Effectiveness of Cervical Stabilization Exercises in Individuals With Temporomandibular Joint Disorder

NCT06472141 | Completed

• 1 other identifier: TMJD-EXERCISE
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

It is planned to examine the effect of cervical stabilization exercises on Temporomandibular Joint (TMJ) symptoms in individuals with TMJ disorder.

Conditions

Temporomandibular Joint Disorders

Keywords

Temporomandibular Joint Disorders

Outcome Measures

Primary Outcomes (5)

• Numeric Pain Rating Scale (NPRS)

  TMJ pain will be evaluated at rest with the NPRS scale. It is a scale scored between 0-10 points and '0 points means 'I have no pain' and '10 points means 'I have unbearable pain'. NRS score between 1-3 points indicates mild pain, between 4-6 points indicates moderate pain and between 7-10 points indicates severe pain.

  Change from baseline at 8 weeks

• Fonseca Anamnestic Index (FAI)

  It assesses TMJ disorder and its severity. The index includes three options: "yes" (10 points), "sometimes" (5 points) and "no" (0 points). A total score of 0-15 is considered as no TMJ disorder, 20-40 as mild, 45-65 as moderate, and 70-100 as severe.

  Change from baseline at 8 weeks

• Cervical Posture

  Cervical posture will be evaluated from the craniovertebral angle.

  Change from baseline at 8 weeks

• Cervical Mobility

  For cervical mobility, normal joint movements of the neck will be evaluated with a goniometer.

  Change from baseline at 8 weeks

• Cervical Muscle Performance

  Cervical muscle performance will be evaluated with the craniocervical flexion test.

  Change from baseline at 8 weeks

Study Arms (2)

Control group

ACTIVE COMPARATOR

The control group will receive a standard treatment (education + home exercises) program.

Other: Standard treatment (Education + home exercises)

Stabilization group

EXPERIMENTAL

The stabilization group will receive cervical stabilization exercises in addition to standard treatment.

Other: Cervical stabilization exercises; Other: Standard treatment (Education + home exercises)

Interventions

Cervical stabilization exercises OTHER

Cervical Stabilization Exercises will be performed 3 days a week for 8 weeks.

Stabilization group

Standard treatment (Education + home exercises) OTHER

Individuals will be informed about TMJ disorders, parafunctional activities (chewing gum, nail/pen biting, etc.) and recommendations. In addition, Rocabado exercises will be given as a home program.

Control group; Stabilization 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:

• Having a TMJ disorder according to the TMJ Disorders Research Diagnostic Criteria (RDC/TMD),
• Being between the ages of 18-65,

You may not qualify if:

• Neurological diseases (such as Multiple Sclerosis, Parkinson's disease),
• Metabolic and systemic diseases (such as Hypothyroidism, Hypercalcemia, Diabetes mellitus, Celiac disease),
• Rheumatologic diseases (such as Rheumatoid arthritis, Scleroderma),
• History of head and spine trauma/surgery in the last 6 months,
• History of malignancy and pregnant women will be excluded.

Sponsors & Collaborators

• Bitlis Eren University: lead

Study Sites (1)

Bitlis Eren Üniversitesi

Merkez, Bitlis, 13000, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Temporomandibular Joint Disorders

Interventions

Educational Status

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Socioeconomic Factors; Population Characteristics

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: This study was planned as a randomized controlled trial. The individuals included in the study will be divided into 2 groups as Stabilization and Control group by block randomization method.

Study Record Dates

• First Submitted: June 10, 2024
• First Posted: June 24, 2024
• Study Start: June 24, 2024
• Primary Completion: March 21, 2025
• Study Completion: March 21, 2025
• Last Updated: March 26, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)