Effectiveness of Telerehabilitation in Individuals With Temporomandibular Joint Dysfunction and Myofascial Pain

NCT06526845 | Not Yet Recruiting

• 1 other identifier: E-54022451-050.04-144681
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Telerehabilitation is a treatment method that allows the patient to access treatment remotely, regardless of where they are, thanks to developing technology. Telerehabilitation provides us with opportunities such as patient evaluation, monitoring, therapy, consultation, education and patient follow-up. Within the scope of our study, the effects of applying an exercise program to patients through a home exercise program and telerehabilitation will be investigated. The purpose of this study for individuals with temporomandibular joint dysfunction is; To investigate the effectiveness of exercises for myofascial pain through telerehabilitation in individuals with myofascial pain and TMJ dysfunction.

Conditions

Temporomandibular Joint Dysfunction; Myofascial Pain

Keywords

Temporomandibular Joint Disorders; Telerehabilitation; Exercise

Outcome Measures

Primary Outcomes (7)

• Fonseca Anamnestic Index

  Temporomandibular dysfunction is assessed using the Fonseca Anamnestic Index .

  Change from Fonseca Anamnestic Index at 6 weeks.

• Visual Analogue Scale

  Participants; It is performed to evaluate jaw and facial pain when waking up in the morning, during the day, at bedtime, when chewing and at rest. Visual Analogue Scale includes scoring between 0-10. The minimum value is 0 score - no pain; The maximum score of 10 indicates unbearable pain. A higher score means more pain and a worse outcome.

  Change from Visual Analog Scale at 6 weeks.

• Painless Maximum Mouth Opening

  It will be done to evaluate the painless maximum mouth opening of the participants. It will be performed to evaluate the pain-free maximum mouth opening of the participants. The patient will be asked to open his mouth as far as possible and the distance between the lower and upper incisors will be measured with a millimeter ruler. The result will be recorded in mm.

  Change from Painless Maximum Mouth Opening at 6 weeks.

• Painful Maximum Mouth Opening

  It will be performed to evaluate the participants' maximum mouth opening with pain. The patient will be asked to open his mouth to the last painful point and the distance between the lower and upper incisors will be measured with a millimeter ruler. The result will be recorded in mm.

  Change from Painful Maximum Mouth Opening at 6 weeks.

• Maximum Mouth Opening With Passive Assistance

  It will be carried out to evaluate the maximum mouth opening of the participants with passive assistance (dentist or physiotherapist). The patient will be asked to open his mouth as far as possible with the support of a dentist or physiotherapist, and the distance between the lower and upper incisors will be measured with a millimeter ruler. The result will be recorded in mm.

  Change from Maximum Mouth Opening With Passive Assistance at 6 weeks.

• Mandibula Lateral Shift

  It evaluates the right and left shifts of the mandibula in participants. The patient first moves his lower jaw to the right and how far it moves from the midline is measured with a millimetric ruler. The measured value is recorded in millimeters. Then, the same process is performed for the left side.

  Change from Mandibula Lateral Shift at 6 weeks.

• Oral Health Impact Profile-14 (OHIP-14)

  It evaluates the quality of life in temporomandibular joint dysfunction. The total score varies between 0-84. A high score indicates that you have bad oral habits.

  Change from Oral Health Impact Profile-14 (OHIP-14) at 6 weeks.

Secondary Outcomes (3)

• Oral Behaviour Checklist

  Change from Oral Behaviour Checklist at 6 weeks.

• Cervical Region Joint Range of Motion

  Change from Cervical Region Joint Range of Motion at 6 weeks.

• Neck Disability Index

  Change from Neck Disability Index at 6 weeks.

Study Arms (2)

Telerehabilitation Group

EXPERIMENTAL

All exercises in the brochure will be performed by patients via telerehabilitation.It will be applied twice a week for 6 weeks.

Other: Video-Conference based rehabilitation

Home-Based Exercise Group

ACTIVE COMPARATOR

Patient education will be provided by showing all the exercises in practice. Then, brochures will be given to the patients so that they can practice them at home.It will be applied twice a week for 6 weeks.

Other: Home-Based rehabilitation

Interventions

Video-Conference based rehabilitation OTHER

All exercises in the brochure will be performed by patients via telerehabilitation. The exercises included in the exercise package are as follows: * Post-isometric relaxation exercise and relaxation exercise with diaphragmatic breathing * Neck Exercises: 5 neck exercises including cervical isometric flexion, extension, right and left lateral flexion and chin tuck exercises. * Soft tissue-friction massage: It will be applied to the area where myofascial pain develops due to TMJD. * Mandibular mobility exercises: opening and closing the mouth slowly and rhythmically, lateral movements, protrusion movement, hold-relax technique, jaw isometric exercises * Stretching exercises: Stretching exercises for chewing muscles (masseter muscle stretching, temporalis muscle stretching, pterygoid muscle stretching).

Telerehabilitation Group

Home-Based rehabilitation OTHER

Patient education will be provided by showing all exercises in practice. Brochures will then be given to patients so they can apply them at home. The exercises in the brochure are as follows; * Post-isometric relaxation exercise and relaxation exercise with diaphragmatic breathing * Neck Exercises: 5 neck exercises including cervical isometric flexion, extension, right and left lateral flexion and chin tuck exercises. * Soft tissue-friction massage: It will be applied to the area where myofascial pain develops due to TMJD. * Mandibular mobility exercises: opening and closing the mouth slowly and rhythmically, lateral movements, protrusion movement, hold-relax technique, jaw isometric exercises * Stretching exercises: Stretching exercises for chewing muscles (masseter muscle stretching, temporalis muscle stretching, pterygoid muscle stretching).

Home-Based Exercise Group

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• People between the ages of 18-65 with myofascial temporomandibular pain
• Displacement of the disc with anterior reduction,
• Pain in the masticatory muscle/temporomandibular area lasting more than a month
• Symptoms lasting at least three months,
• People who have the opportunity to provide informed consent and participate in treatment and evaluation clinics.

You may not qualify if:

• Anterior disc displacement without reduction,
• Primary arthrogenic pain,
• Other temporomandibular disorders,
• Neurological or psychiatric disorders,
• People who have had temporomandibular joint and/or cervical spine surgery,
• Abuse of painkillers or abuse of existing medication.

Sponsors & Collaborators

• Biruni University: lead
• Bezmialem Vakif University: collaborator

Study Sites (1)

Buket AKINCI

Istanbul, 34010, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Temporomandibular Joint Disorders; Motor Activity

Condition Hierarchy (Ancestors)

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

Study Officials

• Buket AKINCI, Assoc.Prof.

  Consultor

  STUDY DIRECTOR

• Nükhet KÜTÜK, Prof.

  study chair

  STUDY CHAIR

• Beliz SERDAROĞLU, Dt.

  study chair

  STUDY CHAIR

• Naile FAZLIOĞLU, PT.

  Study Principal Investigator

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Buket AKINCI, Assoc.Prof.

CONTACT

02124091212; barbuket@hotmail.com

Naile Fazlıoğlu, PT

CONTACT

+90 5349263129; nailefazlioglu@gmail.com

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: Assoc. Prof.

Study Record Dates

• First Submitted: July 17, 2024
• First Posted: July 30, 2024
• Study Start: July 23, 2024
• Primary Completion: October 30, 2024
• Study Completion: December 30, 2024
• Last Updated: July 30, 2024

Record last verified: 2024-07

Locations

TU (1)