Effectiveness of Telerehabilitation in Individuals With Temporomandibular Joint Dysfunction and Myofascial Pain
NCT Number: NCT06526845
Status: NOT_YET_RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Temporomandibular Joint Dysfunction|Myofascial Pain
Interventions: OTHER: Video-Conference based rehabilitation|OTHER: Home-Based rehabilitation
Sponsor: Biruni University
Collaborators: Bezmialem Vakif University
Sex: ALL
Age: ADULT, OLDER_ADULT
Enrollment: 40
Study Design: Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: SINGLE (OUTCOMES_ASSESSOR)|Primary Purpose: TREATMENT
Start Date: 2024-07-23
Completion Date: 2024-12-30
Locations: Buket AKINCI, İstanbul, 34010, Turkey

Summary:
Telerehabilitation is a treatment method that allows the patient to access treatment remotely, regardless of where they are, thanks to developing technology. Telerehabilitation provides us with opportunities such as patient evaluation, monitoring, therapy, consultation, education and patient follow-up. Within the scope of our study, the effects of applying an exercise program to patients through a home exercise program and telerehabilitation will be investigated. The purpose of this study for individuals with temporomandibular joint dysfunction is; To investigate the effectiveness of exercises for myofascial pain through telerehabilitation in individuals with myofascial pain and TMJ dysfunction.

Primary Outcome Measures: Fonseca Anamnestic Index, Temporomandibular dysfunction is assessed using the Fonseca Anamnestic Index ., Change from Fonseca Anamnestic Index at 6 weeks.|Visual Analogue Scale, Participants; It is performed to evaluate jaw and facial pain when waking up in the morning, during the day, at bedtime, when chewing and at rest.

Visual Analogue Scale includes scoring between 0-10. The minimum value is 0 score - no pain; The maximum score of 10 indicates unbearable pain. A higher score means more pain and a worse outcome., Change from Visual Analog Scale at 6 weeks.|Painless Maximum Mouth Opening, It will be done to evaluate the painless maximum mouth opening of the participants.

It will be performed to evaluate the pain-free maximum mouth opening of the participants.

The patient will be asked to open his mouth as far as possible and the distance between the lower and upper incisors will be measured with a millimeter ruler. The result will be recorded in mm., Change from Painless Maximum Mouth Opening at 6 weeks.|Painful Maximum Mouth Opening, It will be performed to evaluate the participants' maximum mouth opening with pain.

The patient will be asked to open his mouth to the last painful point and the distance between the lower and upper incisors will be measured with a millimeter ruler. The result will be recorded in mm., Change from Painful Maximum Mouth Opening at 6 weeks.|Maximum Mouth Opening With Passive Assistance, It will be carried out to evaluate the maximum mouth opening of the participants with passive assistance (dentist or physiotherapist).

The patient will be asked to open his mouth as far as possible with the support of a dentist or physiotherapist, and the distance between the lower and upper incisors will be measured with a millimeter ruler. The result will be recorded in mm., Change from Maximum Mouth Opening With Passive Assistance at 6 weeks.|Mandibula Lateral Shift, It evaluates the right and left shifts of the mandibula in participants. The patient first moves his lower jaw to the right and how far it moves from the midline is measured with a millimetric ruler. The measured value is recorded in millimeters. Then, the same process is performed for the left side., Change from Mandibula Lateral Shift at 6 weeks.|Oral Health Impact Profile-14 (OHIP-14), It evaluates the quality of life in temporomandibular joint dysfunction. The total score varies between 0-84. A high score indicates that you have bad oral habits., Change from Oral Health Impact Profile-14 (OHIP-14) at 6 weeks.
Secondary Outcome Measures: Oral Behaviour Checklist, It is applied to evaluate the oral behaviour of the participants., Change from Oral Behaviour Checklist at 6 weeks.|Cervical Region Joint Range of Motion, It will be applied to evaluate the participants cervical region flexion, extension, right and left lateral flexion, and right and left rotation degrees., Change from Cervical Region Joint Range of Motion at 6 weeks.|Neck Disability Index, The NDI measures self-reported pain intensity (pain, headache) and limitations in performing daily work-related activities (work, lifting and concentration) and non-work-related activities (personal care, reading, driving, sleeping and leisure)., Change from Neck Disability Index at 6 weeks.