Temporomandibular Disorder, Temporomandibular Joint Disorders, Pain
Conditions
Keywords
Orofacial Pain, Proprioceptive Neuromuscular Facilitation, Therapeutic Management, Threshold Pressure, Temporomandibular Joint Disorders, Pressure Pain
Brief summary
Individuals who were diagnosed with reduction disc displacement by Research Diagnostic criteria for Temporomandibular Disorder (TMD / RDC) were included in the study. Proprioceptive neuromuscular facilitation exercises were performed for 30 minutes using neck jaw and tongue patterns with rhythmic stabilization (RS) and combination of isotonics (CI) techniques by physiotherapist. Maximal mouth openings were measured with caliper, pain intensities were measured with visual analogue scale and pressure pain thresholds with hand algometer.
Detailed description
TMD patients who are diagnosed by TMD/RDC are firstly assessed by physiotherapist for maximal mouth opening(MMO), pain intensity and pressure pain threshold. Then they will taught exercises with rhythmic initiation which includes repetation of the patern and 15 repetitions are applied as warm-up period. Proprioceptive neuromuscular facilitation (PNF) exercises are performed in the neck and jaw patterns with rhythmic stabilization (RS) and combination of isotonics (CI) techniques. In the neck, right rotation-right lateral flexion, left rotation-left lateral flexion pattern, and the opening and closing pattern according to the working mechanics of the masseter and temporal muscle in the chin, RS and CI techniques are used. By providing maximum resistance in accordance with the needs of each individual, the RS protocol consist of isometric contractions that would not involve changing movements for 10 seconds. The combination of isotonics technique include combined concentric, isometric, and eccentric contraction of the agonist muscle for 5 seconds of each contraction without rest. CI exercises consist of 15 repetitions per set. A 30-second rest given between sets to include recovery. After exercises immediate MMO, pain intensity and pain treshold assessment will be applied.
Interventions
OTHERPNF exercises
PNF exercises were applied in 3 sets of 15 repetitions based on movement in the diagonal plane, using head, neck and chin patterns. Contractions were sustained for at least 10 seconds.
Sponsors
Istanbul Medipol University Hospital
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 25 Years
Healthy volunteers
No
Inclusion criteria
* Volunteers between 18-25 years female, admitted to the study with clenching, grinding, clicking, jaw pain when eating hard foods, and limited and painful mouth movements.
Exclusion criteria
* Having orthopedic, neurological or rheumatological cervical disorders which affect the jaw motions; receiving occlusal therapy as a companion to treatment, those who have an operation in the area of jaw, head and neck and those with vertigo that prevents head movements during exercises.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Treshold | the immediate effect will be measured as soon as the exercise is finished | The pain threshold will be measured with an algometer at certain points on the muscles in the area where the exercise is applied. |
| Pain intensity | the immediate effect will be measured as soon as the exercise is finished | The level of pain felt will be marked with a visual analog scale on a 10-centimeter paper. |
| Maximum mouth opening | the immediate effect will be measured as soon as the exercise is finished | Individuals will be asked to open their mouths as much as they can, and mouth opening will be measured with a caliper. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| maximum unassisted opening | the immediate effect will be measured as soon as the exercise is finished | Without trying to increase the mouth opening with hand or any help, the individual actively opens mouth as much as they can and the opening is measured with a caliper. |
| Unassisted opening | the immediate effect will be measured as soon as the exercise is finished | the individual is told to open their mouth and the gap is measured with a caliper. |
| maximum assisted opening | the immediate effect will be measured as soon as the exercise is finished | It is measured with a caliper by asking individuals to open their mouths as much as they can and open more by helping with their hands at the last point. |
Countries
Turkey (Türkiye)
Outcome results
None listed