The Effectiveness of Temporomandibular Joint Mobilization and Exercise in Individuals With Chronic Neck Pain

Not Applicable

Completed

• Conditions: Temporomandibular Joint Dysfunction Syndrome; Temporomandibular Joint Disorders; Chronic Pain; Neck Pain
• Interventions: Other: physiotherapy; Other: TMJ exercises

• Registration Number: NCT06005922
• Lead Sponsor: Uskudar University

Brief Summary

To examine the effects of temporomandibular joint mobilization and exercises added to the conventional physiotherapy program on posture, functionality and muscular endurance in individuals with chronic neck pain.

Detailed Description

Our research is a randomized controlled trial. 50 participants will be included in the study, which will be conducted on individuals aged 18-65 years with chronic neck pain. Participants will be divided into 2 groups as experimental and control groups by simple randomization method. All patients will be treated with conventional physiotherapy methods for 4 weeks and 5 days a week. In addition to conventional treatment, temporomandibular joint mobilization techniques were applied to the experimental group; exercises will be given. In the study, temporomandibular dysfunction (TMD) Pain Screener, Neck Disability Index, and Visual Analog Scale questionnaires will be applied to the patients twice, before and after the treatment. Before and after the treatment, the cervical region's range of motion and muscular endurance will be measured by the physiotherapist. Pre- and post-intervention data were statistically analyzed and compared.

Study Timeline

• Study First Submitted: 2023-08-16
• Study First Submitted QC: 2023-08-21
• Study First Posted: 2023-08-23
• Study Start: 2023-09-01
• Primary Completion: 2023-10-20
• Study Completion: 2023-12-03
• Status Verified: 2024-06
• Last Update Submitted: 2024-06-10
• Last Update Posted: 2024-06-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 42

Inclusion Criteria

• Being between the ages of 18-65,
• Having neck pain lasting longer than 3 months,
• Absence of known systemic disease or trauma history,
• Volunteering to participate in the research.

Exclusion Criteria

• Having a history of trauma in the areas that are the subject of the study, such as head and neck surgery, upper extremity, thoracic and cervical vertebrae,
• Disc displacement, osteoarthrosis, osteoarthritis signs and symptoms
• Having a neurological-psychiatric diagnosis that may affect the measurement results.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
conventional physiotherapy methods	physiotherapy	conventional physiotherapy methods
temporomandibular joint (TMJ) group	TMJ exercises	conventional physiotherapy methods and temporomandibular joint mobilization and temporomandibular joint exercises
temporomandibular joint (TMJ) group	physiotherapy	conventional physiotherapy methods and temporomandibular joint mobilization and temporomandibular joint exercises

Primary Outcome Measures

Name	Time	Method
Neck Disability Index	6 weeks	The survey consists of 10 questions. Each question has 5 options. For each question, points are given as A:0, B:1, C:2 D:3 E:4, F:4. 0-4 points are defined as no disability, 5-14 points as mild disability, 15-24 points as moderate disability, 25-34 points as severe disability, 35 or above points as complete disability.

Trial Locations

Locations (1)

Medicana Hospital; 🇹🇷 Umraniye, İstanbul, Turkey