Effect of Progressive Neck Motor Control Exercises on Temporomandibular Joint Dysfunction
- Conditions
- Temporomandibular Joint Dysfunction Syndrome
- Interventions
- Other: Progressive neck motor control exercise therapyOther: Patient education
- Registration Number
- NCT06148818
- Lead Sponsor
- Karadeniz Technical University
- 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.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 75
- 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
- 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
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description disc displacement without reduction Patient education Temporomandibular joint disc displacement without reduction Myofascial2 Patient education Myofascial Temporomandibular Dysfunction disc displacement with reduction Patient education Temporomandibular joint disc displacement with reduction disc displacement without reduction Progressive neck motor control exercise therapy Temporomandibular joint disc displacement without reduction disc displacement with reduction2 Patient education Temporomandibular joint disc displacement with reduction Myofascial Progressive neck motor control exercise therapy Myofascial Temporomandibular Dysfunction Myofascial Patient education Myofascial Temporomandibular Dysfunction disc displacement with reduction Progressive neck motor control exercise therapy Temporomandibular joint disc displacement with reduction disc displacement without reduction2 Patient education Temporomandibular joint disc displacement without reduction
- Primary Outcome Measures
Name Time Method Pressure pain threshold 1st, sixth week, first mont Assessment of Pressure pain threshold
Photographic Posture Analysis 1st, sixth week, first mont Assessment of head and neck posture
Fonseca Anamnestic Index 1st, sixth week, first mont Assessment of Temporomandibular Dysfunction Severity
Range of motion 1st, sixth week, first mont Assessment of Temporomandibular joint and neck range of motion
Endurance 1st, sixth week, first mont Assessment of Deep neck flexor endurance
Numeric Pain Scale 1st, sixth week, first mont Assessment of Pain, 0: No pain, 10: Maximum pain
Joint position error test 1st, sixth week, first mont Assessment of Cervical proprioception
Mandibular Function Impairment Questionnaire 1st, sixth week, first mont Assessment of Mandibular Function
- Secondary Outcome Measures
Name Time Method Tampa kinesiophobia scale 1st, sixth week, first mont Assessment of kinesiophobia for temporomandibular joint, 12 points: low kinesiophobia; 48 points:high kinesiophobia
Trial Locations
- Locations (1)
Karadeniz Technical University
🇹🇷Trabzon, Turkey