Arthrocentesis Versus Rocabado Exercises on Temporomandibular Disc Displacement Without Reduction
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 68
- 试验地点
- 1
- 主要终点
- Thera Bite RANGE OF MOTION scale
研究概览
简要总结
The present study will be designed to compare the short- and medium-term results of arthrocentesis and non-surgical methods Rocabado approach in early disc displacement without reduction.
详细描述
This study will be designed to provide a comparison between the effect of the Rocabado approach as a conservative treatment and temporomandibular joint arthrocentesis in temporomandibular joint disc displacement without reduction.
Delimitations:
This study will be delimited in the following aspects:
- Patients:
The study group will be composed of sixty-eight patients with temporomandibular joint disc displacement without reduction will be enrolled in the study. Group A: It will be composed of thirty-four patients with TMJ disc displacement without reduction who are started on the Rocabado approach- 4 - 6×6 exercise program. Include therapeutic exercise, and patient education focusing on the temporomandibular joint. Repeat measurements will be performed on 1st measurement at the baseline before any intervention, 2nd measurement after 8 weeks of treatment by a physiotherapist. Group B: It will be composed of thirty-four patients with disc displacement without reduction who are started on TMJ arthrocentesis procedure with medical and nursing care. 2. Equipment and tools:
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
- None
入排标准
- 年龄范围
- 40 Years 至 55 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •History of a sudden reduction in the mandibular opening. Unassisted mandibular opening 35 mm.
- •Mandibular opening with assistance increased by ≥3 mm from
- •unassisted opening, with a prior history of click, click disappearance, and a sudden decrease in opening.
- •Magnetic resonance imaging (MRI) diagnosis of Disc displacement without reduction.
- •Persistence of the symptoms indicated in the first item for a Maximum of 3 weeks.
- •clinical diagnosis of unilateral Disc displacement without reduction of the temporomandibular joint.
排除标准
- •History of major jaw trauma.
- •Dentofacial deformity.
- •Psychiatric illness.
- •Chronic headache. Presence of other disorders involving the TMJ.
研究组 & 干预措施
Group A (Study group) ROCABADO APPROACH :
Group A (Study group):
This group includes thirty-four patients with temporomandibular joint disc displacement without reduction, who will receive the Rocabado approach exercise program 6×6 AND MANIPULATION
干预措施: Rocabado approach exercise program 6×6 and manibulation . (Procedure)
Group B (Control group) ARTHOROCENTESIS:
This group includes thirty-four patients with temporomandibular joint disc displacement without reduction who will receive TMJ Arthrocentesis
干预措施: Arthrocentesis (Procedure)
结局指标
主要结局
Thera Bite RANGE OF MOTION scale
时间窗: pre treatment and eight weeks post treatment
Will be used for measuring the Maximal interincisal opening, lateral movement will be measured. Measuring Maximal Interincisal Opening : 1. Patient Positioning: The patient opens their mouth as wide as possible without discomfort. 2. Scale Placement: The range of motion scale is positioned so that the notch rests on the edge of the lower incisor. 3. Measurement: Rotate the scale until it contacts the upper incisor, and record the reading at the point of contact. Measuring Lateral Excursion Movement: 1. Scale Alignment: Rest the range of motion scale against the lower incisors with the upper and lower teeth closed together. 2. Arrow Alignment: Align the arrow on the scale with an interproximal space between two upper teeth. 3. Measurement: Move the mandible laterally (side-to-side) and record the measurements on the lateral side.
8-Items Jaw Functional Limitation Scale
时间窗: pre treatment and eight weeks post treatment
Disability related to orofacial pain, which makes it a generic tool that one can use it for different types of orofacial pain conditions. 1. Preparation: Select a quiet and distraction-free environment. 2. Understanding the Scale: Rate each item on a scale from 0 (no limitation) to 10 (severe limitation). 3. Completing the Questionnaire: Carefully read each question and reflect on your jaw function over the past week. 4. Items to Rate: Assess difficulties in chewing, mouth opening, and emotional expression. 5. Time Required: Completion typically takes less than 5 minutes. 6. Post-Completion: Higher scores indicate greater functional limitations.
Visual analog scale
时间窗: pre treatment and eight weeks post treatment
One of the pain rating scales, 1. Preparation: Ensure the VISUAL ANALOG SCALE line is accurately printed to scale (10 cm) with endpoints labeled: * 0 = No pain. * 10 = Worst imaginable pain. 2. Patient Instructions: Ask the patient to mark their current pain level on the line. 3. Score Measurement and Interpretation: Measure the distance in centimeters from the "no pain" end (0) to the patient's mark to determine the score out of 10. Higher scores indicate greater pain intensity (e.g., a mark at 6 cm corresponds to a pain level of 6/10). 4. Recall Period: Patients report either their current pain or pain experienced within the last 24 hours, depending on assessment context.
次要结局
未报告次要终点
研究者
Eman Shawkey Mohamed
Physical Therapist
Cairo University