<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20211020052823N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-12-22</date_registration>
      <primary_sponsor>Shahid Beheshti University of Medical Sciences</primary_sponsor>
      <public_title>Comparative Effectiveness of Transcutaneous Electrical Nerve Stimulation, Low Level Laser Therapy and Occlusal Splint in the Treatment of Muscular TMJ Disorders</public_title>
      <acronym></acronym>
      <scientific_title>Comparative Effectiveness of Transcutaneous Electrical Nerve Stimulation, Low Level Laser Therapy and Occlusal Splint in the Treatment of Muscular TMJ Disorders</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-11-11</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>30</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/59465</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Patients assign to 3 treatment groups through randomized block design. Subjects will be divided into 5 blocks of 6 patients for a total of 30 patients. In each block patients are randomly assigned to a specific treatment in Excel. So, in this randomized block design patients will receive random treatment based on their arrival.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Temporomandibular Joint (TMJ) Disorders.</hc_freetext>
      <i_freetext>Intervention 1: Control group: Occlusal Splint Group (using for 3 months over night). Intervention 2: Intervention group: Low Level Laser Therapy- 8 sessions- on the 18 spots on Temporalis and Masseter Muscle bilaterally. Intervention 3: Intervention group: Transcutaneous Electrical Nerve Stimulation (TENS)- 8 sessions- apply on Temporalis and Masseter muscles. time: 20 min- frequency: 180 Hz- width: 45 us.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Yes - There is a plan to make this available</results_IPD_plan>
      <results_IPD_description>What will be shared:
All patient's data including: Age, gender, treatment groups and treatment result are shareable.

When:
Simultaneous with published result

To whom:
Researchers of Academic Institutions

Conditions:
Quantitative Analysis

Where to obtain:
Nazieh Andollah Kookhi
00989183746219
nazikookhi@gmail.com

How to obtain:
Approximately one month after receiving email

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Majid Sedaghat Monfared</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Daneshjou Blvd.</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1983969411</zip>
        <telephone>+98 21 2217 5350</telephone>
        <email>Majidsedaghatmonfared@gmail.com</email>
        <affiliation>Shahid Beheshti University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Majid Sedaghat Monfared</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Daneshjou Blvd.</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1983969411</zip>
        <telephone>+98 21 2217 5350</telephone>
        <email>majidsedaghatmonfared@gmail.com</email>
        <affiliation>Shahid Beheshti University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>1. Patient’s age between 20 to 60 years old
2- Chronic Myofascial Pain Disorder for more than 3 months
3- Diagnosis of Temporomandibular Disorder (base on RDC/TMD)</inclusion_criteria>
      <agemin>20 years</agemin>
      <agemax>60 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Recent fracture of mandible bone
History of recent trauma to the face
Congenital disorder of jaws
History of treatment for TMD in the past month
Systemic disease of muscle
Fibromyalgia
History of Cancer
Cutaneous lesion in the site that apply laser and tens
Pregnancy
History of Chemotherapy and Radiotherapy
Psychological Disorder
Dental and Oral Disease
Wearing denture and Partial denture</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code></hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword></hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Devices</i_code>
      <i_code>Treatment - Devices</i_code>
      <i_code>Treatment - Devices</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Control group: Occlusal Splint Group (using for 3 months over night)</i_keyword>
      <i_keyword>Intervention group: Low Level Laser Therapy- 8 sessions- on the 18 spots on Temporalis and Masseter Muscle bilaterally</i_keyword>
      <i_keyword>Intervention group: Transcutaneous Electrical Nerve Stimulation (TENS)- 8 sessions- apply on Temporalis and Masseter muscles. time: 20 min- frequency: 180 Hz- width: 45 us.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>The effect of treatment on Muscular Pain Level. Timepoint: Measuring the Muscular Pain Level at the beginning of the trail, just after treatment, one month, and 3 months after treatment. Method of measurement: Visual Analog Scale.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Maximum Mouth Opening. Timepoint: Before intervention, just after treatment, 1 month and 3 months after treatment. Method of measurement: Millimeter.</sec_outcome>
      <sec_outcome>Right Lateral Movement of Mandible. Timepoint: Before intervention, just after, 1 month and 3 month after treatment. Method of measurement: Millimeters.</sec_outcome>
      <sec_outcome>Left Lateral Movement of Mandible. Timepoint: Before intervention, just after, 1 month and 3 months after treatment. Method of measurement: Millimeter.</sec_outcome>
      <sec_outcome>Protrusion. Timepoint: Before intervention, just after, 1 month and 3 months after treatment. Method of measurement: Millimeter.</sec_outcome>
      <sec_outcome>Pain during eating hard food. Timepoint: Before intervention, just after, 1 month and 3 months after treatment. Method of measurement: Visual Analog Scale.</sec_outcome>
      <sec_outcome>Pain during eating soft food. Timepoint: Before intervention, just after, 1 month and 3 months after treatment. Method of measurement: Visual Analog Scale.</sec_outcome>
      <sec_outcome>Pain during speaking. Timepoint: Before intervention, just after, 1 month and 3 months after treatment. Method of measurement: Visual Analog Scale.</sec_outcome>
      <sec_outcome>Pain during laughing. Timepoint: Before intervention, just after, 1 month and 3 months after treatment. Method of measurement: Visual Analog Scale.</sec_outcome>
      <sec_outcome>Pain during yawning. Timepoint: Before intervention, just after, 1 month and 3 months after treatment. Method of measurement: Visual Analog Scale.</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Shahid Beheshti University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2020-09-08</approval_date>
        <contact_name>Ethics Committee of Shahid Beheshti University of Medical Sciences</contact_name>
        <contact_address>Department of Prosthodontics, School of Dentistry, Shahid Beheshti University of Medical Science, Daneshjou Blvd, Velenjak St, Tehran, Iran Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
