Clinical trial NCT06707467: Evaluation of Postural Exercises in the Treatment of Temporomandibular Disorders
Official title: Determination of the Effectiveness of Postural Exercises Combined with Occlusal Splint Therapy in Internal Temporomandibular Derangements
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Occlusal Splints
Temporomandibular Disorders (TMD)
Keywords: temporomandibular disorders
rocabado
occlusal splints
posture excercise
Lead sponsor: Istanbul University
Sponsor class: OTHER
Collaborators: name: BandÄ±rma Onyedi EylÃ¼l University
First posted: 2024-11-27
Enrollment: 57
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Patients with internal temporomandibular derangement are divided into three groups. The first group receives only occlusal splint therapy. The second group undergoes occlusal splint therapy combined with Rocabado exercises, while the third group is treated with occlusal splint therapy combined with postural exercises. The effectiveness of the treatment protocols is evaluated.
Primary purpose: TREATMENT

Brief summary: Fifty-seven patients diagnosed with internal temporomandibular derangement will be included in the study and divided into three groups. All patients will be treated with a proven-effective occlusal splint. The first group will receive only occlusal splint therapy and will serve as the control group. The second group will receive occlusal splint therapy combined with Rocabado exercises, while the third group will receive occlusal splint therapy combined with postural exercises.

Before the treatment process, all patients will complete the Temporomandibular Disorders Diagnostic Criteria (TMD-DC) form. Pain intensity will be measured using the Visual Analog Scale (VAS), pain thresholds will be assessed using an algometer, and the following evaluations will be performed: Cervical Posture Assessment (Craniovertebral Angle with Goniometer)-Cervical Range of Motion Assessment (C-ROM)-Cervical Deep Flexor Muscle Endurance Test-Neck Disability Assessment (NDI - Neck Disability Index)-Psychiatric Assessment (HADS - Hospital Anxiety and Depression Scale).

After two months, patients will be recalled, and all tests will be repeated. The effectiveness of the three treatment protocols will then be evaluated.


Eligibility criteria: Inclusion Criteria:

* Being diagnosed with internal temporomandibular disarrangement
* aged 18 years or older
* Willingness to participate in the study
* Ability to speak and understand Turkish, with no communication difficulties severe enough to impede understanding of the exercises

Exclusion Criteria:

* History of acute trauma in the TMJ or surrounding area
* TMJ dysfunction caused by a neurological condition
* History of surgical/invasive procedures or treatments on the TMJ
* Presence of infection or tumoral structures within intraoral structures
* History of tooth loss or use of dental prostheses
* History of surgical procedures in the cervical region

Primary outcomes:
measure: Investigation of the Effect of Postural Exercises and Rocabado Exercises on Pain Reduction
timeFrame: 2 months
measure: Investigation of the Effect of Postural Exercises and Rocabado Exercises on Physiological Movements
timeFrame: 2 months
Secondary outcomes:
measure: Investigation of the Secondary Effects of Postural Exercises and Rocabado Exercises on Patient's Psychology
timeFrame: 2 months
measure: Investigation of the Effect of Postural Exercises and Rocabado Exercises on the Mobility of the Neck and Jaw
timeFrame: 2 month
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Istanbul University
Study officials:
affiliation: Bandırma Onyedi Eylül University
name: Ebru K Mutlu, Clinical Prof.
role: STUDY_DIRECTOR
References: