Comparison of Rocabado Approach Versus Postural Correction Exercises on Kinesiophobia and Interincisal Distance in Patients With Temporo-Mandibular Dysfunction

Not Applicable

Recruiting

• Conditions: Temporo-mandibular Dysfunction
• Interventions: Other: Postural correction exercises; Other: Rocabdo exercises

• Registration Number: NCT05917769
• Lead Sponsor: Foundation University Islamabad

Brief Summary

Temporo-mandibular dysfunction can cause pain and tenderness of jaw so posture correction exercises and Rocabado exercises will be performed targeting jaw opening and kinesiophobia.

Detailed Description

Temporo-mandibular dysfunction refers to pain in area of Temporo-mandibular joint and masticatory muscles.Temporo-mandibular dysfunction can cause pain or tenderness of jaw and aching pain in and around the ear along with difficulty in chewing.In addition to these symptoms the Temporo-mandibular dysfunction results in impairment of mouth opening. So the posture correction exercises and Rocabado exercises will be used to treat patients which will target jaw opening and kinesiophobia.

Study Timeline

• Study Start: 2023-01-01
• Status Verified: 2023-06
• Primary Completion: 2023-06-15
• Study First Submitted: 2023-06-15
• Study First Submitted QC: 2023-06-15
• Last Update Submitted: 2023-06-15
• Study First Posted: 2023-06-26
• Last Update Posted: 2023-06-26
• Study Completion: 2023-07-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• Male and female of 18 to 45 years with TMD pain for less than six months and pain rating at least moderate in severity
• Must not be receiving any treatment for TMD at the onset of the study (for example, an occlusal splint, prescription medication)
• Pain must have been of masticatory muscle origin
• Pain on jaw movement, headache and referred pain are suggestive of a muscular problems.

Exclusion Criteria

• Patients of Systemic rheumatic disease & Fibromyalgia
• Dental pathology
• Orofacial pain disorders
• Cervical structural pathology
• Current use of analgesics more than 3 days per week
• Current use of narcotics, hypnotic drugs, sedatives, or muscle relaxants

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group B (Postural correction exercises)	Postural correction exercises	This group will perform posture correction exercises for six days and six times per day. Posture correction exercises include chest stretch , wall stretch , chin tuck in and face down arm lifts.
Group A (Rocabdo exercises)	Rocabdo exercises	The exercises created by Dr. Rocabado, will be performed by the patient at home, consist of six different exercises and six repetitions of each exercise, performed six times per day. It consists of Tongue 'Clucking', Controlled TMJ Rotation on Opening, Mandibular Rhythmic Stabilization, Upper Cervical Distraction, Axial Extension of the Cervical Spine and Shoulder Girdle Retraction.

Primary Outcome Measures

Name	Time	Method
Kinesiophobia	6 days	Kinesiophobia is excessive fear of physical movement that results from a feeling of vulnerability to painful injury Or re-injury where the score of 37 on Tampa scale indicate there is kinesiophobia
Mouth opening	6 days	Maximum pain free opening from incisor to incisor measured vertically by ruler method where the score of less than 25mm indicate TMJ dysfunction

Trial Locations

Locations (1)

Foundation University Islamabad; 🇵🇰 Islamabad, Federal, Pakistan