Effectiveness of Cervical Stabilization Exercises in Individuals With Temporomandibular Joint Disorder

Not Applicable

Completed

• Conditions: Temporomandibular Joint Disorders
• Interventions: Other: Cervical stabilization exercises; Other: Standard treatment (Education + home exercises)

• Registration Number: NCT06472141
• Lead Sponsor: Bitlis Eren University

Brief Summary

It is planned to examine the effect of cervical stabilization exercises on Temporomandibular Joint (TMJ) symptoms in individuals with TMJ disorder.

Detailed Description

Individuals included in the study will be divided into 2 groups, Stabilization and Control groups, by block randomization method. A standard treatment program (Education + home exercises) will be applied to both groups. In addition to the stabilization group, cervical stabilization exercises will be applied. Individuals will be evaluated with the Sociodemographic Data Form before the application.

Before and after the application, individuals were assessed for TMJ pain with the Numeric Pain Rating Scale (NPRS), TMJ symptom severity with the Fonseca Anamnestic Index (FAI) and cervical posture, mobility and muscle performance will be evaluated with craniovertebral angle, goniometer and craniocervical flexion test.

Study Timeline

• Study First Submitted: 2024-06-10
• Study First Submitted QC: 2024-06-23
• Study Start: 2024-06-24
• Study First Posted: 2024-06-24
• Status Verified: 2025-03
• Primary Completion: 2025-03-21
• Study Completion: 2025-03-21
• Last Update Submitted: 2025-03-23
• Last Update Posted: 2025-03-26

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• Having a TMJ disorder according to the TMJ Disorders Research Diagnostic Criteria (RDC/TMD),
• Being between the ages of 18-65,

Exclusion Criteria

• Neurological diseases (such as Multiple Sclerosis, Parkinson's disease),
• Metabolic and systemic diseases (such as Hypothyroidism, Hypercalcemia, Diabetes mellitus, Celiac disease),
• Rheumatologic diseases (such as Rheumatoid arthritis, Scleroderma),
• History of head and spine trauma/surgery in the last 6 months,
• History of malignancy and pregnant women will be excluded.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Stabilization group	Cervical stabilization exercises	The stabilization group will receive cervical stabilization exercises in addition to standard treatment.
Stabilization group	Standard treatment (Education + home exercises)	The stabilization group will receive cervical stabilization exercises in addition to standard treatment.
Control group	Standard treatment (Education + home exercises)	The control group will receive a standard treatment (education + home exercises) program.

Primary Outcome Measures

Name	Time	Method
Numeric Pain Rating Scale (NPRS)	Change from baseline at 8 weeks	TMJ pain will be evaluated at rest with the NPRS scale. It is a scale scored between 0-10 points and '0 points means 'I have no pain' and '10 points means 'I have unbearable pain'. NRS score between 1-3 points indicates mild pain, between 4-6 points indicates moderate pain and between 7-10 points indicates severe pain.
Fonseca Anamnestic Index (FAI)	Change from baseline at 8 weeks	It assesses TMJ disorder and its severity. The index includes three options: "yes" (10 points), "sometimes" (5 points) and "no" (0 points). A total score of 0-15 is considered as no TMJ disorder, 20-40 as mild, 45-65 as moderate, and 70-100 as severe.
Cervical Posture	Change from baseline at 8 weeks	Cervical posture will be evaluated from the craniovertebral angle.
Cervical Mobility	Change from baseline at 8 weeks	For cervical mobility, normal joint movements of the neck will be evaluated with a goniometer.
Cervical Muscle Performance	Change from baseline at 8 weeks	Cervical muscle performance will be evaluated with the craniocervical flexion test.

Trial Locations

Locations (1)

Bitlis Eren Üniversitesi; 🇹🇷 Merkez, Bitlis, Turkey