Effect of Telerehabilitation-Based Dual-Task Training on Clinical Outcomes in Temporomandibular Joint Dysfunction
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 30
- 主要终点
- Pain Intensity
研究概览
简要总结
This randomized controlled trial will be conducted among 18-25-year-old participants who present with temporomandibular joint dysfunction symptoms, including pain, limited range of motion, and joint crepitation. Participants will be randomly allocated into control and intervention groups using block randomization. The control group will receive a standard physiotherapy program, while the intervention group will additionally perform telerehabilitation-based dual-task exercises. The intervention will last for six weeks, with progressive increases in exercise and cognitive task difficulty. Outcomes will be assessed at baseline and at the end of the 6th week. Primary and secondary outcome measures include pain intensity (Visual Analog Scale), jaw functional limitation (Jaw Functional Limitation Scale-20), oral habits, static balance (Tetrax system), and dynamic balance (Timed Up and Go Test). Within-group and between-group comparisons will be performed. The sample size was calculated using power analysis, resulting in 30 participants in total (15 per group), accounting for potential dropouts.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
Due to the nature of the interventions, participants and care providers cannot be blinded to group allocation. However, outcome assessors will be blinded to participant group assignment to minimize assessment bias. In addition, data analysts will be blinded by using coded group labels during statistical analysis to further reduce potential bias.
入排标准
- 年龄范围
- 18 Years 至 25 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosis of temporomandibular joint dysfunction according to the
- •Temporomandibular Disorders Research Diagnostic Criteria and Diagnostic
- •Criteria for Temporomandibular Disorders
- •No neurological, orthopedic, or systemic condition that may affect balance
- •Ability to comply with a telerehabilitation program
- •Willingness to provide written informed consent
- •No prior physiotherapy treatment for temporomandibular joint dysfunction
排除标准
- •Inability to participate in regular exercise or telerehabilitation programs
- •Presence of severe systemic diseases (cardiac, rheumatologic, neurological) or other severe chronic conditions
- •Presence of psychiatric disorders or cognitive impairment
- •Use of medications that may affect balance (such as sedatives)
- •History of jaw or dental surgery within the last 6 months
- •Receipt of physiotherapy, splint therapy, or similar treatment for temporomandibular joint dysfunction within the last 3-6 months
研究组 & 干预措施
Telerehabilitation-Based Dual-Task Training
Standard Physiotherapy Program plus Telerehabilitation-Based Dual-Task Training
干预措施: Standard Physiotherapy Program (Behavioral)
Telerehabilitation-Based Dual-Task Training
Standard Physiotherapy Program plus Telerehabilitation-Based Dual-Task Training
干预措施: Dual-Task Training (Behavioral)
Conventional Physiotherapy and TMJ Exercise Program
Standard Physiotherapy Program
干预措施: Standard Physiotherapy Program (Behavioral)
结局指标
主要结局
Pain Intensity
时间窗: Measurements will be recorded at baseline and at week 6. Change in pain intensity will be analyzed.
Pain intensity will be assessed using a 10-cm Visual Analog Scale. Participants will rate their pain at rest, during chewing, and at night. Scores range from 0 (no pain) to 10 (worst imaginable pain).
Jaw Functional Limitation
时间窗: Assessments will be performed at baseline and week 6.
(Jaw Functional Limitation Scale - JFLS-20): Jaw function will be evaluated using the JFLS-20, a 20-item self-report scale assessing functional limitations in mastication, speech, and jaw movement. Each item is scored from 0 (no limitation) to 10 (severe limitation). Higher scores indicate greater functional impairment.
次要结局
- Temporomandibular Disorder Classification(Assessment will be performed at baseline.)
- Oral Habits(Assessments will be performed at baseline and week 6.)
- Dynamic Balance(Assessments will be performed at baseline and week 6.)
- Stability Index (SI)(Baseline and after 6 weeks)
- Weight Distribution Index (WDI)(Baseline and after 6 weeks)
- Fourier Harmonic Index (FHI)(Baseline and after 6 weeks)
- Fall Index(Baseline and after 6 weeks)
研究者
Miray Baser
Principal Investigator
Ege University