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CTRI Number  CTRI/2025/12/099815 [Registered on: 24/12/2025] Trial Registered Prospectively
Last Modified On: 24/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Observational Analytical Study 
Study Design  Other 
Public Title of Study   Comparison of jaw joint function in individuals with and without neck pain 
Scientific Title of Study   Function of temporomandibular joint in patients with mechanical cervical pain and matched controls: An observational analytical study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Swati Paranjape 
Designation  Professor Additional  
Affiliation  Seth G S medical College, KEM Hospital  
Address  Physiotherapy Department, Seth G S Medical College, Parel, Mumbai MAHARASHTRA 400012 India

Mumbai
MAHARASHTRA
400012
India 
Phone  02224107000  
Fax    
Email  swati.paranjape@kem.edu  
 
Details of Contact Person
Scientific Query
 
Name  Dr Meghana Maddi  
Designation  Post Graduate Student  
Affiliation  Seth G S medical College, KEM Hospital  
Address  Physiotherapy Department, Seth G S Medical College, Parel, Mumbai MAHARASHTRA 400012 India

Mumbai
MAHARASHTRA
400012
India 
Phone  02224107000  
Fax    
Email  maddimeghana31@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Meghana Maddi  
Designation  Post Graduate Student  
Affiliation  Seth G S medical College, KEM Hospital  
Address  Physiotherapy Department, Seth G S Medical College, Parel, Mumbai MAHARASHTRA 400012 India
Physiotherapy Department, Seth G S Medical College, Parel, Mumbai MAHARASHTRA 400012 India
Mumbai
MAHARASHTRA
400012
India 
Phone  02224107000  
Fax    
Email  maddimeghana31@gmail.com  
 
Source of Monetary or Material Support  
Physiotherapy Department, Seth G S Medical College, Parel, Mumbai MAHARASHTRA 400012 India 
 
Primary Sponsor  
Name  Seth G S Medical College  
Address  Seth G S Medical College, Parel, Mumbai, 400012  
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL  
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Meghana Maddi   KEM hospital   OPD Number 402, KEM Orthopedic Center, Opposite Tata Hospital, Parel, Mumbai
Mumbai
MAHARASHTRA 
02224107000

maddimeghana31@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee (IEC-II) Relating to Biomedical and Health Research (BHR)   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M95-M95||Other disorders of the musculoskeletal system and connective tissue,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  1. Individuals with and without neck pain. 2. Both males and females. 3. Patients with neck pain from C3 vertebral level to C7 vertebral level in Study group. 4. Neck pain present for more than 3 months in study group. 5. Pain intensity from 3 to 7 as per visual analogue scale in study group.  
 
ExclusionCriteria 
Details  1. Patients with non mechanical cause of neck pain in study group and individuals with neck pain in control group 2.Presence of any inflammatory rheumatic diseases like ankylosing spondylitis and rheumatoid arthritis. 3. Any congenital or acquired musculoskeletal disorders like scoliosis, Klippel Feil syndrome, etc. 4. Presence of any sensory motor, neurological conditions. 5. Primary TMJ dysfunctions in the past 6. History of any TMJ surgery. 7. History of any nicotine consumption in any form or substance abuse. 8. Presence of any sero-negative autoimmune disorders like systemic lupus erythematous, psoriatic arthritis, etc. 9.Presently having any maxillo-oro-facial conditions causing pain like wisdom tooth, cavities, etc. 10. History of any dental procedure in last 6 months. 11. Presence of any dental implants. 12. Auditory and visual impairments without corrections. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
TMJ FUNCTION: It is assesed using Helkimo Clinical Dysfunction Index
HEAD POSTURE: It is assesed for severity of Forward Head Posture using Photogrammetry method. Craniovertebral Angle is calculated using Photogrammetry method.
NECK PAIN INTENSITY: Neck pain intensity is measured using Visual Analogue Scale (VAS)
 
Once  
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIl 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   05/01/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   The connection between body parts creates a sense of wholeness. The entire rib cage and the cranio-maxillofacial complex share a same membrane origin. Earlier the temporomandibular joint (TMJ) was not considered as a load bearing joint therefore, the function of this joint was not considered as important. However, the dysfunction of this joint results in pain and limitations of some of the most vital activities of daily living such as communication and food consumption. Several studies reported the possible involvement of cervical spine in patients with temporomandibular dysfunction. However, the evidence examining the reverse that is, involvement of TMJ in mechanical cervical pain is limited. Research suggests that forward posture may lead to neck pain and decreased cervical spine extension. With increased screen usage and prolonged use of altered spinal postures at work and in educational facilities, the prevalence of neck pain is increasing. Therefore, it becomes important to study the difference in TMJ function between patients with neck pain and individuals without neck pain. There is contradictory evidence which establish the correlation between head posture and TMD. Hence, the study titled “Comparison of temporomandibular joint function in patients with neck pain and matched controls” is designed. 15 participants having chronic mechanical neck pain and 15 matched controls will be included in the study. Participants will be recruited by purposive sampling method and according to the inclusion and exclusion criteria. The participants will be assessed using Helkimo clinical dysfunction index and cranio-vertebral angle. Descriptive analysis of the data will be performed by comparing mean values of Helkimo Index between individuals with neck pain and those without neck pain using appropriate parametric or non-parametric tests depending on data normality. The study will also analyze the odds of finding altered temporo-mandibular joint function in those exposed to neck pain. 
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