Evaluation of Postural Exercises in the Treatment of Temporomandibular Disorders

Not Applicable

Recruiting

• Conditions: Occlusal Splints; Temporomandibular Disorders (TMD)

• Registration Number: NCT06707467
• Lead Sponsor: Istanbul University

Brief Summary

Fifty-seven patients diagnosed with internal temporomandibular derangement will be included in the study and divided into three groups. All patients will be treated with a proven-effective occlusal splint. The first group will receive only occlusal splint therapy and will serve as the control group. The second group will receive occlusal splint therapy combined with Rocabado exercises, while the third group will receive occlusal splint therapy combined with postural exercises.

Before the treatment process, all patients will complete the Temporomandibular Disorders Diagnostic Criteria (TMD-DC) form. Pain intensity will be measured using the Visual Analog Scale (VAS), pain thresholds will be assessed using an algometer, and the following evaluations will be performed: Cervical Posture Assessment (Craniovertebral Angle with Goniometer)-Cervical Range of Motion Assessment (C-ROM)-Cervical Deep Flexor Muscle Endurance Test-Neck Disability Assessment (NDI - Neck Disability Index)-Psychiatric Assessment (HADS - Hospital Anxiety and Depression Scale).

After two months, patients will be recalled, and all tests will be repeated. The effectiveness of the three treatment protocols will then be evaluated.

Detailed Description

Not available

Study Timeline

• Status Verified: 2024-11
• Study Start: 2024-11-01
• Study First Submitted: 2024-11-21
• Study First Submitted QC: 2024-11-23
• Last Update Submitted: 2024-11-23
• Study First Posted: 2024-11-27
• Last Update Posted: 2024-11-27
• Primary Completion: 2025-01-01
• Study Completion: 2025-01-15

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 57

Inclusion Criteria

• Being diagnosed with internal temporomandibular disarrangement
• aged 18 years or older
• Willingness to participate in the study
• Ability to speak and understand Turkish, with no communication difficulties severe enough to impede understanding of the exercises

Exclusion Criteria

• History of acute trauma in the TMJ or surrounding area
• TMJ dysfunction caused by a neurological condition
• History of surgical/invasive procedures or treatments on the TMJ
• Presence of infection or tumoral structures within intraoral structures
• History of tooth loss or use of dental prostheses
• History of surgical procedures in the cervical region

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Investigation of the Effect of Postural Exercises and Rocabado Exercises on Pain Reduction	2 months	Three different treatment protocols will be applied to patients with internal temporomandibular derangement, and the results obtained after a 2-month treatment period will be compared to determine which method is the most effective. To evaluate treatment outcomes, the patients' pre- and post-treatment Visual Analog Scale (VAS) scores will be assessed, with a decrease in the mean VAS score indicating a reduction in pain. Additionally, the pain threshold in various facial regions will be measured with an algometer before and after treatment to identify which treatment protocol is more effective in reducing pain. By combining both outcomes, the most effective method for pain reduction will be determined.
Investigation of the Effect of Postural Exercises and Rocabado Exercises on Physiological Movements	2 months	Changes in cervical range of motion (C-ROM) and the craniovertebral angle will also be evaluated to determine the impact of the treatment methods on these parameters. In this way, the method that is more effective in improving physiological movements will be identified.

Secondary Outcome Measures

Name	Time	Method
Investigation of the Secondary Effects of Postural Exercises and Rocabado Exercises on Patient's Psychology	2 months	The effect of the treatment protocols applied to the three different groups on the general psychology of the patients will be measured using the Hospital Anxiety and Depression Scale (HADS). In this test, a higher score indicates a higher level of depressive symptoms, and a successful treatment is expected to result in a decrease in the test score.
Investigation of the Effect of Postural Exercises and Rocabado Exercises on the Mobility of the Neck and Jaw	2 month	The patient's neck movements will be assessed, and the range of jaw movements will be evaluated. The study aims to identify which treatment protocol leads to the most significant improvement in jaw and neck mobility.

Trial Locations

Locations (1)

Istanbul University; 🇹🇷 Istanbul, Turkey