Temporomandibular Joint Dysfunction Syndrome
Conditions
Keywords
Temporomandibular Joint Dysfunction Syndrome, Pain, neck motor control exercise, posture, kinesiophobia, function
Brief summary
The primary aim of this study was to investigate the effects of progressive neck motor control exercises on craniocervical pain, posture, function and kinesiophobia in different types of temporomandibular dysfunction. The secondary aim of the study was to examine the differences between the effects of progressive neck motor control exercises on different types of temporomandibular dysfunction.
Detailed description
In this randomised controlled study, the effects of progressive neck motor control exercise therapy on craniocervical pain, posture, function and kinesiophobia in individuals with different types of temporomandibular dysfunction (myofascial, disc displacement with reduction, disc displacement without reduction) and their differences with the control group will be compared. Participants diagnosed by a dentist according to three different types of temporomandibular dysfunction will be included in the study. Participants will be divided into groups by block randomisation method. A total of 6 groups will be included in the study, including participants with three different types of temporomandibular dysfunction who voluntarily agree to participate in the study and meet the inclusion criteria, and the control group of each group. The study groups will receive the same treatment and patient education for 6 weeks, while the control groups will receive only patient education.
Interventions
OTHERProgressive neck motor control exercise therapy
The exercise programme will be conducted as a single session two days a week for 6 weeks. The sessions will always be conducted by the same physiotherapist. Each exercise session will consist of 10 minutes of warm-up exercises, 40 minutes of neck motor control exercises and 10 minutes of cool down exercises. Each exercise will be performed as 2 sets of 10 repetitions.
OTHERPatient education
The content of this education consists of information about the disease and symptoms, chewing recommendations, dietary changes, parafunctional habits, activities to be avoided, posture recommendations.
Sponsors
Karadeniz Technical University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
Yes
Inclusion criteria
* 18 to 55 years old, * Temporomandibular joint-related complaints for at least 3 months, * Temporomandibular dysfunction is diagnosed as a result of clinical and radiological evaluation by the dentist, * Neck pain of 3 or more according to the numeric pain scale
Exclusion criteria
* Cognitive problems, * The one with the splint, * Those who have used painkillers or muscle relaxants for temporomandibular dysfunction complaints in the last 1 week, * With any systematic joint or muscle disease (e.g. fibromyalgia, rheumatoid arthritis), * Those with serious systemic diseases, * Any neurological disorder (e.g. trigeminal neuralgia), * Pregnancy or breastfeeding, * Treated for Temporomandibular joint or orofacial muscle pain in the last 3 months, * Has undergone an operation/trauma to the cervical region and/or temporomandibular joint, * Positive vertebrobasilar artery test
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mandibular Function Impairment Questionnaire | 1st, sixth week, first mont | Assessment of Mandibular Function |
| Fonseca Anamnestic Index | 1st, sixth week, first mont | Assessment of Temporomandibular Dysfunction Severity |
| Numeric Pain Scale | 1st, sixth week, first mont | Assessment of Pain, 0: No pain, 10: Maximum pain |
| Pressure pain threshold | 1st, sixth week, first mont | Assessment of Pressure pain threshold |
| Range of motion | 1st, sixth week, first mont | Assessment of Temporomandibular joint and neck range of motion |
| Joint position error test | 1st, sixth week, first mont | Assessment of Cervical proprioception |
| Endurance | 1st, sixth week, first mont | Assessment of Deep neck flexor endurance |
| Photographic Posture Analysis | 1st, sixth week, first mont | Assessment of head and neck posture |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Tampa kinesiophobia scale | 1st, sixth week, first mont | Assessment of kinesiophobia for temporomandibular joint, 12 points: low kinesiophobia; 48 points:high kinesiophobia |
Countries
Turkey (Türkiye)
Contacts
Primary Contactnurhayat korkmaz, PhDstudent
Backup ContactNurhayat Korkmaz, MSc
Outcome results
None listed