Comparison of Gold Fish Exercises and Cervico-thoracic Postural Correction Training in Patients With TMJD

NCT06228690 | Completed

• 1 other identifier: S22C08G30024
• Study Type: interventional
• Target: 54
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this randomized controlled trial is to determine the effect of Gold Fish exercises and cervico-thoracic postural correction training in patients with temporo-mandibular joint dysfunction to improve pain, ROM and maximum mouth opening of jaw.

Conditions

Temporomandibular Joint; Temporomandibular Joint Dysfunction

Keywords

Temporomandibular joint dysfunction.; Gold Fish exercises; Cervico-thoracic postural correction training

Outcome Measures

Primary Outcomes (5)

• Vernier calipers

  The maximum mouth opening distance is a generally accepted measurement to estimate temporomandibular joint mobility and function. The maximum distance is measured from the incisal edge of the maxillary central incisors to the incisal edge of the mandibular central incisors at the midline. The value is measured in millimeters.

  4 weeks

• : visual analogue scale

  VAS is a qualitative pain measurement tool that assigns integer numbers between zero and 10 to different pain levels, where zero means no pain and 10 means excruciating pain. VAS is a reliable scale to measure jaw pain.

  4 weeks

• Inclinometer

  It is an instrument that measures the available range of motion at a joint.

  4 weeks

• Neck disability index

  It is used for disability in patients related to any musculoskeletal neck condition. Total score is presented in percentage. A higher score tells greater disability while 0 means no disability.

  4 weeks

• Temporomandibular Dysfunction Disability Index (TDI)

  The TMJ Disability Index questionnaire focuses on determining prior and post treatment level of function and patient's quality of life and what aspects are affected and to what degree. A total score out of 40 was calculated and converted into percentage.

  4 weeks

Study Arms (3)

Gold Fish exercises

EXPERIMENTAL

Gold Fish exercises for the flexibility of TMJ that will target the Jaw muscles.

Other: Gold Fish exercises

Cervico-thoracic postural correction training.

EXPERIMENTAL

Cervico-thoracic postural correction training for upper thoracic and neck muscles.

Other: Cervico-thoracic postural correction training

Conventional PT treatment

ACTIVE COMPARATOR

Conventional PT including Hot Pack for 10mins, Active-Passive neck Stretching Exercise + jaw Isometric Exercises.

Other: Conventional PT treatment

Interventions

Gold Fish exercises OTHER

Specific exercise for the flexibility of TMJ that will target the Jaw muscles. Frequency: 3 times/week for 4 weeks Intensity: moderate intensity (pain free) Time: 30-45 minutes Type: Gold Fish exercises for jaw flexibility, pain and maximum mouth opening.

Gold Fish exercises

Cervico-thoracic postural correction training OTHER

Cervico-thoracic postural correction training for upper thoracic and neck muscles. Frequency: 3 times/week for 4 weeks Intensity: moderate intensity (pain free) Time: 30-45 minutes Type: Muscle energy technique to improve range of motion, pain and maximum mouth opening.

Cervico-thoracic postural correction training.

Conventional PT treatment OTHER

Conventional PT including Hot Pack for 10mins, Active-Passive neck Stretching Exercise + jaw Isometric Exercises. * Frequency: hold followed by 5secs rest. 2-3times for 3 times/week for 4 weeks, Intensity: moderate-high intensity (depending on pain tolerance) Time: 30-45 mins for Active-Passive neck Stretching. * Frequency: 3secs hold, 6 times repetitions for Isometric Exercises. Type: conventional treatment for pain, ROM, MMO.

Conventional PT treatment

Eligibility Criteria

• Age: 20 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• \- Age group 20-40 Both males and females Forward head posture and temporo-mandibular joint dysfunction for more than 3 months.
• Pain provocation during neck movement, chewing and yawning; more than 5 on the Visual analogue scale.

You may not qualify if:

• History of cervical spine injury or surgery
• Pain due to underlying condition i.e. neoplasm, vascular disease
• Infection, inflammation
• Erupting 3rd molar/dental origin
• Congenital condition of cervical spine or TMJ

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Dentovilla Esthetic and Medical Center

Islamabad, Federal, 46000, Pakistan

Location

MeSH Terms

Conditions

Temporomandibular Joint Disorders

Condition Hierarchy (Ancestors)

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

Study Officials

• Muhammad Affan Iqbal, Phd*

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 18, 2024
• First Posted: January 29, 2024
• Study Start: August 3, 2023
• Primary Completion: December 1, 2023
• Study Completion: December 28, 2023
• Last Updated: January 29, 2024

Record last verified: 2024-01

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)