Investigation of the Effectiveness of Proprioceptive Neuromuscular Facilitation Exercises in Individuals with Temporomandibular Dysfunction with Forward Head Posture
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 40
- 试验地点
- 2
- 主要终点
- Jaw Range of Motion (PMO)
研究概览
简要总结
The goal of this clinical trial is to compare effects of Rocabado exercises which is conventional physiotherapy treatment alone vs. combine it with proprioceptive neuromuscular facilitation (PNF) in people with temporomandibular dysfunction (TMD) with forward head posture. The main question aims to answer:
- Does adding neck and jaw PNF techniques to the treatment affect the pain and functional status of the jaw compared to Rocabado exercises alone?
Participants will be randomized into two groups (Group 1: only Rocabado exercises, Group 2: Rocabado + PNF) and perform 8 weeks long exercises. They will be assessed in the beginning of the study and at the end of the 8th week.
详细描述
Infrared heat will be applied to the neck and face areas for 15 minutes for individuals with TMD with forward head posture in both groups. Then Group 1 will perform Rocabado exercises only, and Group 2 will perform PNF exercises in addition to Rocabado exercises. Exercises will be demonstrated and applied by a physiotherapist at the university clinic.
Pain intensity, pain threshold, TMJ functions, joint range of motion and Mandibular Function are among the parameters to be evaluated. All evaluations will be made by a blinded evaluator at baseline (baseline t=0), before exercise and after exercise (post-exercise, t=8.week).
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosis of TMD according to the diagnostic criteria for temporomandibular disorders (RDC/TMD),
- •Presence of trigger points in the relevant muscles,
- •Presence of pain
排除标准
- •Intra-articular or degenerative joint disorders and subluxation requiring urgent treatment;
- •History of temporomandibular joint (TMJ) or cervical region surgery in the last 3 months;
- •Treatment history from relevant areas;
- •Presence of rheumatic diseases, including TMJ diseases;
- •TMJ instability or fracture;
- •Presence of perception-cognition disorder;
- •Presence of chronic pain such as trigeminal neuralgia
- •Orthopedic, neurological or rheumatological cervical disorders affecting jaw movements
- •History of surgery in the jaw, head and neck area
- •Presence of vertigo that prevents head movements during exercise
结局指标
主要结局
Jaw Range of Motion (PMO)
时间窗: 8 weeks
Painless mouth opening (PMO) is a test in which the individual's maximum capacity to open her/his mouth without pain is measured in cm with a ruler.
Pain Intensity
时间窗: 8 weeks
The person will be asked to mark the degree of pain he/she feels around the jaw on a ruler divided from 0 to 10 at equal intervals. According to VAS, 0 means "no pain" and 10 means "pain as bad as possible."
Jaw Range of Motion (MMO)
时间窗: 8 weeks
Maximum mouth opening (MMO) is an outcome measure measured in cm in which the person opens their mouth to the maximum extent they can.
Jaw Range of Motion (MAMO)
时间窗: 8 weeks
Maximum assisted mouth opening (MAMO) is the maximum amount of opening that a person's mouth is forced to open with the help of the hand.
次要结局
- Pressure Pain Threshold(8 weeks)
- Functionality(8 weeks)
- Mandibular Functionality(8 weeks)
研究者
gizem ergezen
Assistant Professor
Istanbul Medipol University Hospital