Clinical trial NCT06228690: Comparison of Gold Fish Exercises and Cervico-thoracic Postural Correction Training in Patients With TMJD
Official title: Comparison of Gold Fish Exercises and Cervico-thoracic Postural Correction Training in Patients With Temporo-mandibular Joint Dysfunction
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Temporomandibular Joint
Temporomandibular Joint Dysfunction
Keywords: Temporomandibular joint dysfunction.
Gold Fish exercises
Cervico-thoracic postural correction training
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2024-01-29
Enrollment: 54
Sex: ALL
Minimum age (years): 20
Maximum age (years): 40
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The aim of this randomized controlled trial is to determine the effect of Gold Fish exercises and cervico-thoracic postural correction training in patients with temporo-mandibular joint dysfunction to improve pain, ROM and maximum mouth opening of jaw.

Detailed description: Goldfish Exercise works on the principle of pulsatile motion of Goldfish in water \& thereby imitating the same motion for health benefits. It can be thought of stretching the fibrous bands, reducing TMJ stiffness \& resulting in improvement of mouth opening. It would be beneficial to use this technique on daily basis and as far there are no contraindications of this exercise because it's done within the pain limits \& further progression depends on the mouth opening of the patient.

Posture can affect the three-dimensional movement of the jaw during opening which is seen most clearly in the slumped posture as reduced maximal mouth opening. While mouth opening and head extension are linked, there is variability in the amount of head extension when opening wide and the relationship between head extension and mouth opening is negated when opening in a slumped posture. This has implications for the association of neck dysfunction, posture, and temporo-mandibular joint disorder which should be explored further.

Eligibility criteria: Inclusion Criteria:

- Age group 20-40 Both males and females Forward head posture and temporo-mandibular joint dysfunction for more than 3 months.

Pain provocation during neck movement, chewing and yawning; more than 5 on the Visual analogue scale.

Exclusion Criteria:

* History of cervical spine injury or surgery
* Pain due to underlying condition i.e. neoplasm, vascular disease
* Infection, inflammation
* Erupting 3rd molar/dental origin
* Congenital condition of cervical spine or TMJ

Primary outcomes:
measure: Vernier calipers
timeFrame: 4 weeks
measure: : visual analogue scale
timeFrame: 4 weeks
measure: Inclinometer
timeFrame: 4 weeks
measure: Neck disability index
timeFrame: 4 weeks
measure: Temporomandibular Dysfunction Disability Index (TDI)
timeFrame: 4 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Islamabad
country: Pakistan
facility: Dentovilla Esthetic and Medical Center
state: Federal
Study officials:
affiliation: Riphah International University
name: Muhammad Affan Iqbal, Phd*
role: PRINCIPAL_INVESTIGATOR
References: