Treatment Outcome of Supervised Exercise and Home Exercise in Patients with Symptomatic Disc Displacement with Reduction

NCT06651814 | Completed

• 1 other identifier: AYounas
• Study Type: interventional
• Target: 200
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the study is to evaluate the treatment outcome of supervised exercise and home exercise in patients with symptomatic disc displacement with reduction.

Conditions

Anterior Disc Displacement

Outcome Measures

Primary Outcomes (1)

• clicking sounds frequency

  Assessment of clicking sounds frequency before and after intervention.

  3 months

Study Arms (2)

Supervised Exercise Group

EXPERIMENTAL

Patients receive supervised exercise therapy from a qualified physical therapist or healthcare professional, with a set frequency and duration

Behavioral: Supervised Exercise Group

Home Exercise Group

ACTIVE COMPARATOR

Patients receive written instructions and demonstrations for performing exercises at home, with recommended frequency and duration

Behavioral: Home Exercise Group

Interventions

Supervised Exercise Group BEHAVIORAL

A supervised exercise program will consists of 10 sessions. The 1st exercise station will be a 5-minute warming up of the jaw with a heat lamp. The 2nd station will involve jaw opening-closing movements (TMJ rotation) with the mandible in a slightly protruded position for 6 minutes. The 3rd and 4th exercise stations will comprised of jaw opening and jaw protrusion, respectively, against resistance for 4 minutes each. Measurements will be done before the trial started and after 3 months.

Supervised Exercise Group

Home Exercise Group BEHAVIORAL

Patients will received a home regime of jaw exercises. They will be instructed to do two different trainings. The 1st type of exercise will be jaw opening and closing movements daily for 5 minutes after each meal with the mandible and the head of the TMJ in a slightly protruded position. This exercise should not produce any clicking sounds. The 2nd type of exercise will be isometric exercises; this entailed jaw opening and jaw protrusion against resistance with their hand for 10 seconds with 10 repetitions each daily. All the patients will receive a training brochure with photos of the exercises and detailed information on frequency and exercise time. The brochure will include a diary. After 6 weeks, the subject and the assistant will check the performance of the exercise and the diary

Home Exercise Group

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age: 18-70 years
• Both genders
• TMJ clicking sounds fulfilling RDC/TMD for symptomatic disc displacement
• Clicking sounds during jaw opening and closing
• Interincisor distance ≥ 5mm wider during mouth opening
• Clicking suppression with protruded mandible
• Clicking presence in at least two of three repetitions
• NRS score ≥ 4 for TMJ clicking sound severity
• TMJ clicking sound frequency: once a week or more

You may not qualify if:

• Major psychiatric disorders
• Ongoing treatments related to symptoms
• Active rheumatologic disease
• Malignant disease

Sponsors & Collaborators

• Armed Forces Institute of Dentistry, Pakistan: lead

Study Sites (1)

Armed Forces Institute of Dentistry

Rawalpindi, Punjab Province, 46000, Pakistan

Location

Study Officials

• Ayesha Younas, BDS

  Armed Forces Institute of Dentistry, Pakistan

  PRINCIPAL INVESTIGATOR

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: Principal Investigator

Study Record Dates

• First Submitted: October 17, 2024
• First Posted: October 22, 2024
• Study Start: August 20, 2024
• Primary Completion: February 21, 2025
• Study Completion: February 21, 2025
• Last Updated: March 4, 2025

Record last verified: 2025-03

Locations

PA (1)