Craniomandibular Dysfunction
Conditions
Keywords
functional disability, Temporomandibular joint, Forward head posture, Myofascial release, Stomatognathic Alignment Exercise, Stomatognathic disease, Craniomandibular Dysfunction
Brief summary
The study was conducted to determine the effects of stomatognathic alignment exercise program in craniomandibular dysfunction.
Interventions
OTHERStomatognathic Alignment Exercise Program
Chin Tuck Exercise: Starting position: Supine and standing against a wall. Tuck chin backward over the sternal notch to place the patient's ears in line with the tips of the shoulders. Repetitions: Supine: Ten repetitions of a 10-second hold. Standing against a wall: Two repetitions of a 5-minute hold. Anterior Chest Stretching Exercise: Starting position: Standing against a wall with a flattened back; arms at 45° shoulder abduction with elbow in full extension. Active ROM exercises of neck and TMJ: Starting position: Sitting in a back-supported chair. Neck motions: flexion, extension, lateral flexion, and rotation. TMJ: Mouth opening, lateral excursion, and protrusion. Repetitions: A 10-second hold at the end range of each motion. Two series of ten repetitions for each motion. Standard physiotherapy including hot pack and myofascial release of masticatory muscles. A total of 12 sessions were conducted for 4 weeks with 3 sessions scheduled each week.
Control Group received only standard physiotherapy including hot pack and myofascial release of masticatory muscles. A total of 12 sessions were conducted for 4 weeks with 3 sessions scheduled each week.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
20 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Male and female with age group of 20-65 years. * Patients diagnosed with temporomandibular dysfunction * Individuals with the sedentary life style * Craniovertebral angle \<50 degrees * Patients who presented with at least one symptom of temporomandibular dysfunction, able to communicate effectively, cooperative with imaging examinations, and able to complete the prescribed treatment and patients with no contraindications for the required examinations or treatments.
Exclusion criteria
* Serious musculoskeletal problems of cervical and thoracic spine * Neurological disease affecting balance and postural control * Dental prosthesis * Disc prolapsed * Previous surgery in TMJ area * Vertebral artery compromise test * Cerebrovascular disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numeric Pain Rating Scale | From enrollment until the end of treatment at the fourth week. | Numeric Pain Rating Scale is utilized to evaluate pain. It consists of 11 points, having an overall score ranging from 0 to 10, where; 0 represents no pain, 1 to 3 represents mild pain, 4 to 6 represents moderate pain and 7 to 10 represents the most severe pain. |
| Mandibular function impairment questionnaire | From enrollment until the end of treatment at the fourth week. | MFIQ is used to evaluate the degree of jaw function impairment in TMJD patients. Two dimensions and 17 questions make up this questionnaire, which assigns a score ranging from 0 (no problem) to 4 (extreme difficulty or impossible without support) for a certain jaw function. The "functional capacity" dimension is made up of the first eleven components, whereas the "nutrition" dimension is made up of the next six. A high degree of jaw function impairment is indicated by a high overall score on the questionnaire. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ROM Cervical Spine (Felxion) | From enrollment until the end of treatment at the fourth week | Changes in cervical spine flexion ROM at baseline and 4th week of intervention was measured using goniometer. |
| ROM Cervical Spine (Extension) | From enrollment until the end of treatment at the fourth week. | Changes in cervical spine extension ROM at baseline and 4th week of intervention was measured using goniometer. |
| ROM Cervical Spine (Lateral Flexion) Left Side | From enrollment until the end of treatment at the fourth week. | Changes in cervical spine lateral flexion on left side ROM at baseline and 4th week of intervention was measured using goniometer. |
| ROM Cervical Spine (Lateral Flexion) Right Side | From enrollment until the end of treatment at the fourth week. | Changes in cervical spine lateral flexion on right side ROM at baseline and 4th week of intervention was measured using goniometer. |
| ROM Cervical Spine (Rotation) Left Side | From enrollment until the end of treatment at the fourth week. | Changes in cervical spine rotation on left side ROM at baseline and 4th week of intervention was measured using goniometer. |
| ROM Cervical Spine (Rotation) Right Side | From enrollment until the end of treatment at the fourth week. | Changes in cervical spine rotation on right side ROM at baseline and 4th week of intervention was measured using goniometer. |
| ROM temporomandibular joint, mouth opening (Depression) | From enrollment until the end of treatment at the fourth week. | Changes in mouth opening ROM at baseline and 4th week of intervention was measured using ruler. |
| ROM temporomandibular joint (Protrusion) | From enrollment until the end of treatment at the fourth week. | Changes in protrusion ROM at baseline and 4th week of intervention was measured using ruler. |
| ROM temporomandibular joint (Lateral Excursion) Left side | From enrollment until the end of treatment at the fourth week. | Changes in lateral excursion on left side ROM at baseline and 4th week of intervention was measured using ruler. |
| ROM temporomandibular joint (Lateral Excursion) Right side | From enrollment until the end of treatment at the fourth week. | Changes in lateral excursion on right side ROM at baseline and 4th week of intervention was measured using ruler |
| Craniovertebral angle | From enrollment until the end of treatment at the fourth week. | For assessing the severity and alignment of forward head posture by evaluating the position of the head in relation to the trunk. Changes in craniovertebral angle at baseline and 4th week of intervention was measured using Markus Bader-Software solution. |
Countries
Pakistan
Contacts
PRINCIPAL_INVESTIGATORSaba Rafique, MS.OMPT
Riphah International University
Outcome results
None listed