Clinical trial NCT06148818: Effect of Progressive Neck Motor Control Exercises on Temporomandibular Joint Dysfunction
Official title: Investigation of the Effect of Progressive Neck Motor Control Exercises on Craniocervical Pain, Posture, Function and Kinesiophobia in Different Types of Temporomandibular Joint Dysfunction
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Temporomandibular Joint Dysfunction Syndrome
Keywords: Temporomandibular Joint Dysfunction Syndrome
Pain
neck motor control exercise
posture
kinesiophobia
function
Lead sponsor: Karadeniz Technical University
Sponsor class: OTHER
First posted: 2023-11-28
Enrollment: 75
Sex: ALL
Minimum age (years): 18
Maximum age (years): 55
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The primary aim of this study was to investigate the effects of progressive neck motor control exercises on craniocervical pain, posture, function and kinesiophobia in different types of temporomandibular dysfunction. The secondary aim of the study was to examine the differences between the effects of progressive neck motor control exercises on different types of temporomandibular dysfunction.

Detailed description: In this randomised controlled study, the effects of progressive neck motor control exercise therapy on craniocervical pain, posture, function and kinesiophobia in individuals with different types of temporomandibular dysfunction (myofascial, disc displacement with reduction, disc displacement without reduction) and their differences with the control group will be compared. Participants diagnosed by a dentist according to three different types of temporomandibular dysfunction will be included in the study. Participants will be divided into groups by block randomisation method. A total of 6 groups will be included in the study, including participants with three different types of temporomandibular dysfunction who voluntarily agree to participate in the study and meet the inclusion criteria, and the control group of each group. The study groups will receive the same treatment and patient education for 6 weeks, while the control groups will receive only patient education.

Eligibility criteria: Inclusion Criteria:

* 18 to 55 years old,
* Temporomandibular joint-related complaints for at least 3 months,
* Temporomandibular dysfunction is diagnosed as a result of clinical and radiological evaluation by the dentist,
* Neck pain of 3 or more according to the numeric pain scale

Exclusion Criteria:

* Cognitive problems,
* The one with the splint,
* Those who have used painkillers or muscle relaxants for temporomandibular dysfunction complaints in the last 1 week,
* With any systematic joint or muscle disease (e.g. fibromyalgia, rheumatoid arthritis),
* Those with serious systemic diseases,
* Any neurological disorder (e.g. trigeminal neuralgia),
* Pregnancy or breastfeeding,
* Treated for Temporomandibular joint or orofacial muscle pain in the last 3 months,
* Has undergone an operation/trauma to the cervical region and/or temporomandibular joint,
* Positive vertebrobasilar artery test

Primary outcomes:
measure: Fonseca Anamnestic Index
timeFrame: 1st, sixth week, first mont
measure: Numeric Pain Scale
timeFrame: 1st, sixth week, first mont
measure: Pressure pain threshold
timeFrame: 1st, sixth week, first mont
measure: Range of motion
timeFrame: 1st, sixth week, first mont
measure: Joint position error test
timeFrame: 1st, sixth week, first mont
measure: Endurance
timeFrame: 1st, sixth week, first mont
measure: Photographic Posture Analysis
timeFrame: 1st, sixth week, first mont
measure: Mandibular Function Impairment Questionnaire
timeFrame: 1st, sixth week, first mont
Secondary outcomes:
measure: Tampa kinesiophobia scale
timeFrame: 1st, sixth week, first mont
Other outcomes:
Locations:
city: Trabzon
country: Turkey
facility: Karadeniz Technical University
Study officials:
affiliation: Karadeniz Technical University
name: Nurhayat Korkmaz, PhDstudent
role: PRINCIPAL_INVESTIGATOR
References: