Effects of Stomatognathic Alignment Exercise Program in Craniomandibular Dysfunction.

NCT07403357 | Completed

• 1 other identifier: REC/RCR & AHS/24/0186
• Study Type: interventional
• Target: 64
• Locations: 1 country
• Sites: 1

Brief Summary

The study was conducted to determine the effects of stomatognathic alignment exercise program in craniomandibular dysfunction.

Conditions

Craniomandibular Dysfunction

Keywords

functional disability; Temporomandibular joint; Forward head posture; Myofascial release; Stomatognathic Alignment Exercise; Stomatognathic disease; Craniomandibular Dysfunction

Outcome Measures

Primary Outcomes (2)

• Numeric Pain Rating Scale

  Numeric Pain Rating Scale is utilized to evaluate pain. It consists of 11 points, having an overall score ranging from 0 to 10, where; 0 represents no pain, 1 to 3 represents mild pain, 4 to 6 represents moderate pain and 7 to 10 represents the most severe pain.

  From enrollment until the end of treatment at the fourth week.

• Mandibular function impairment questionnaire

  MFIQ is used to evaluate the degree of jaw function impairment in TMJD patients. Two dimensions and 17 questions make up this questionnaire, which assigns a score ranging from 0 (no problem) to 4 (extreme difficulty or impossible without support) for a certain jaw function. The "functional capacity" dimension is made up of the first eleven components, whereas the "nutrition" dimension is made up of the next six. A high degree of jaw function impairment is indicated by a high overall score on the questionnaire.

  From enrollment until the end of treatment at the fourth week.

Secondary Outcomes (11)

• ROM Cervical Spine (Felxion)

  From enrollment until the end of treatment at the fourth week

• ROM Cervical Spine (Extension)

  From enrollment until the end of treatment at the fourth week.

• ROM Cervical Spine (Lateral Flexion) Left Side

  From enrollment until the end of treatment at the fourth week.

• ROM Cervical Spine (Lateral Flexion) Right Side

  From enrollment until the end of treatment at the fourth week.

• ROM Cervical Spine (Rotation) Left Side

  From enrollment until the end of treatment at the fourth week.

Study Arms (2)

Stomatognathic alignment exercise program along with standard physical therapy

EXPERIMENTAL

Stomatognathic alignment exercise program along with standard treatment.

Other: Stomatognathic Alignment Exercise Program; Other: Standard Physical therapy treatment

Traditional physical therapy

ACTIVE COMPARATOR

Myofascial release of masticatory muscles and heating pad at cervical.

Other: Standard Physical therapy treatment

Interventions

Stomatognathic Alignment Exercise Program OTHER

Chin Tuck Exercise: Starting position: Supine and standing against a wall. Tuck chin backward over the sternal notch to place the patient's ears in line with the tips of the shoulders. Repetitions: Supine: Ten repetitions of a 10-second hold. Standing against a wall: Two repetitions of a 5-minute hold. Anterior Chest Stretching Exercise: Starting position: Standing against a wall with a flattened back; arms at 45° shoulder abduction with elbow in full extension. Active ROM exercises of neck and TMJ: Starting position: Sitting in a back-supported chair. Neck motions: flexion, extension, lateral flexion, and rotation. TMJ: Mouth opening, lateral excursion, and protrusion. Repetitions: A 10-second hold at the end range of each motion. Two series of ten repetitions for each motion. Standard physiotherapy including hot pack and myofascial release of masticatory muscles. A total of 12 sessions were conducted for 4 weeks with 3 sessions scheduled each week.

Stomatognathic alignment exercise program along with standard physical therapy

Standard Physical therapy treatment OTHER

Control Group received only standard physiotherapy including hot pack and myofascial release of masticatory muscles. A total of 12 sessions were conducted for 4 weeks with 3 sessions scheduled each week.

