Effectiveness of Different Physiotherapy Practices in Temporomandibular Disorders

Study Overview
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Brief Summary
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The aim of the study is to examine the effect of high voltage electrical stimulation on pain, temporomandibular joint mobility, cervical mobility, head position, tender points and joint sounds in individuals with temporomandibular disorders.

Detailed Description
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28 individuals who meet the TMER / Research Diagnostic Criteria classification will be randomly divided into 2 groups. Exercise with high voltage electrical stimulation (YVES) will be applied to the 1st group and only exercise will be applied to the 2nd group. The second group will be the control group of the study. Both groups will be informed about the disease before starting the study before the treatment and patient education will be given about the situations that need attention. Again, 2 groups will be given an exercise program from the day they start the treatment, 3 times a week for 4 weeks during the treatment. As sociodemographic information of the individuals, age, gender, height, weight, body mass index, marital and educational status, occupation, smoking and alcohol use, patient history, family history and complaint sides will be recorded. Before starting treatment, individuals will be evaluated for pain, temporomandibular joint mobility, cervical mobility, tender points, and joint sounds: Pain with Visual Analogue Scale (VAS), TMJ mobility with a ruler, Cervical mobility with C-ROM (Cervical Range of Motion) inclinometer, Head position with universal goniometer and ImageJ software, Sensitive points with algometer, Joint sounds will be evaluated as present / absent as a result of the evaluation of movements in all directions (maximum mouth opening, right / left lateral excursions, protrusion and retrusion). After 4 weeks of treatment, the measurements will be repeated.

Official Title
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Effectiveness of Different Physiotherapy Practices in Temporomandibular Disorders

Conditions
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Temporomandibular Disorder

Intervention / Treatment
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* Other: High voltage electrical stimulation+exercise therapy
* Other: Exercise therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Individuals who have been diagnosed with TMER, Comply with the TMD / RDC classification, Have Class I-II-III occlusion, Volunteer to participate in the study, and fill out the informed consent form will be included. Exclusion Criteria: Acute trauma, Surgery history, Neurological or psychiatric conditions, Trigeminal or postherpatic neuralgia, Dental or orofacial infection, Intraoral infection or tumor, Oligodontics and anadontics, High voltage electrical stimulation contraindications, Any disease diagnosed in the shoulder and neck areas, Receiving another treatment and, Individuals under the age of 18 will be excluded in the study.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Prospective, randomized-controlled
Masking: Quadruple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Treatment group<br>High voltage electrical stimulation + exercise therapy | Other: High voltage electrical stimulation+exercise therapy<br>* The effect of high voltage electrical stimulation on temporomandibular disorders<br>|
| Active Comparator: Control group<br>Exercise therapy | Other: Exercise therapy<br>* The effect of high voltage electrical stimulation on temporomandibular disorders<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in pain on temporomandibular joint | Pain with Visual Analogue Scale (VAS) | Before and after treatment, 4 weeks apart. It takes 10 seconds. | 
| Change in temporomandibular joint mobility | Temporomandibular joint mobility with a ruler | Before and after treatment, 4 weeks apart. It takes 3 minutes. | 
| Change in cervical mobility | Cervical mobility with C-ROM (Cervical Range of Motion) inclinometer | Before and after treatment, 4 weeks apart. It takes 5 minutes. | 
| Change in head position | Head position with universal goniometer and ImageJ software | Before and after treatment, 4 weeks apart. It takes 3 minutes. | 
| Change in tender points | Tender points with algometer | Before and after treatment, 4 weeks apart. It takes 10 minutes. | 
| Change in joint sounds | Joint sounds as present / absent as a result of the evaluation of movements in all directions (maximum mouth opening, right / left lateral excursions, protrusion and retrusion) | Before and after treatment, 4 weeks apart. It takes 2 minutes. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cervical spine, Pain, High voltage stimulation, Temporomandibular disorders, Temporomandibular joint