基于三维步态分析正常人群与TMD患者不同咀嚼运动状态下的步态差异

注册号:

Registration number:

ChiCTR2600126090 

最近更新日期:

Date of Last Refreshed on:

2026-06-03 15:31:33 

注册时间:

Date of Registration:

2026-06-03 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

基于三维步态分析正常人群与TMD患者不同咀嚼运动状态下的步态差异

Public title:

Gait Differences Between Healthy Populations and TMD Patients Under Different Chewing Movement States Based on Three-Dimensional Gait Analysis

注册题目简写:

English Acronym:

研究课题的正式科学名称:

基于三维步态分析正常人群与TMD患者不同咀嚼运动状态下的步态差异

Scientific title:

Gait Differences Between Healthy Populations and TMD Patients Under Different Chewing Movement States Based on Three-Dimensional Gait Analysis

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

张锐科 

研究负责人:

罗庆禄 

Applicant:

Ruike Zhang 

Study leader:

Qinglu Luo 

申请注册联系人电话:

Applicant telephone:

+86 20 8203 7154

研究负责人电话:

Study leader's
telephone:

+86 20 8203 7154

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

zhangruike@gzhmu.edu.cn

研究负责人电子邮件:

Study leader's E-mail:

luo_qinglu@126.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

广东省广州市黄埔区港湾路621号

研究负责人通讯地址:

广东省广州市黄埔区港湾路621号

Applicant address:

No. 621, Gangwan Road, Huangpu District, Guangzhou City, Guangdong Province

Study leader's address:

No. 621, Gangwan Road, Huangpu District, Guangzhou City, Guangdong Province

申请注册联系人邮政编码:

Applicant postcode:

510630

研究负责人邮政编码:

Study leader's postcode:

510630

申请人所在单位:

广州医科大学附属第五医院

Applicant's institution:

The Fifth Affiliated Hospital of Guangzhou Medical University

研究负责人所在单位:

广州医科大学附属第五医院

Affiliation of the Leader:

The Fifth Affiliated Hospital of Guangzhou Medical University

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

GYWY-L2026-23

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

广州医科大学附属第五医院伦理委员会

Name of the ethic committee:

Ethics Committee of the Fifth Affiliated Hospital of Guangzhou Medical University

伦理委员会批准日期:

Date of approved by ethic committee:

2026-01-28 00:00:00

伦理委员会联系人:

周绮汶

Contact Name of the ethic committee:

Qiwen Zhou

伦理委员会联系地址:

广东省广州市黄埔区港湾路621号

Contact Address of the ethic committee:

No. 621, Gangwan Road, Huangpu District, Guangzhou City, Guangdong Province

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 20 8595 9127

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

广州医科大学附属第五医院

Primary sponsor:

The Fifth Affiliated Hospital of Guangzhou Medical University

研究实施负责(组长)单位地址:

广东省广州市黄埔区港湾路621号

Primary sponsor's address:

No. 621, Gangwan Road, Huangpu District, Guangzhou City, Guangdong Province

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

广东省

市(区县):

广州市

Country:

China

Province:

Guangdong

City:

Guangzhou

单位(医院):

广州医科大学附属第五医院

具体地址:

广东省广州市黄埔区港湾路621号

Institution
hospital:

The Fifth Affiliated Hospital of Guangzhou Medical University

Address:

No. 621, Gangwan Road, Huangpu District, Guangzhou City, Guangdong Province

经费或物资来源:

Source(s) of funding:

None

研究疾病:

慢性颞下颌关节紊乱病  

Target disease:

Chronic Temporomandibular Disorders (TMD)

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

非随机对照试验 

Study design:

Non randomized control 

研究目的:

1. 明确单侧咀嚼对步态的影响及 TMD 患者的异常模式; 2. 验证综合干预对 TMD 患者临床症状及步态功能的改善效果。  

Objectives of Study:

1. To clarify the impact of unilateral chewing on gait and the abnormal patterns in TMD patients; 2. To verify the improvement effect of comprehensive intervention on clinical symptoms and gait function in TMD patients.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

健康人群: 1. 经检查存在脊柱或下肢明显异常(如脊柱侧弯、X 型腿、O 型腿、明显扁平足或明显高弓足等); 2. 有平衡障碍、帕金森病、脑卒中等神经系统疾病史,或存在头晕、行走不稳症状,或 Romberg 试验阳性; 3. 近 3 天内有超过 1 小时的剧烈运动史,或在测试前服用过可能影响肌肉运动或平衡功能的药物(如肌肉松弛剂、镇静催眠药); 4. 研究者认为不适合参加本研究。 慢性 TMD 患者: 1. 存在严重的牙列缺损(影响咀嚼功能),或存在需正畸治疗的严重咬合紊乱,或有口腔颌面部手术史; 2. 近 1 个月内接受过针对 TMD 的任何治疗(如咬合垫、肉毒素注射、物理治疗等); 3. 有平衡障碍、帕金森病、脑卒中等神经系统疾病史,或存在头晕、行走不稳症状,或 Romberg 试验阳性; 4. 近 3 天内有超过 1 小时的剧烈运动史,或在测试前服用过可能影响肌肉运动或平衡功能的药物(如肌肉松弛剂、镇静催眠药); 5. 研究者认为不适合参加本研究。

