Comparison of Rocabado Approach Versus Postural Correction Exercises on Kinesiophobia and Interincisal Distance in Patients With Temporo-Mandibular Dysfunction

NCT05917769 | Unknown

• 1 other identifier: FUI/CTR/2023/9
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Temporo-mandibular dysfunction can cause pain and tenderness of jaw so posture correction exercises and Rocabado exercises will be performed targeting jaw opening and kinesiophobia.

Conditions

Temporo-mandibular Dysfunction

Outcome Measures

Primary Outcomes (2)

• Mouth opening

  Maximum pain free opening from incisor to incisor measured vertically by ruler method where the score of less than 25mm indicate TMJ dysfunction

  6 days

• Kinesiophobia

  Kinesiophobia is excessive fear of physical movement that results from a feeling of vulnerability to painful injury Or re-injury where the score of 37 on Tampa scale indicate there is kinesiophobia

  6 days

Study Arms (2)

Group A (Rocabdo exercises)

EXPERIMENTAL

The exercises created by Dr. Rocabado, will be performed by the patient at home, consist of six different exercises and six repetitions of each exercise, performed six times per day. It consists of Tongue 'Clucking', Controlled TMJ Rotation on Opening, Mandibular Rhythmic Stabilization, Upper Cervical Distraction, Axial Extension of the Cervical Spine and Shoulder Girdle Retraction.

Other: Rocabdo exercises

Group B (Postural correction exercises)

EXPERIMENTAL

This group will perform posture correction exercises for six days and six times per day. Posture correction exercises include chest stretch , wall stretch , chin tuck in and face down arm lifts.

Other: Postural correction exercises

Interventions

Rocabdo exercises OTHER

The exercises created by Dr. Rocabado, will be performed by the patient at home, consist of six different exercises and six repetitions of each exercise, performed six times per day. It consists of Tongue 'Clucking', Controlled TMJ Rotation on Opening, Mandibular Rhythmic Stabilization, Upper Cervical Distraction, Axial Extension of the Cervical Spine and Shoulder Girdle Retraction. This group will only perform Rocabdo exercises.

Group A (Rocabdo exercises)

Postural correction exercises OTHER

* Posture correction exercises will be performed six times a day for six days. * Patient will be assessed on the first day and then on the last day of the treatment, i.e., on 6th day the patient will be re-assessed after they have performed posture correction exercises. * Posture correction exercises consist of chin tuck in, chest stretch, wall stretch, on your Back chest stretch and face down arm lifts.

Group B (Postural correction exercises)

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Male and female of 18 to 45 years with TMD pain for less than six months and pain rating at least moderate in severity
• Must not be receiving any treatment for TMD at the onset of the study (for example, an occlusal splint, prescription medication)
• Pain must have been of masticatory muscle origin
• Pain on jaw movement, headache and referred pain are suggestive of a muscular problems.

You may not qualify if:

• Patients of Systemic rheumatic disease \& Fibromyalgia
• Dental pathology
• Orofacial pain disorders
• Cervical structural pathology
• Current use of analgesics more than 3 days per week
• Current use of narcotics, hypnotic drugs, sedatives, or muscle relaxants

Sponsors & Collaborators

• Foundation University Islamabad: lead

Study Sites (1)

Foundation University Islamabad

Islamabad, Federal, 64000, Pakistan

RECRUITING

Central Study Contacts

Rida Nasir, MSMSKPT

CONTACT

03215205662; nasirrida487@yahoo.com

Furqan Hassan, PHD

CONTACT

03334056768

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Group A will receive conventional therapy for pain management and Rocabado exercises. Group B will receive similar basic conventional therapy for pain management and perform posture correction exercises.

Study Record Dates

• First Submitted: June 15, 2023
• First Posted: June 26, 2023
• Study Start: January 1, 2023
• Primary Completion: June 15, 2023
• Study Completion: July 1, 2023
• Last Updated: June 26, 2023

Record last verified: 2023-06

Locations

PA (1)