Effects of Mulligan Mobilization in Comparison With Maitland Mobilization in Temporomandibular Joint Dysfunction.

NCT07328269 | Recruiting

• 1 other identifier: FUI/CTR/2025/20
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The temporomandibular joint dysfunction is the second most common musculoskeletal pain after back pain, causing jaw pain, restricted movement, and joint sounds. NPRS and millimeter ruler will be used for the assessment of patient. This study will compare the effects of Mulligan and Maitland mobilization, commonly used treatment, on pain and Temporomandibular joint mobility through a randomized controlled trial, involving 30 participants divided into two groups for treatment.

Conditions

Temporomandibular Joint Dysfunction

Keywords

Hypomobility; Mulligan Mobilization; Maitland Mobilization

Outcome Measures

Primary Outcomes (2)

• Pain intensity

  Pain will be measured through Numeric Pain Rating Scale. The scoring for NPRS involves a scale from 0 to 10, where 0 indicates no pain. The interpretation of scores is as follows: 0 to 3 for mild pain, 4 to 6 for moderate pain, and 7 to 10 for severe pain.

  2 weeks

• Temporomandibular joint Hypomobility

  Mandibular movements were assessed using a millimeter ruler to measure depression (50-60 mm), protrusion (5 mm), and lateral deviation (12-15 mm). Any "click" sounds or deviations during movement were recorded. Jaw movements maintained upper and lower teeth contact.

  2 weeks

Study Arms (2)

Mulligan Mobilization

ACTIVE COMPARATOR

Experimental Group A-Mulligan Mobilization. Myofascial release of temporalis and masseter muscle, Rocabado 6\*6 exercise program.

Procedure: Mulligan Mobilization

Maitland Mobilization

EXPERIMENTAL

Experimental Group B-Maitland Mobilization. Myofascial release of temporalis and masseter muscle. Rocabado 6\*6 exercise program.

Procedure: Maitland Mobilization

Interventions

Mulligan Mobilization PROCEDURE

Both Mulligan and Maitland mobilization techniques with Myofascial release of temporalis and masseter and Rocabado 6\*6 exercise program are applied over a two-week period with six sessions in total, focusing on improving TMJ mobility and reducing pain. Group A Mulligan mobilization emphasizes active patient involvement combined with therapist-applied glides, including lateral, anterior, medial, and distraction glides performed for 5-10 seconds with 3-5 repetitions per session. These techniques enhance mouth opening, lateral deviation, protrusion, and joint space while reducing stiffness and pain. And baseline treatment of myofascial release of temporalis and masseter muscle and Rocabado's 6\*6 exercise program

Mulligan Mobilization

Maitland Mobilization PROCEDURE

Group B-Maitland mobilization relies on graded oscillatory movements (Grades I-III) for 5-10 seconds with 3-5 oscillations, targeting pain relief and mobility in the pain-free range. Lower grades (I-II) are used for acute pain with gentle oscillations, while higher grades (II-III) provide moderate mobilization to improve protrusion, lateral deviation, and joint capsule mobility. And baseline treatment of myofascial release of temporalis and masseter muscle and Rocabado's 6\*6 exercise program.

Maitland Mobilization

Eligibility Criteria

• Age: 19 Years - 44 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age 19-44 years.
• Both Genders (Male and Female).
• Patients diagnosed with TMJ hypomobility using the Manual Functional Analysis questionnaire based on DC/TMD criteria.
• Individuals with myofascial pain, scoring above 5 on the NRS and pain upon palpation of at least two of eight masticatory and neck muscles.
• Subjects with acute TMD and myofascial pain unrelated to active inflammation, infection, or recent trauma for at least six months.

You may not qualify if:

• Hypermobility of TMJs.
• Pregnancy.
• History of rheumatic and inflammatory diseases.
• A history of temporomandibular disorders treatment within last three months.
• Acute trauma or injuries of face, head or cervical spine, neurological disorders, taking medication that could affect the musculoskeletal system.

Sponsors & Collaborators

• Foundation University Islamabad: lead

Study Sites (1)

Foundation University College of Physical Therapy

Islamabad, Punjab Province, Pakistan

RECRUITING

MeSH Terms

Conditions

Temporomandibular Joint Disorders

Condition Hierarchy (Ancestors)

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

Central Study Contacts

Mah Noor

CONTACT

+92310-5351360; mahnoorbasharat33@gmail.com

Anam Rehman, MS-OMPT

CONTACT

+923355082299; anam.rehman@fui.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Participant will just have an idea of two interventions not the one given to him/her.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Participant divided into Two groups Group A recieves Mulligan Mobilization and Group B receives Maitland Mobilization with baseline treatment of myofascial release of temporalis and masseter muscle and Rocabado's 6\*6 exercise program.

Study Record Dates

• First Submitted: December 26, 2025
• First Posted: January 9, 2026
• Study Start: September 5, 2025
• Primary Completion: December 30, 2025
• Study Completion: January 5, 2026
• Last Updated: January 9, 2026

Record last verified: 2025-12

Locations

PA (1)