INVESTIGATION AND COMPARISON OF THE EFFECTS OF POSTURE EXERCISES ON DYSFUNCTION, POSTURE AND BALANCE IN INDIVIDUALS WITH POSTERIOR EDENTULOUS AND FULL-TOOTHED TEMPOROMANDIBULAR DISORDER
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 26
- 试验地点
- 2
- 主要终点
- Mandibular Range of Motion
研究概览
简要总结
The aim of this study is to investigate the relationship between neck posture and balance in patients with posterior edentulous and full-toothed temporomandibular disorder and to compare the effectiveness of the physiotherapy program to be applied.
详细描述
The study was planned as a quasi-experimental controlled study. A total of 26 patients with temporomandibular disorder, aged between 18-70 years, 13 of whom were in the Posterior Edentulous Group (PDG) and 13 were in the Fully Toothed Group (TDG), were included. Posture exercises and manual therapy were applied to both groups twice a week for six weeks. Mandibular range of motion, pain, muscle strength, deep neck flexor endurance, flexibility, shortness, range of motion (ROM), pressure pain threshold (BAE), psychological state, posture and balance were evaluated before and after exercise.
The results of the study showed that six weeks of postural exercises and manual therapy provided significant improvement in all values (p<0.05). A significant difference was found in pain, muscle strength, ROM, BAE and balance in PDG compared to TDG (p<0.05).
The results of the study showed that symptoms can be improved by giving posture exercises in patients with tempromandibular disorder. It was concluded that the improvement in PDG was higher than in TDG.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Being diagnosed with Myofascial Temporomandibular Disorder according to The Research Diagnostic Criteria for Temporomandibular Disorders
- •Complaining of head or neck pain
- •Having temporomandibular joint pain for at least 3 months
- •Not having used an intraoral plaque before
- •Able to follow the treatment protocol regularly
- •Ability and willingness to communicate verbally
排除标准
- •Being positive for COVID-19
- •Sports injuries
- •Presence of trauma
- •Degenerative changes
- •Signs or symptoms of disc displacement, osteoarthrosis or osteoarthritis of temporomandibular joint
- •Post-operative conditions involving the cervical or temporomandibular region
- •Burn involving the cervical region and the temporomandibular region
- •Patients using analgesics or muscle relaxants up to 8 hours before the physical therapy procedure
- •Those with hypermobility in cervical movements
- •Those who have received physiotherapy or other treatment from the head / neck area in the last 12 months
- •Acute infections or any systemic disorder
- •Osteoporosis
结局指标
主要结局
Mandibular Range of Motion
时间窗: Baseline and week 6
Maximal mouth opening, protrusion and both lateral excursions was recorded in millimeters. Change = ( Week 6 Score - Baseline Score) Comparison = (Posterior Edentulous Group Change Score - Fully Toothed Group Change Score)
Balance
时间窗: Baseline and week 6
Balance evaluated with TETRAX® Interactive Balance System. Possible scores range from 0 (minimum fall risk) to 100 (high fall risk). Change = ( Week 6 Score - Baseline Score) Comparison = (Posterior Edentulous Group Change Score - Fully Toothed Group Change Score)
Posture
时间窗: Baseline and week 6
Posture evaluated with New York Posture Rating Chart. Possible scores range from 13 (bad posture) to 65 (very good posture) Change = ( Week 6 Score - Baseline Score) Comparison = (Posterior Edentulous Group Change Score - Fully Toothed Group Change Score)
次要结局
- Pain Score with Numeric Pain Rating Scale (NPRS)(Baseline and week 6)
- Active Cervical Range of Motion(Baseline and week 6)
- Beck Depression Inventory(Baseline and week 6)
研究者
Rübeysa Türedi
Physiotherapist
Dokuz Eylul University