The Effectiveness of Temporomandibular Joint Mobilization and Exercise in Individuals With Chronic Neck Pain

NCT06005922 | Completed

• 1 other identifier: Uskudar63
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 1

Brief Summary

To examine the effects of temporomandibular joint mobilization and exercises added to the conventional physiotherapy program on posture, functionality and muscular endurance in individuals with chronic neck pain.

Conditions

Temporomandibular Joint Disorders; Temporomandibular Joint Dysfunction Syndrome; Neck Pain; Chronic Pain

Keywords

endurance; functionality; joint range of motion

Outcome Measures

Primary Outcomes (1)

• Neck Disability Index

  The survey consists of 10 questions. Each question has 5 options. For each question, points are given as A:0, B:1, C:2 D:3 E:4, F:4. 0-4 points are defined as no disability, 5-14 points as mild disability, 15-24 points as moderate disability, 25-34 points as severe disability, 35 or above points as complete disability.

  6 weeks

Study Arms (2)

conventional physiotherapy methods

ACTIVE COMPARATOR

conventional physiotherapy methods

Other: physiotherapy

temporomandibular joint (TMJ) group

EXPERIMENTAL

conventional physiotherapy methods and temporomandibular joint mobilization and temporomandibular joint exercises

Other: physiotherapy; Other: TMJ exercises

Interventions

physiotherapy OTHER

ultrasound hotpack electrotherapy joint range of motion exercises isometric neck exercises stretching exercises

conventional physiotherapy methods; temporomandibular joint (TMJ) group

TMJ exercises OTHER

tongue relaxation position TMJ isometric strengthening exercises Posture exercises Isometric neck extension in neutral position back extension Strengthening the abdominal muscles Supine dorsal stretch pectoral stretch

temporomandibular joint (TMJ) group

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Being between the ages of 18-65,
• Having neck pain lasting longer than 3 months,
• Absence of known systemic disease or trauma history,
• Volunteering to participate in the research.

You may not qualify if:

• Having a history of trauma in the areas that are the subject of the study, such as head and neck surgery, upper extremity, thoracic and cervical vertebrae,
• Disc displacement, osteoarthrosis, osteoarthritis signs and symptoms
• Having a neurological-psychiatric diagnosis that may affect the measurement results.

Sponsors & Collaborators

• Uskudar University: lead

Study Sites (1)

Medicana Hospital

Umraniye, Istanbul, Turkey (Türkiye)

Location

Related Publications (5)

• Calixtre LB, Oliveira AB, de Sena Rosa LR, Armijo-Olivo S, Visscher CM, Alburquerque-Sendin F. Effectiveness of mobilisation of the upper cervical region and craniocervical flexor training on orofacial pain, mandibular function and headache in women with TMD. A randomised, controlled trial. J Oral Rehabil. 2019 Feb;46(2):109-119. doi: 10.1111/joor.12733. Epub 2018 Oct 26.

  PMID: 30307636 BACKGROUND

• McCarty WL Jr, Darnell MW. Rehabilitation of the temporomandibular joint through the application of motion. Cranio. 1993 Oct;11(4):298-307. doi: 10.1080/08869634.1993.11677982.

  PMID: 8118901 BACKGROUND

• Bernal-Utrera C, Gonzalez-Gerez JJ, Anarte-Lazo E, Rodriguez-Blanco C. Manual therapy versus therapeutic exercise in non-specific chronic neck pain: a randomized controlled trial. Trials. 2020 Jul 28;21(1):682. doi: 10.1186/s13063-020-04610-w.

  PMID: 32723399 BACKGROUND

• Reynolds B, Puentedura EJ, Kolber MJ, Cleland JA. Effectiveness of Cervical Spine High-Velocity, Low-Amplitude Thrust Added to Behavioral Education, Soft Tissue Mobilization, and Exercise for People With Temporomandibular Disorder With Myalgia: A Randomized Clinical Trial. J Orthop Sports Phys Ther. 2020 Aug;50(8):455-465. doi: 10.2519/jospt.2020.9175. Epub 2020 Jan 6.

  PMID: 31905097 BACKGROUND

• Hidalgo B, Hall T, Bossert J, Dugeny A, Cagnie B, Pitance L. The efficacy of manual therapy and exercise for treating non-specific neck pain: A systematic review. J Back Musculoskelet Rehabil. 2017 Nov 6;30(6):1149-1169. doi: 10.3233/BMR-169615.

  PMID: 28826164 BACKGROUND

MeSH Terms

Conditions

Temporomandibular Joint Disorders; Temporomandibular Joint Dysfunction Syndrome; Neck Pain; Chronic Pain

Interventions

Physical Therapy Modalities

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Therapeutics; Rehabilitation

Study Officials

• Şeyma DELCEOĞLU

  Uskudar University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Asst. Prof. Dr.

Model Details: temporomandibular joint mobilization and temporomandibular joint exercises

Study Record Dates

• First Submitted: August 16, 2023
• First Posted: August 23, 2023
• Study Start: September 1, 2023
• Primary Completion: October 20, 2023
• Study Completion: December 3, 2023
• Last Updated: June 11, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)