Stomatognathic alignment exercise program along with standard physical therapy; Traditional physical therapy

Eligibility Criteria

• Age: 20 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Male and female with age group of 20-65 years.
• Patients diagnosed with temporomandibular dysfunction
• Individuals with the sedentary life style
• Craniovertebral angle \<50 degrees
• Patients who presented with at least one symptom of temporomandibular dysfunction, able to communicate effectively, cooperative with imaging examinations, and able to complete the prescribed treatment and patients with no contraindications for the required examinations or treatments.

You may not qualify if:

• Serious musculoskeletal problems of cervical and thoracic spine
• Neurological disease affecting balance and postural control
• Dental prosthesis
• Disc prolapsed
• Previous surgery in TMJ area
• Vertebral artery compromise test
• Cerebrovascular disease

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Fatima Memorial Hospital (Oral & Maxillofacial Surgery Department)

Lahore, Punjab Province, 54000, Pakistan

Location

Related Publications (10)

• Oh DW, Kang TW, Kim SJ. Effect of stomatognathic alignment exercise on temporomandibular joint function and swallowing function of stroke patients with limited mouth opening. J Phys Ther Sci. 2013;25(10):1325-9

  BACKGROUND

• Pundkar S, Patil D, Naqvi W. A Comparative Study on Effectiveness of Rocabado Approach and Conventional Physiotherapy on Pain, ROM and QOL in Patients with TMJ Dysfunction. Journal of Pharmaceutical Research International. 2021;33(58B):201-9

  BACKGROUND

• Byra J, Kulesa-Mrowiecka M, Pihut M. Physiotherapy in hypomobility of temporomandibular joints. Folia Med Cracov. 2020;60(2):123-34

  BACKGROUND

• Oleksy Ł, Kielnar R, Mika A, Jankowicz-Szymańska A, Bylina D, Sołtan J, et al. Impact of Cervical Spine Rehabilitation on Temporomandibular Joint Functioning in Patients with Idiopathic Neck Pain. Biomed Res Int. 2021;2021:6886373

  BACKGROUND

• Yılmaz V, Aras B, Umay E. Temporomandibular Joint Dysfunction and Impaired Stomatognathic Alignment: A Problem Beyond Swallowing in Patients With Stroke. Indian J Otolaryngol Head Neck Surg. 2020;72(3):329-34

  BACKGROUND

• Militi A, Bonanno M, Calabrò RS. It Is Time for a Multidisciplinary Rehabilitation Approach: A Scoping Review on Stomatognathic Diseases in Neurological Disorders. J Clin Med. 2023;12(10)

  BACKGROUND

• de Oliveira-Souza AIS, do Valle Sales LR, de Fontes Coutinho AD, de Oliveira DA, Armijo-Olivo S. Effectiveness of an 8-week neck exercise training on pain, jaw function, and oral health-related quality of life in women with chronic temporomandibular disorders: a randomized controlled trial. J Oral Facial Pain Headache. 2024;38(1):40-51

  BACKGROUND

• Ilhanlı M, Ilhanlı I, Aksakallı S. Effectiveness of Rocabado exercises in patients with rheumatoid arthritis in remission with temporomandibular joint involvement: A randomized-controlled study. Turk J Phys Med Rehabil. 2024;70(3):319-26

  BACKGROUND

• O. W. Conservative Management of Temporomandibular Joint Dysfunction: A Case Report. Journal of Health Directories. 2024;1(1):16-23

  BACKGROUND

• Yu LJ, Yan X, Kim TH. Effects of combined jaw and cervicoscapular exercises on mouth opening and muscle properties in cervical extension type. Sci Rep. 2025;15(1):19049.

  BACKGROUND

MeSH Terms

Conditions

Stomatognathic Diseases

Study Officials

• Saba Rafique, MS.OMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 4, 2026
• First Posted: February 11, 2026
• Study Start: June 1, 2025
• Primary Completion: November 30, 2025
• Study Completion: November 30, 2025
• Last Updated: February 11, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)