Efficacy of PNF Exercises on Treatment of Temporomandibular Dysfunction in Patients With Forward Head Posture: A Double-blind, Randomized, Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 24
- 试验地点
- 1
- 主要终点
- Pressure Pain Threshold
研究概览
简要总结
Temporomandibular joint dysfunction (TMJD) is an important health problem that occurs approximately in 22 to 35 percent of adults, different physiotherapy methods are reported as treatment options for management of TMJD. Although that, there is no previous studies about the efficacy of PNF exercises in treatment of TMJD in patients with forward head posture. So, the purpose of the present double-blind, randomized, controlled trial is to investigate the efficacy of PNF exercises in treatment of TMJD in patients with forward head posture.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 20 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients of both genders of age between 20-40 years
- •having symptoms of TMD for at least six weeks duration established by an expert physician or orthopaedician
- •having forward head posture with CVA < 53
- •pain over TMJ between 3 to 6 on NPRS
- •mouth opening < 25mm.
排除标准
- •Patients will be excluded if they exhibited any of the following criteria:
- •TMJ fracture undergone any surgical procedure for TMJ
- •Fracture surrounding TMJ
- •Dislocation or subluxation of TMJ
- •systemic generalized joint diseases, such as rheumatoid arthritis, and osteoporosis, congenital diseases, or facial paralysis
- •recently any dental treatment is taken or surgery over TMJ
- •hematological cervical disorders which may affect the jaw
- •Neurological deficits e.g. Bells palsy, Trigeminal neuralgia.
- •Recent infections (within the last six months) affecting the head and neck e.g. bone infections, meningitis, encephalitis, malaria, ear infection
- •Participants who were using any functional appliances e.g. dentures, braces, bite appliances which had been adjusted or fitted in the last 12 weeks prior to the commencement of this study
- •DDwR, DDwoR
- •Patients were excluded from the study if they were receiving any other form of treatment for their TMJ dysfunction.
研究组 & 干预措施
study group
干预措施: proprioceptive neuromuscular facilitation exercises (Other)
control group
干预措施: traditional physical therapy treatment (Other)
结局指标
主要结局
Pressure Pain Threshold
时间窗: change from base line at 6 weeks.
A pressure algometer will be used for the objective measurement of the PPT. The algometer was pressed on the masseter, temporalis muscles until the patient feel pain. The unit of measurement will be in kg/cm2, and three measurements will be taken every 30 seconds. The average of the three consecutive measurements will be taken as the final value.
次要结局
- Numerical Rating Scale (NRS)(change from baseline at 6 weeks.)
- ROM assessment(change from base line at 6 weeks.)
- Temporomandibular Disorder Disability Questionnaire(change from base line at 6 weeks.)
研究者
Marwa Shafiek Mustafa Saleh
assistance professor doctor
Cairo University