Exclusion criteria:

Healthy population: 1. Obvious abnormalities of the spine or lower limbs detected by examination (such as scoliosis, X-shaped legs, O-shaped legs, obvious flat feet or obvious high arches, etc.); 2. History of neurological diseases such as balance disorders, Parkinson's disease, stroke, or symptoms of dizziness, unsteady walking, or positive Romberg test; 3. History of strenuous exercise for more than 1 hour within 3 days, or taking drugs that may affect muscle movement or balance function before the test (such as muscle relaxants, sedative-hypnotics); ④Researchers consider it inappropriate to participate in this study. Chronic TMD patients: 1. Severe dentition defect (affecting chewing function), severe malocclusion requiring orthodontic treatment, or history of oral and maxillofacial surgery; 2. Received any treatment for TMD within 1 month (such as occlusal splint, botulinum toxin injection, physical therapy, etc.); 3. History of neurological diseases such as balance disorders, Parkinson's disease, stroke, or symptoms of dizziness, unsteady walking, or positive Romberg test; 4. History of strenuous exercise for more than 1 hour within 3 days, or taking drugs that may affect muscle movement or balance function before the test (such as muscle relaxants, sedative-hypnotics); 5. Researchers consider it inappropriate to participate in this study.

研究实施时间:

Study execute time:

From 2026-05-30 00:00:00 To 2028-12-01 00:00:00  

征募观察对象时间:

Recruiting time:

From 2026-06-03 00:00:00 To 2028-10-31 00:00:00

干预措施:

Interventions:

组别:

A 组(健康受试者)

样本量:

30

Group:

Group A (Healthy Subjects)

Sample size:

干预措施:

无干预,仅进行三次状态下的步态及肌电测试(无咀嚼、左侧咀嚼口香糖、右侧咀嚼口香糖),2 周后重测

干预措施代码:

Intervention:

No intervention; only gait and electromyography tests are conducted under three states (no chewing, left-side chewing gum, right-side chewing gum), with retesting after 2 weeks

Intervention code:

组别:

B 组(TMD 患者)

样本量:

30

Group:

Group B (TMD Patients)

Sample size:

干预措施:

物理因子治疗:超声波治疗;颞下颌关节(Temporomandibular Joint,TMJ)手法治疗;TMJ松动技术;运动治疗。

干预措施代码:

Intervention:

Physical factor therapy: Ultrasound therapy;Temporomandibular Joint (TMJ) Manual Therapy;TMJ Mobilization Technique;Exercise Therapy.

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

广东省 

市(区县):

广州市 

Country:

China

Province:

Guangdong

City:

Guangzhou

单位(医院):

广州医科大学附属第五医院 

单位级别:

三甲 

Institution
hospital:

The Fifth Affiliated Hospital of Guangzhou Medical University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

三维步态参数

指标类型:

主要指标

Outcome:

Three-dimensional gait parameters

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

表面肌电图参数

指标类型:

主要指标

Outcome:

Surface electromyography parameters

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

NPRS 评分

指标类型:

主要指标

Outcome:

NPRS score

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

PPT(压力疼痛阈值)

指标类型:

主要指标

Outcome:

PPT (Pressure Pain Threshold)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

颞下颌关节功能指数

指标类型:

主要指标

Outcome:

Temporomandibular Joint Functional Index

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

JFLS-8 评分(8 项下颌功能限制量表评分)

指标类型:

主要指标

Outcome:

JFLS-8 score (8-item mandibular function limitation scale score)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

咀嚼时 NPRS 评分(咀嚼时数字疼痛评分量表评分)

指标类型:

次要指标

Outcome:

NPRS score during chewing (score on the Digital Pain Rating Scale during chewing)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

MMO(最大张口度)

指标类型:

次要指标

Outcome:

MMO (Maximum Mouth Opening)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

None

Tissue:

人体标本去向

其它  

说明

Fate of sample:

0thers  

Note:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 30 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

Randomization Procedure (please state who generates the random number sequence and by what method):

None

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

Blinding:

None

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

否No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

None

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

CRF

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

CRF

数据与安全监察委员会:

Data and Safety Monitoring Committee:

暂未确定/Not yet

注册人:

Name of Registration:

 2026-06-03 15:31:29