Investigation of the Effect of Progressive Neck Motor Control Exercises on Craniocervical Pain, Posture, Function and Kinesiophobia in Different Types of Temporomandibular Joint Dysfunction
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Enrollment
- 75
- Locations
- 2
- Primary Endpoint
- Pressure pain threshold
Study Overview
Brief Summary
The primary aim of this study was to investigate the effects of progressive neck motor control exercises on craniocervical pain, posture, function and kinesiophobia in different types of temporomandibular dysfunction. The secondary aim of the study was to examine the differences between the effects of progressive neck motor control exercises on different types of temporomandibular dysfunction.
Detailed Description
In this randomised controlled study, the effects of progressive neck motor control exercise therapy on craniocervical pain, posture, function and kinesiophobia in individuals with different types of temporomandibular dysfunction (myofascial, disc displacement with reduction, disc displacement without reduction) and their differences with the control group will be compared. Participants diagnosed by a dentist according to three different types of temporomandibular dysfunction will be included in the study. Participants will be divided into groups by block randomisation method. A total of 6 groups will be included in the study, including participants with three different types of temporomandibular dysfunction who voluntarily agree to participate in the study and meet the inclusion criteria, and the control group of each group. The study groups will receive the same treatment and patient education for 6 weeks, while the control groups will receive only patient education.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 55 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •18 to 55 years old,
- •Temporomandibular joint-related complaints for at least 3 months,
- •Temporomandibular dysfunction is diagnosed as a result of clinical and radiological evaluation by the dentist,
- •Neck pain of 3 or more according to the numeric pain scale
Exclusion Criteria
- •Cognitive problems,
- •The one with the splint,
- •Those who have used painkillers or muscle relaxants for temporomandibular dysfunction complaints in the last 1 week,
- •With any systematic joint or muscle disease (e.g. fibromyalgia, rheumatoid arthritis),
- •Those with serious systemic diseases,
- •Any neurological disorder (e.g. trigeminal neuralgia),
- •Pregnancy or breastfeeding,
- •Treated for Temporomandibular joint or orofacial muscle pain in the last 3 months,
- •Has undergone an operation/trauma to the cervical region and/or temporomandibular joint,
- •Positive vertebrobasilar artery test
Outcomes
Primary Outcomes
Pressure pain threshold
Time Frame: 1st, sixth week, first mont
Assessment of Pressure pain threshold
Photographic Posture Analysis
Time Frame: 1st, sixth week, first mont
Assessment of head and neck posture
Fonseca Anamnestic Index
Time Frame: 1st, sixth week, first mont
Assessment of Temporomandibular Dysfunction Severity
Range of motion
Time Frame: 1st, sixth week, first mont
Assessment of Temporomandibular joint and neck range of motion
Endurance
Time Frame: 1st, sixth week, first mont
Assessment of Deep neck flexor endurance
Numeric Pain Scale
Time Frame: 1st, sixth week, first mont
Assessment of Pain, 0: No pain, 10: Maximum pain
Joint position error test
Time Frame: 1st, sixth week, first mont
Assessment of Cervical proprioception
Mandibular Function Impairment Questionnaire
Time Frame: 1st, sixth week, first mont
Assessment of Mandibular Function
Secondary Outcomes
- Tampa kinesiophobia scale(1st, sixth week, first mont)
Investigators
Nurhayat KORKMAZ
Research assisstant
Karadeniz Technical University