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CTRI Number  CTRI/2022/09/045376 [Registered on: 09/09/2022] Trial Registered Prospectively
Last Modified On: 18/10/2022
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Case Control Study 
Study Design  Other 
Public Title of Study   Masseter muscle hardness by elastography in muscle pain 
Scientific Title of Study   Comparative Evaluation of Masseter Muscle stiffness by Muscle hardness meter and Ultrasound elastography in patients with Temporomandibular disorders -A case control study  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Deepa Jatti Patil 
Designation  Associate Professor 
Affiliation  Sumandeep Vidyapeeth Deemed to be University 
Address  Dept of Oral Medicine and Radiology KM Shah Dental College and Hospital Sumandeep Vidyapeeth Deemed to be University Piparia Vadodara

Vadodara
GUJARAT
391760
India 
Phone  7626363934  
Fax    
Email  iafdeepa@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rajesh kumar Rathore  
Designation  Professor 
Affiliation  Sumandeep Vidyapeeth Deemed to be University 
Address  Dept of Radiology S B.KS Medical Institute and Researcg centre Sumandeep Vidyapeeth Deemed to be University Piparia Vadodara

Vadodara
GUJARAT
391760
India 
Phone    
Fax  9327249686  
Email  rajeshrathore26rj@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Deepa Jatti Patil 
Designation  Associate Professor 
Affiliation  Sumandeep Vidyapeeth Deemed to be University 
Address  Dept of Oral Medicine and Radiology KM Shah Dental College and Hospital Sumandeep Vidyapeeth Deemed to be University Piparia Vadodara

Vadodara
GUJARAT
391760
India 
Phone  7696263934  
Fax    
Email  iafdeepa@gmail.com  
 
Source of Monetary or Material Support  
Department of Radiology, SB KS MI and RC institute,Sumandeep Vidyapeeth Deemed to be University,Vadodara 
 
Primary Sponsor  
Name  Deepa Jatti Patil 
Address  Department of Oral Medicine and Radiology, KM Shah Dental College and Hospital,Vadodara 
Type of Sponsor  Other [Self for PhD research] 
 
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 Deepa Jatti Patil   SBKS Medical Institute and Research Centre  Department of Radiology, Dhiraj Hospital Sumandeep Vidyapeeth Deemed to be University Piparia, Vadodara
Vadodara
GUJARAT 
7696263934

iafdeepa@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sumandeep Vidyapeeth Institutional Ethics Committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Adult Healthy patiients with no history of Temporomandibular disorders or clicking or muscle pain 
Patients  (1) ICD-10 Condition: M266||Temporomandibular joint disorders,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. The Diagnostic Criteria for Temporomandibular disorders (DC/TMD) Axis I will be used for the classification
2. Patients with Myofascial pain will be included in the study.
3. Both male and female patients aged between 18 to 50 years will be included in the study
4. Healthy controls comprising of 80 adult healthy volunteers (age, 18–50 years) with normal teeth and jaws, who will not be classified into groups I/II/III by DC/TMD, with no history of jaw movement dysfunction, pain in the temporomandibular joint, abnormalities in mouth opening, trauma or surgery involving TMJ over the previous 3 months and who agree to participate in this study
 
 
ExclusionCriteria 
Details  1.Participants who refused to give a written consent will be excluded from
the study.
2.Terminally ill patients or patients with chronic morbidity will be excluded.
3.Patients with neurological diseases like stroke, cerebral palsy and parkinsonism.
4.Patients with pregnancy, bone diseases, systemic diseases, cancer, acute pain, a history of drug ingestion within the past week (e.g., analgesics, muscle relaxants and anti-inflammatory drugs)
5.Patients with psychiatric morbidities or patients on an antipsychotic medication
6.Patients with restricted mouth opening because of odontogenic infections
7.Participants with severe illness, unable to communicate, lunatic and uncooperative patients will be excluded from the study.
8.Participants with history of head and neck trauma and Ototoxicity.
 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
Evaluation of hardness values of Masseter Muscle in patients with Temporomandibular disorders and healthy controls   1 month and six months 
 
Secondary Outcome  
Outcome  TimePoints 
Correlation between Masseter Muscle pain in patients with Temporomandibular disorders
Correlation with Masseter muscle thickness and muscle hardness
with masseter muscle hardness values. 
1 month, 6 months 
 
Target Sample Size   Total Sample Size="160"
Sample Size from India="160" 
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)   15/09/2022 
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="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   This is a case-control study to evaluate and compare muscle hardness in patients with temporomandibular disorders and adult healthy volunteers. The sample size of the study is 160,80 

cases and 80 controls. 

The cases will include patients with Temporomandibular disorders who will be diagnosed based on DC/TMD criteria. The controls will be healthy adult volunteers 

with no history of trauma or Temporomandibular joint pain.
 
A detailed clinical and extraoral examination of the Temporomandibular joint will be performed and recorded on a case history proforma. The visual analog scale values will be recorded for muscle pain. 
The masseter muscle hardness will be measured by a muscle hardness meter and the values will be recorded. 

The same patients will be subjected to Ultrasound elastography and the muscle stiffness values will be recorded on an elastogram on right and left sides. The thickness of the masseter 

muscle will be assessed by USG bilaterally.

The primary outcome measures will be assessing the muscle hardness values in healthy patients and patients with Temporomandibular disorders. The secondary outcome measures will be correlating visual analog scale values with muscle stiffness and correlating masseter muscle thickness with muscle stiffness values obtained by using muscle hardness meter and USG Elastography and muscle hardness meter.

 
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