Effectiveness of Cervical Stabilization Exercises in Individuals With Temporomandibular Joint Disorder
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Temporomandibular Joint Disorders
- Sponsor
- Bitlis Eren University
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Numeric Pain Rating Scale (NPRS)
- Status
- Completed
- Last Updated
- last year
Overview
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.
Investigators
Mesut Arslan
Assistant Professor
Bitlis Eren University
Eligibility Criteria
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.
Outcomes
Primary Outcomes
Numeric Pain Rating Scale (NPRS)
Time Frame: 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)
Time Frame: 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
Time Frame: Change from baseline at 8 weeks
Cervical posture will be evaluated from the craniovertebral angle.
Cervical Mobility
Time Frame: Change from baseline at 8 weeks
For cervical mobility, normal joint movements of the neck will be evaluated with a goniometer.
Cervical Muscle Performance
Time Frame: Change from baseline at 8 weeks
Cervical muscle performance will be evaluated with the craniocervical flexion test.