Evaluation of the Efficacy of Cervical Core Exercises in Persons With Temporomandibular Joint Dysfunction

NCT06222736 | Recruiting

• 1 other identifier: IstanbulGelisimU
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The aim is to reveal to what extent cervical core exercises affect the results of treatment in patients with Temporomandibular Joint Dysfunction caused by Myofascial pain syndrome. Randomization will be carried out by dividing individuals who agree to participate in the study into 3 groups of 20 people.Participants will be divided into three groups, and all three groups will receive treatment in 30-45 minute sessions a day, 2 days a week for 8 weeks.

Conditions

Temporomandibular Joint Disorders

Keywords

Temporomandibular Joint; servical core exercise; myofasial pain

Outcome Measures

Primary Outcomes (7)

• Visual Analogue Scale

  The severity of pain felt by individuals in the Temporomandibular Joint and Cervical Region, at rest, during activity and at night, will be evaluated numerically using the visual analog scale. Individuals will be told that the number "0" on a 10 cm horizontal line indicates "no pain" and the number "10" indicates "unbearable pain". The location marked by the individual will be determined as the pain intensity in cm.

  8 weeks

• Algometer

  Algometer will be used for objective measurement of Pain Threshold Assessment. The pressure will be applied to the massater, temporalis and upper trapezius muscles bilaterally, increasing the pressure by 1kg/cm2 every three seconds until the patient feels pain. The subject is told to report when he/she feels pain while applying force (kg/cm²) with the device. This process is repeated three times to calculate the average value on the muscles.

  8 weeks

• Mandibular Range of Motion

  Mandibular Range of Motion, Pain-free mouth opening, maximum mouth opening, maximum assisted mouth opening, right lateral and left lateral movements will be evaluated by the physiotherapist with the help of a ruler

  8 weeks

• Jaw Functionality Assessment

  'Functional Limitation Scale of the Jaw-8' will be used for functionality evaluation. The individual is asked to determine the level of restriction for each of the 8 items on the scale in the last month. Individuals are told that the number '0' on a 10cm horizontal line indicates 'no restriction' and the number '10' indicates 'severe restriction'. Functionality limitation is calculated by taking the average of the individual's answers.

  8 weeks

• craniovertebral angle

  An objective method of assessing cervical anterior tilt is to measure the craniovertebral angle. Head position is expressed in degrees (°) by measuring the angle between the horizontal plane and the seventh cervical vertebra (C7) and the ear with a goniometer. Measurements are taken while individuals sit in a comfortable position with their arms at their sides and their backs supported on a chair. C7 is detected by manual palpation. While one of the goniometric arms extends to the ear (external auditory canal), the other arm is kept parallel to the horizontal plane. C7, the angle between the ear and the horizontal plane is recorded in degrees

  8 weeks

• Cervical Range of Motion

  The cervical region will be evaluated with the active Cervical Range of Motion device. The device consists of inclinometers placed on the left lateral side of the head, in the middle of the forehead and on the head, and a magnetic collar placed on the neck. All measurements will be made while patients are sitting in an upright position on a chair with their arms adjacent to the body.

  8 weeks

• Cervical region deep flexor muscle endurance

  To evaluate deep flexor muscle endurance in the cervical region, the patient is placed on the abdomen with hands free while the patient is in a supine hook position. Isometrically lifts the patient's head 2.5 cm off the ground with the patient's chin at maximum tilt. The maximum time in which the patient raises his head and maintains this position is recorded in seconds. The test is terminated when the patient feels pain and cannot maintain the position.

  8 weeks

Secondary Outcomes (2)

• Neck Disability Assessment

  8 weeks

• Psychiatric Evaluation

  8 weeks

Study Arms (3)

Rocabado exercises group

EXPERIMENTAL

The most commonly known form of exercise for Temporomandibular Disfunction is Rocabado exercises, which use 6 types of exercises 6 times a day.

Other: Rocabado Exercises

Servical Core Exercises Group

EXPERIMENTAL

The purpose of core exercises is to support the vertebral column, especially by activating the stabilizing muscles, and to develop and maintain proper cervical posture by increasing kinesthetic awareness. At the beginning of the exercises, the patient is taught to contract the deep stabilizer muscles in a controlled manner, in isolation, without contraction of the superficial muscles. Exercises 2 days a week for 8 weeks, maximum 30 minutes. The session will be actively applied by the patient for a period of time.

Other: Servical Core Exercises

Rocabado Exercises and Servical Core Exercises Group

EXPERIMENTAL

The most commonly known form of exercise for Temporomandibular Disfunction is Rocabado exercises, which use 6 types of exercises 6 times a day. The purpose of Servical Core exercises is to support the vertebral column, especially by activating the stabilizing muscles, and to develop and maintain proper cervical posture by increasing kinesthetic awareness. At the beginning of the exercises, the patient is taught to contract the deep stabilizer muscles in a controlled manner, in isolation, without contraction of the superficial muscles. Exercises 2 days a week for 8 weeks, maximum 30 minutes. The session will be actively applied by the patient for a period of time.

Other: Rocabado Exercises; Other: Servical Core Exercises

Interventions

Rocabado Exercises OTHER

Patients trained by Rocabado Exercises

Rocabado Exercises and Servical Core Exercises Group; Rocabado exercises group

Servical Core Exercises OTHER

Servical Core Exercises

Rocabado Exercises and Servical Core Exercises Group; Servical Core Exercises Group

Eligibility Criteria

• Age: 18 Years+
• Gender Eligibility Details: Temporomandibular disorders are limited to one gender due to the large female population.
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Being diagnosed with Temporomandibular Disorder caused by Myofascial Pain Syndrome
• Female gender aged 18 and over
• Volunteering to participate in the study
• Not having communication difficulties such as speaking and understanding Turkish or not being able to understand the exercises.

You may not qualify if:

• Having a history of acute trauma in and around the Temporomandibular Joint
• Having Temporomandibular Joint dysfunction due to neurological disease
• Having a history of surgical/invasive procedures or treatments on the Temporomandibular Joint
• Presence of infection or tumoral structure within intraoral structures
• Having a history of tooth loss or prosthetic tooth use
• Having a history of surgical procedure in the cervical area

Sponsors & Collaborators

• Istanbul Gelisim University: lead

Study Sites (1)

Istanbul Gelisim University

Istanbul, Avcılar, Turkey (Türkiye)

RECRUITING

MeSH Terms

Conditions

Temporomandibular Joint Disorders

Condition Hierarchy (Ancestors)

Craniomandibular Disorders; Mandibular Diseases; Jaw Diseases; Musculoskeletal Diseases; Joint Diseases; Muscular Diseases; Stomatognathic Diseases

Central Study Contacts

Tuğçe Bilgic, Msc

CONTACT

05065098527; tuyilmaz@gelisim.edu.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: The numbers determined using the Research Randomiser program will be placed in an opaque envelope, and participants will be asked to choose an envelope. Participants will be included in groups according to the number they choose.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer

Model Details: Our study will be conducted at the Istanbul University-Çapa Faculty of Dentistry Total and Partial Prosthesis clinic with volunteers who have been diagnosed with Temporomandibular disfunction.

Study Record Dates

• First Submitted: January 9, 2024
• First Posted: January 25, 2024
• Study Start: October 1, 2023
• Primary Completion: November 15, 2024
• Study Completion: November 15, 2024
• Last Updated: November 19, 2024

Record last verified: 2024-11

Locations

TU (1)