Temporomandibular Joint Disorders
Conditions
Keywords
Temporomandibular Joint Disorders
Brief summary
It is planned to examine the effect of cervical stabilization exercises on Temporomandibular Joint (TMJ) symptoms in individuals with TMJ disorder.
Detailed description
Individuals included in the study will be divided into 2 groups, Stabilization and Control groups, by block randomization method. A standard treatment program (Education + home exercises) will be applied to both groups. In addition to the stabilization group, cervical stabilization exercises will be applied. Individuals will be evaluated with the Sociodemographic Data Form before the application. Before and after the application, individuals were assessed for TMJ pain with the Numeric Pain Rating Scale (NPRS), TMJ symptom severity with the Fonseca Anamnestic Index (FAI) and cervical posture, mobility and muscle performance will be evaluated with craniovertebral angle, goniometer and craniocervical flexion test.
Interventions
Cervical Stabilization Exercises will be performed 3 days a week for 8 weeks.
OTHERStandard treatment (Education + home exercises)
Individuals will be informed about TMJ disorders, parafunctional activities (chewing gum, nail/pen biting, etc.) and recommendations. In addition, Rocabado exercises will be given as a home program.
Sponsors
Bitlis Eren University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
This study was planned as a randomized controlled trial. The individuals included in the study will be divided into 2 groups as Stabilization and Control group by block randomization method.
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Having a TMJ disorder according to the TMJ Disorders Research Diagnostic Criteria (RDC/TMD), * Being between the ages of 18-65,
Exclusion criteria
* Neurological diseases (such as Multiple Sclerosis, Parkinson's disease), * Metabolic and systemic diseases (such as Hypothyroidism, Hypercalcemia, Diabetes mellitus, Celiac disease), * Rheumatologic diseases (such as Rheumatoid arthritis, Scleroderma), * History of head and spine trauma/surgery in the last 6 months, * History of malignancy and pregnant women will be excluded.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numeric Pain Rating Scale (NPRS) | Change from baseline at 8 weeks | TMJ pain will be evaluated at rest with the NPRS scale. It is a scale scored between 0-10 points and '0 points means 'I have no pain' and '10 points means 'I have unbearable pain'. NRS score between 1-3 points indicates mild pain, between 4-6 points indicates moderate pain and between 7-10 points indicates severe pain. |
| Fonseca Anamnestic Index (FAI) | Change from baseline at 8 weeks | It assesses TMJ disorder and its severity. The index includes three options: yes (10 points), sometimes (5 points) and no (0 points). A total score of 0-15 is considered as no TMJ disorder, 20-40 as mild, 45-65 as moderate, and 70-100 as severe. |
| Cervical Posture | Change from baseline at 8 weeks | Cervical posture will be evaluated from the craniovertebral angle. |
| Cervical Mobility | Change from baseline at 8 weeks | For cervical mobility, normal joint movements of the neck will be evaluated with a goniometer. |
| Cervical Muscle Performance | Change from baseline at 8 weeks | Cervical muscle performance will be evaluated with the craniocervical flexion test. |
Countries
Turkey (Türkiye)
Outcome results
None listed