level of pain experienced by patients at rest and when opening their mouths before and after the procedure.

    Measured: Before physiotherapy and one month after physiotherapy

Secondary outcomes (1)

  1. RDC/TMD results

    Dentists reassess patients after 1 month using the RDC/TMD

    Measured: 1 month

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Mar 2026
  2. Study start1 Mar 2026 (estimated)
  3. Primary completion31 Jul 2026 (estimated)
  4. Study completion31 Jul 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Parallel 3-arm randomized clinical trial
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
90 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07474662
Sponsor's protocol ID
376/2025
Status last verified
Mar 2026
First submitted
11 Mar 2026
Last updated
16 Mar 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Basch CH, Yin J, Walker ND, de Leon AJ, Fung IC. TMJ online: Investigating temporomandibular disorders as "TMJ" on YouTube. J Oral Rehabil. 2018 Jan;45(1):34-40. doi: 10.1111/joor.12580. Epub 2017 Oct 24.

    PubMed 28965355

  • van der Meer HA, de Pijper L, van Bruxvoort T, Visscher CM, Nijhuis-van der Sanden MWG, Engelbert RHH, Speksnijder CM. Using e-Health in the physical therapeutic care process for patients with temporomandibular disorders: a qualitative study on the perspective of physical therapists and patients. Disabil Rehabil. 2022 Feb;44(4):617-624. doi: 10.1080/09638288.2020.1775900. Epub 2020 Jun 16.

    PubMed 32543903

  • Anastassaki Kohler A, Hugoson A, Magnusson T. Prevalence of symptoms indicative of temporomandibular disorders in adults: cross-sectional epidemiological investigations covering two decades. Acta Odontol Scand. 2012 May;70(3):213-23. doi: 10.3109/00016357.2011.634832. Epub 2011 Nov 30.

    PubMed 22126531

  • Maixner W, Fillingim RB, Williams DA, Smith SB, Slade GD. Overlapping Chronic Pain Conditions: Implications for Diagnosis and Classification. J Pain. 2016 Sep;17(9 Suppl):T93-T107. doi: 10.1016/j.jpain.2016.06.002.

    PubMed 27586833

  • Lung J, Bell L, Heslop M, Cuming S, Ariyawardana A. Prevalence of temporomandibular disorders among a cohort of university undergraduates in Australia. J Investig Clin Dent. 2018 Aug;9(3):e12341. doi: 10.1111/jicd.12341. Epub 2018 Mar 31.

    PubMed 29604182

  • Jivnani HM, Tripathi S, Shanker R, Singh BP, Agrawal KK, Singhal R. A Study to Determine the Prevalence of Temporomandibular Disorders in a Young Adult Population and its Association with Psychological and Functional Occlusal Parameters. J Prosthodont. 2019 Jan;28(1):e445-e449. doi: 10.1111/jopr.12704. Epub 2017 Nov 14.

    PubMed 29135060

  • Egészségügyi szakmai irányelv - A temporomandibuláris fájdalom és diszfunkció diagnosztikájáról és terápiájáról 2020

Questions about this trial

What is this clinical trial studying?

A study testing Individual physiotherapy, Group physiotherapy and Online physiotherapy in people with Temporomandibular Disorders (TMD) and Orofacial Pain, run by Semmelweis University at 2 sites in Hungary.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 16 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Hungary. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Szandra Katalin Körmendi, Dr (+36 1 338 4380, kormendi.szandra@semmelweis.hu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Pain measured at Visual Analogue Scale (time frame: Before physiotherapy and one month after physiotherapy). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07474662, which also lists 7 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Mar 2026.

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