Effect of Myofascial Release Technique Applied to in Patients With Temporomandibular Dysfunction

Study Overview
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Brief Summary
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We aim to compare the effectiveness of MFR and exercise therapy on mobility and function by investigating the effectiveness of the Myofascial Release Technique (MFR), which we will apply to the muscles we choose related to the facial system connection in participants with temporomandibular dysfunction (TMD) and low back pain.

Detailed Description
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We aim to compare the effectiveness of MFR and exercise therapy on mobility and function by investigating the effectiveness of the Myofascial Release Technique (MFR), which we will apply to the muscles we choose related to the facial system connection in participants with temporomandibular dysfunction (TMD) and low back pain. Method and Material Working group (Group A): Myofascial release technique will be applied. A total of 10 sessions will be applied for 4 weeks, 3 times a week for the first 2 weeks, and 2 times a week for the next 2 weeks. Exercise group (Group B): The stretching exercises that we planned to give to the exercise group were planned for the muscles to which we will apply myofascial technique. • Control group (Group C): No application will be made to the control group. Evaluations will be made at the beginning of the study and at the end of 4 weeks. The evaluation parameters to be used are as follows; Oswestry Low Back Disability Survey, Algometer and Myotonometry. Inclusion Criteria: Participants aged 18-50 years diagnosed with TMD,Persons with a score of 20% or more on the Oswestry waist index, and People with low back pain for more than 3 months,Persons with mechanical low back pain and lumbar disc herniation without neurological deficits will be included in the study.Persons with acute or chronic temporomandibular dysfunction will be included. Exclusion Criteria; Neurological problems,Presence of extruded and sequestered lumbar disc herniation,Cardiovascular symptoms and circulation problems,Infection,Fibromyalgia, Acute arthritis conditions,Those with spinal abnormalities,Fracture history, presence of dislocation / subluxation will be excluded

Official Title
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Effect of Myofascial Release Technique Applied to in Patients With TMD

Conditions
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Temporomandibular Joint Disorder, Low Back Pain

Intervention / Treatment
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* Other: Myofascial Release Techniques


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Participants aged 18-50 years diagnosed with TMD Persons with a score of 20% or more on the Oswestry waist index, and People with low back pain for more than 3 months Persons with mechanical low back pain and lumbar disc herniation without neurological deficits will be included in the study. Persons with acute or chronic temporomandibular dysfunction will be included Exclusion Criteria: Neurological problems, Presence of extruded and sequestered lumbar disc herniation Cardiovascular symptoms and circulation problems, Infection, Fibromyalgia, Acute arthritis conditions Those with spinal abnormalities, Fracture history, presence of dislocation / subluxation will be excluded

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

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
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Working group<br>A total of 10 sessions will be applied myofascial release technique for 4 weeks, 3 times a week for the first 2 weeks, and 2 times a week for the next 2 weeks. Evaluations will be made at the beginning of the study and at the end of 4 weeks | Other: Myofascial Release Techniques<br>* Myofascial Release Technique (MFR), which we will apply to the muscles we choose related to the facial system connection<br>* Other names: Myofascial Exercise;|
| Experimental: Exercise group<br>The stretching exercises that we planned to give to the exercise group were planned for the muscles to which we will apply myofascial technique. Evaluations will be made at the beginning of the study and at the end of 4 weeks | Other: Myofascial Release Techniques<br>* Myofascial Release Technique (MFR), which we will apply to the muscles we choose related to the facial system connection<br>* Other names: Myofascial Exercise;|
| Experimental: Control group<br>No application will be made to the control group. Evaluations will be made at the beginning of the study and at the end of 4 weeks | Other: Myofascial Release Techniques<br>* Myofascial Release Technique (MFR), which we will apply to the muscles we choose related to the facial system connection<br>* Other names: Myofascial Exercise;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Algometer | Pressure algometer will be used for temporomandibular joint pain. It will be applied to the lower masseter muscles and anterior temporalis muscles bilaterally on the lateral pole of the algometer and the average of three applications in each region will be taken. | 5 minute | 
| Myotonometry | It will be used to assess muscle tone differences. Myotonometry provides valid and reliable measurement of tissue stiffness. The measurement will be applied bilaterally to the masseter, temporalis, trapezius, erector spinal muscles, quadrates lumborum and TFL muscles. | 10 minute | 
| Oswestry Low Back Disability Survey | To be used to assess functional disability for the lower back | 10 minute | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| DC-TMD Evoluation | The amount of mouth opening will be used to evaluate mandibular lateral shifts and mandibular protrusion. | 10 minute | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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TMJ Disorder, Myofascial Release, Low back pain