Evaluation of Postural Exercises in the Treatment of Temporomandibular Disorders

NCT06707467 | Completed

• 1 other identifier: 2023-186
• Study Type: interventional
• Target: 57
• Locations: 1 country
• Sites: 1

Brief Summary

Fifty-seven patients diagnosed with internal temporomandibular derangement will be included in the study and divided into three groups. All patients will be treated with a proven-effective occlusal splint. The first group will receive only occlusal splint therapy and will serve as the control group. The second group will receive occlusal splint therapy combined with Rocabado exercises, while the third group will receive occlusal splint therapy combined with postural exercises. Before the treatment process, all patients will complete the Temporomandibular Disorders Diagnostic Criteria (TMD-DC) form. Pain intensity will be measured using the Visual Analog Scale (VAS), pain thresholds will be assessed using an algometer, and the following evaluations will be performed: Cervical Posture Assessment (Craniovertebral Angle with Goniometer)-Cervical Range of Motion Assessment (C-ROM)-Cervical Deep Flexor Muscle Endurance Test-Neck Disability Assessment (NDI - Neck Disability Index)-Psychiatric Assessment (HADS - Hospital Anxiety and Depression Scale). After two months, patients will be recalled, and all tests will be repeated. The effectiveness of the three treatment protocols will then be evaluated.

Conditions

Occlusal Splints; Temporomandibular Disorders (TMD)

Keywords

temporomandibular disorders; rocabado; occlusal splints; posture excercise

Outcome Measures

Primary Outcomes (2)

• Investigation of the Effect of Postural Exercises and Rocabado Exercises on Pain Reduction

  Three different treatment protocols will be applied to patients with internal temporomandibular derangement, and the results obtained after a 2-month treatment period will be compared to determine which method is the most effective. To evaluate treatment outcomes, the patients' pre- and post-treatment Visual Analog Scale (VAS) scores will be assessed, with a decrease in the mean VAS score indicating a reduction in pain. Additionally, the pain threshold in various facial regions will be measured with an algometer before and after treatment to identify which treatment protocol is more effective in reducing pain. By combining both outcomes, the most effective method for pain reduction will be determined.

  2 months

• Investigation of the Effect of Postural Exercises and Rocabado Exercises on Physiological Movements

  Changes in cervical range of motion (C-ROM) and the craniovertebral angle will also be evaluated to determine the impact of the treatment methods on these parameters. In this way, the method that is more effective in improving physiological movements will be identified.

  2 months

Secondary Outcomes (2)

• Investigation of the Secondary Effects of Postural Exercises and Rocabado Exercises on Patient's Psychology

  2 months

• Investigation of the Effect of Postural Exercises and Rocabado Exercises on the Mobility of the Neck and Jaw

  2 month

Study Arms (3)

nineteen patients with internal temporomandibular disarrangement-group 1

EXPERIMENTAL

Nineteen randomly selected patients with internal temporomandibular disarrangement

Other: occlusal splints combined with rocabado exercise

nineteen patients with internal temporomandibular disarrangement-group 2

ACTIVE COMPARATOR

nineteen randomly selected patients with internal temporomanidbular disarrangement

Other: occlusal splint

nineteen patients with internal temporomandibular disarrangement-group 3

EXPERIMENTAL

nineteen selected patients with internal temporomandibular disarrangements

Other: occlusal splint combined with posture exercise

Interventions

occlusal splint combined with posture exercise OTHER

Nineteen patients diagnosed with internal temporomandibular derangement will be provided with posture exercises in addition to the proven-effective treatment method of occlusal splint therapy. This approach aims to evaluate whether posture exercises have a positive effect on the treatment process.

nineteen patients with internal temporomandibular disarrangement-group 3

occlusal splint OTHER

nineteen patients diagnosed with internal temporomandibular derangement will receive occlusal splint therapy, a treatment method with proven effectiveness.

nineteen patients with internal temporomandibular disarrangement-group 2

occlusal splints combined with rocabado exercise OTHER

Nineteen patients diagnosed with internal temporomandibular derangement will be provided with Rocabado exercises in addition to the proven-effective treatment method of occlusal splint therapy. This approach aims to evaluate whether Rocabado exercises have a positive effect on the treatment process.

nineteen patients with internal temporomandibular disarrangement-group 1

Eligibility Criteria

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

You may qualify if:

• Being diagnosed with internal temporomandibular disarrangement
• aged 18 years or older
• Willingness to participate in the study
• Ability to speak and understand Turkish, with no communication difficulties severe enough to impede understanding of the exercises

You may not qualify if:

• History of acute trauma in the TMJ or surrounding area
• TMJ dysfunction caused by a neurological condition
• History of surgical/invasive procedures or treatments on the TMJ
• Presence of infection or tumoral structures within intraoral structures
• History of tooth loss or use of dental prostheses
• History of surgical procedures in the cervical region

Sponsors & Collaborators

• Istanbul University: lead
• Bandırma Onyedi Eylül University: collaborator

Study Sites (1)

Istanbul University

Istanbul, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Temporomandibular Joint Disorders

Interventions

Occlusal Splints

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Orthotic Devices; Orthopedic Equipment; Surgical Equipment; Equipment and Supplies

Study Officials

• Ebru K Mutlu, Clinical Prof.

  Bandırma Onyedi Eylül University

  STUDY DIRECTOR

Study Design

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

Model Details: Patients with internal temporomandibular derangement are divided into three groups. The first group receives only occlusal splint therapy. The second group undergoes occlusal splint therapy combined with Rocabado exercises, while the third group is treated with occlusal splint therapy combined with postural exercises. The effectiveness of the treatment protocols is evaluated.

Study Record Dates

• First Submitted: November 21, 2024
• First Posted: November 27, 2024
• Study Start: November 1, 2024
• Primary Completion: September 1, 2025
• Study Completion: September 1, 2025
• Last Updated: January 21, 2026

Record last verified: 2026-01

Locations

TU (1)