Temporomandibular Joint Respiratory and Thoracic Region Added to Myofunctional Rehabilitation in Dysfunction Comparison of the Effects of Exercises

NCT06883825 | Completed DMC

• 1 other identifier: 0090
• Study Type: interventional
• Target: 63
• Locations: 1 country
• Sites: 1

Brief Summary

In the study, a questionnaire form will be applied to the participants using a face-to-face interview technique. Through the questionnaires, demographic characteristics, pain intensity, location of pain, symptoms of dysfunction, oral habits, and loss of function in the jaw joint will be evaluated. Soft tissue (muscle) affections, spine structure, and mobility will be evaluated and recorded in the questionnaire form to be used for the evaluation of jaw joint dysfunctions. Pain level, depression, stress, anxiety level, and sleep quality will be evaluated with the help of a questionnaire. The aims of this study were;

1. 1.To investigate the effects of muscle and function therapy on dysfunction, spinal structure and mobility, depression, stress, anxiety, and sleep quality in patients with jaw joint dysfunction,
2. 2.To investigate the effects of breathing exercises added to muscle and function therapy on dysfunction, spine structure and mobility, depression, stress, anxiety, and sleep quality in patients with jaw joint dysfunction,
3. 3.To investigate the effects of back exercises added to muscle and function therapy on dysfunction, spinal structure and mobility, depression, stress, anxiety and sleep quality in patients with jaw joint dysfunction,
4. 4.To compare the effects of muscular and functional therapy alone, respiratory exercises added to muscular and functional therapy, and back exercises on dysfunction, spinal structure and mobility, depression, stress, anxiety, and sleep quality in patients with jaw joint dysfunction.

Conditions

Temporomandibular Joint Dysfunction; Myofunctional Therapy; Rehabilitation Exercise

Keywords

temporomandibular joint dysfunction; myofunctional therapy; rehabilitation; exercise; thoracic region; diapragmatic breathing

Outcome Measures

Primary Outcomes (6)

• Evaluation of Temporomandibular Joint Dysfunction

  Diagnosis of TMD - Evaluated using the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD), reported as categorical data (diagnosis classification).

  At baseline and from enrollment to the end of treatment at week 8

• Pain Assessment

  Measured using the Visual Analog Scale (VAS), reported in centimeters (cm)

  At baseline and from enrollment to the end of treatment at week 8

• Symptom Severity

  Assessed with the Symptom Questionnaire for Temporomandibular Disorders, reported in units on a scale.

  At baseline and from enrollment to the end of treatment at week 8

• Oral Habits Frequency

  Measured with the Oral Habits Checklist, reported in units on a scale.

  At baseline and from enrollment to the end of treatment at week 8

• Jaw Function Limitation

  Assessed using the Jaw Function Restriction Scale, reported in units on a scale.

  At baseline and from enrollment to the end of treatment at week 8

• Soft Tissue Examination

  Assessed using ultrasound to measure masseter muscle thickness and elastography at rest and during contraction, reported in millimeters (mm) and kilopascals (kPa), respectively.

  At baseline and from enrollment to the end of treatment at week 8

Secondary Outcomes (5)

• Head Position

  At baseline and from enrollment to the end of treatment at week 8

• Thoracic Region Evaluation

  At baseline and from enrollment to the end of treatment at week 8

• Thoracic Rotation

  At baseline and from enrollment to the end of treatment at week 8

• Depression, Anxiety, and Stress

  At baseline and from enrollment to the end of treatment at week 8

• Sleep Quality

  At baseline and from enrollment to the end of treatment at week 8

Study Arms (3)

Myofunctional Therapy

ACTIVE COMPARATOR

Participants will only receive myofunctional rehabilitation therapy. This treatment includes massage and exercises to improve the function of the jaw muscles.

Other: Myofunctional Therapy

Myofunctional Therapy + Respiratory Exercises

EXPERIMENTAL

Participants will receive breathing exercises as well as myofunctional therapy. This treatment includes exercises to improve jaw function and support the respiratory system.

Other: Myofunctional Therapy + Respiratory Exercises

Myofunctional Therapy + Thoracic Region Exercises

EXPERIMENTAL

Participants will receive myofunctional therapy as well as exercises for the thoracic region. This treatment includes exercises to improve jaw function and increase the flexibility of the chest area.

Other: Myofunctional Therapy + Thoracic Region Exercises

Interventions

Myofunctional Therapy OTHER

Participants will only receive myofunctional rehabilitation therapy. This treatment includes massage and exercises to improve the function of the jaw muscles.

Myofunctional Therapy

Myofunctional Therapy + Respiratory Exercises OTHER

Participants will receive breathing exercises as well as myofunctional therapy. This treatment includes exercises to improve jaw function and support the respiratory system.

Myofunctional Therapy + Respiratory Exercises

Myofunctional Therapy + Thoracic Region Exercises OTHER

Participants will receive myofunctional therapy as well as exercises for the thoracic region. This treatment includes exercises to improve jaw function and increase the flexibility of the chest area.

Myofunctional Therapy + Thoracic Region Exercises

Eligibility Criteria

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

You may qualify if:

• years old,
• According to the Temporomandibular Disorders Research Diagnostic Criteria;
• With muscle involvement,
• With muscle+joint involvement
• Those who volunteer to participate in the study will be included

You may not qualify if:

• According to the Temporomandibular Disorders Research Diagnostic Criteria;
• Those with disc displacement without reduction,
• Those with arthritis
• Those with a known neurological, systemic or psychological disease,
• Pregnant and lactating women,
• Those who have had any trauma/surgical operation in the last 6 months,
• Those with severe to severe local and/or general musculoskeletal pain,
• Patients with an obstructive or restrictive respiratory problem,
• Those with scoliosis that may cause respiratory problems will not be included

Sponsors & Collaborators

• Merve Keskin: lead

Study Sites (1)

Izmir Katip Celebi University

Çiğli, İzmir, 35620, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Temporomandibular Joint Disorders; Motor Activity

Interventions

Myofunctional Therapy

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Rehabilitation of Speech and Language Disorders; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Dentistry

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: SPONSOR INVESTIGATOR
• PI Title: Research Assisstant

Study Record Dates

• First Submitted: February 24, 2025
• First Posted: March 19, 2025
• Study Start: October 16, 2024
• Primary Completion: June 30, 2025
• Study Completion: June 30, 2025
• Last Updated: January 13, 2026

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)