Proprioceptive Neuromuscular Facilitation Exercises in Temporomandibular Dysfunction

NCT04967131 | Completed

• 1 other identifier: 10840098-604.01.01-E.60748
• Study Type: observational
• Target: 25
• Locations: 1 country
• Sites: 1

Brief Summary

Individuals who were diagnosed with reduction disc displacement by Research Diagnostic criteria for Temporomandibular Disorder (TMD / RDC) were included in the study. Proprioceptive neuromuscular facilitation exercises were performed for 30 minutes using neck jaw and tongue patterns with rhythmic stabilization (RS) and combination of isotonics (CI) techniques by physiotherapist. Maximal mouth openings were measured with caliper, pain intensities were measured with visual analogue scale and pressure pain thresholds with hand algometer.

Conditions

Temporomandibular Disorder; Temporomandibular Joint Disorders; Pain

Keywords

Orofacial Pain; Proprioceptive Neuromuscular Facilitation; Therapeutic Management; Threshold Pressure; Temporomandibular Joint Disorders; Pressure Pain

Outcome Measures

Primary Outcomes (3)

• Pain Treshold

  The pain threshold will be measured with an algometer at certain points on the muscles in the area where the exercise is applied.

  the immediate effect will be measured as soon as the exercise is finished

• Pain intensity

  The level of pain felt will be marked with a visual analog scale on a 10-centimeter paper.

  the immediate effect will be measured as soon as the exercise is finished

• Maximum mouth opening

  Individuals will be asked to open their mouths as much as they can, and mouth opening will be measured with a caliper.

  the immediate effect will be measured as soon as the exercise is finished

Secondary Outcomes (3)

• Unassisted opening

  the immediate effect will be measured as soon as the exercise is finished

• maximum unassisted opening

  the immediate effect will be measured as soon as the exercise is finished

• maximum assisted opening

  the immediate effect will be measured as soon as the exercise is finished

Study Arms (1)

PNF group

Proprioceptive Neuromuscular Fascilitation exercises were given this group

Other: PNF exercises

Interventions

PNF exercises OTHER

PNF exercises were applied in 3 sets of 15 repetitions based on movement in the diagonal plane, using head, neck and chin patterns. Contractions were sustained for at least 10 seconds.

PNF group

Eligibility Criteria

• Age: 18 Years - 25 Years
• Gender Eligibility Details: Only female were included in this study, since it is included in the literature that temporomandibular dysfunction is observed 4-6 times more frequently in women than men
• Healthy Volunteers: No
• Age Groups: Adult (18-64)
• Sampling Method: Probability Sample

Study Population

University students

You may qualify if:

• Volunteers between 18-25 years female, admitted to the study with clenching, grinding, clicking, jaw pain when eating hard foods, and limited and painful mouth movements.

You may not qualify if:

• Having orthopedic, neurological or rheumatological cervical disorders which affect the jaw motions; receiving occlusal therapy as a companion to treatment, those who have an operation in the area of jaw, head and neck and those with vertigo that prevents head movements during exercises.

Sponsors & Collaborators

• Istanbul Medipol University Hospital: lead

Study Sites (1)

Istanbul Medipol University

Istanbul, Beykoz, 34810, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Temporomandibular Joint Disorders; Pain; Facial Pain

Interventions

Muscle Stretching Exercises

Condition Hierarchy (Ancestors)

Craniomandibular Disorders; Mandibular Diseases; Jaw Diseases; Musculoskeletal Diseases; Joint Diseases; Muscular Diseases; Stomatognathic Diseases; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Esra Atılgan, PhD

  Medipol University

  STUDY CHAIR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Gizem Ergezen

Study Record Dates

• First Submitted: July 8, 2021
• First Posted: July 19, 2021
• Study Start: January 7, 2020
• Primary Completion: December 30, 2022
• Study Completion: December 31, 2022
• Last Updated: May 1, 2025

Record last verified: 2025-04

Locations

TU (1)