Investigation of Cervical Muscle Endurance and Pressure Pain Threshold in University Students With Temporomandibular Joint Dysfunction: A Case-Control Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Cervical Muscle Endurance Assessment
研究概览
简要总结
Aim: This study aims to compare the static endurance of cervical region muscles, pressure pain thresholds of selected muscles of the stomatognathic system, and postural characteristics in young adults with and without temporomandibular joint dysfunction (TMD).
Method: A total of 60 university students aged between 18 and 25 years will be included in the study. Participants will be divided into two groups: individuals with temporomandibular joint dysfunction (TMD group, n=30) and healthy controls (control group, n=30). The static endurance of cervical flexor and extensor muscles will be assessed using standardized endurance tests. Pressure pain thresholds of the temporalis, masseter, sternocleidomastoid, and upper trapezius muscles will be measured using a pressure algometer. Postural characteristics will be evaluated using the New York Posture Analysis (NYPA).
详细描述
The socio-demographic data of the individuals, including age, height, weight, etc., were recorded. The Fonseca Anamnestic Index (FAI) was used to identify the presence of TMD, and individuals with a score above 15 (FAI≥15) were determined to have TMD. Additionally, individuals' muscular endurance was assessed using a standard endurance test, pressure pain thresholds were measured with an algometer, and posture was evaluated using the New York Posture Analysis.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 25 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Currently enrolled as a student at Igdır University.
- •The inclusion criterion for the TMD group was defined as scoring 15 points or more on the Fonseca Anamnesis Index (FAI), while the criterion for the control group was an FAI score below 15.
排除标准
- •Underwent surgery in the neck or mandibular regions
- •Had a history of intervertebral disk problems, regardless of clinical symptoms
- •Experienced mechanical neck pain for ≥3 months
- •Had scoliosis
- •Had reducible or irreducible displacement of the temporomandibular joint disk
- •Had a history of trigeminal neuralgia
- •Were undergoing orthodontic dental treatment
研究组 & 干预措施
TMD Group
TMD group was defined as scoring 15 points or more on the Fonseca Anamnesis Index (FAI).
Control Group
Control group was an FAI score below 15.
结局指标
主要结局
Cervical Muscle Endurance Assessment
时间窗: 2 week
Static endurance of cervical flexor and extensor muscles was measured in seconds. Extensors: participants lay prone, lifted the head slightly, and held a 2-kg weight as long as possible. Flexors: participants lay supine, performed slight craniocervical flexion, and maintained the position. Test ended with pain, loss of position, or sufficient endurance. Intra-observer reliability: flexors 0.71-0.93, extensors 0.73-0.85.
Pressure Pain Threshold Assesment
时间窗: 2 week
Pressure pain threshold (PPT) was measured using a Baseline Push-Pull Force Gauge® algometer with a 1 cm rubber tip. After familiarization, pressure was applied perpendicularly to the most sensitive points of the upper trapezius, masseter, temporalis, and SCM muscles until participants reported pain. Each site was tested three times with ≥20 s intervals, and the average value was recorded as the PPT.
次要结局
- Posture Assessment(2 week)
研究者
BİNNAZ BOZKURT AKPULAT
Lecturer
Kırıkkale University