Determination of the Effectiveness of Postural Exercises Combined with Occlusal Splint Therapy in Internal Temporomandibular Derangements
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 57
- 试验地点
- 1
- 主要终点
- Investigation of the Effect of Postural Exercises and Rocabado Exercises on Pain Reduction
研究概览
简要总结
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.
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 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
研究组 & 干预措施
nineteen patients with internal temporomandibular disarrangement-group 1
Nineteen randomly selected patients with internal temporomandibular disarrangement
干预措施: occlusal splints combined with rocabado exercise (Other)
nineteen patients with internal temporomandibular disarrangement-group 2
nineteen randomly selected patients with internal temporomanidbular disarrangement
干预措施: occlusal splint (Other)
nineteen patients with internal temporomandibular disarrangement-group 3
nineteen selected patients with internal temporomandibular disarrangements
干预措施: occlusal splint combined with posture exercise (Other)
结局指标
主要结局
Investigation of the Effect of Postural Exercises and Rocabado Exercises on Pain Reduction
时间窗: 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
时间窗: 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.
次要结局
- Investigation of the Secondary Effects of Postural Exercises and Rocabado Exercises on Patient's Psychology(2 months)
- Investigation of the Effect of Postural Exercises and Rocabado Exercises on the Mobility of the Neck and Jaw(2 month)
研究者
Berk Bilgen
PhD DDS Research Assistant
Istanbul University