The Effectiveness of Temporomandibular Joint Mobilization and Exercise in Individuals With Chronic Neck Pain

Study Overview
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Brief Summary
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To examine the effects of temporomandibular joint mobilization and exercises added to the conventional physiotherapy program on posture, functionality and muscular endurance in individuals with chronic neck pain.

Detailed Description
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Our research is a randomized controlled trial. 50 participants will be included in the study, which will be conducted on individuals aged 18-65 years with chronic neck pain. Participants will be divided into 2 groups as experimental and control groups by simple randomization method. All patients will be treated with conventional physiotherapy methods for 4 weeks and 5 days a week. In addition to conventional treatment, temporomandibular joint mobilization techniques were applied to the experimental group; exercises will be given. In the study, temporomandibular dysfunction (TMD) Pain Screener, Neck Disability Index, and Visual Analog Scale questionnaires will be applied to the patients twice, before and after the treatment. Before and after the treatment, the cervical region's range of motion and muscular endurance will be measured by the physiotherapist. Pre- and post-intervention data were statistically analyzed and compared.

Official Title
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Investigation of the Effectiveness of Temporomandibular Joint Mobilization and Exercise on Posture, Endurance and Functionality in Individuals With Chronic Neck Pain

Conditions
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Temporomandibular Joint Disorders, Temporomandibular Joint Dysfunction Syndrome, Neck Pain, Chronic Pain

Intervention / Treatment
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* Other: physiotherapy
* Other: TMJ exercises


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being between the ages of 18-65, Having neck pain lasting longer than 3 months, Absence of known systemic disease or trauma history, Volunteering to participate in the research. Exclusion Criteria: Having a history of trauma in the areas that are the subject of the study, such as head and neck surgery, upper extremity, thoracic and cervical vertebrae, Disc displacement, osteoarthrosis, osteoarthritis signs and symptoms Having a neurological-psychiatric diagnosis that may affect the measurement results.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 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: temporomandibular joint mobilization and temporomandibular joint exercises
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: conventional physiotherapy methods<br>conventional physiotherapy methods | Other: physiotherapy<br>* ultrasound hotpack electrotherapy joint range of motion exercises isometric neck exercises stretching exercises<br>|
| Experimental: temporomandibular joint (TMJ) group<br>conventional physiotherapy methods and temporomandibular joint mobilization and temporomandibular joint exercises | Other: physiotherapy<br>* ultrasound hotpack electrotherapy joint range of motion exercises isometric neck exercises stretching exercises<br>Other: TMJ exercises<br>* tongue relaxation position TMJ isometric strengthening exercises Posture exercises Isometric neck extension in neutral position back extension Strengthening the abdominal muscles Supine dorsal stretch pectoral stretch<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Neck Disability Index | The survey consists of 10 questions. Each question has 5 options. For each question, points are given as A:0, B:1, C:2 D:3 E:4, F:4. 0-4 points are defined as no disability, 5-14 points as mild disability, 15-24 points as moderate disability, 25-34 points as severe disability, 35 or above points as complete disability. | 6 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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endurance, functionality, joint range of motion