Cervical Stabilization Exercises on Bruxism and Sleep Quality

Hacettepe University

Status

Completed

Conditions

Bruxism

Sleep Quality

Cervical Stabilization Exercise

Treatments

Other: Cervical spinal stabilization exercise

Study type

Interventional

Funder types

Other

Identifiers

NCT06573346

Cervical stabilization

Details and patient eligibility

About

Bruxism and temporomandibular joint dysfunction are common conditions today. The applications in the treatment of these disorders are limited. When the literature is examined, it has been determined that cervical stabilization exercises, which are frequently applied in physical therapy clinics for neck problems, have not been applied to bruxism before. For this reason, in this study, we will examine the effects of cervical stabilization exercises targeting deep cervical muscles on bruxism.

Full description

Bruxism is the grinding or clenching of teeth, which is characterized by the fixed or forward movement of the mandible that occurs repeatedly during the day, including muscles such as the masseter and temporal muscles. Correct determination of the etiology plays a key role in the treatment of bruxism. There are many suggestions in the literature for the treatment of bruxism. The most preferred of these are: providing training for the person to quit harmful habits, physiotherapy applications for muscle relaxation, botox applications, drug treatments, giving the patient an occlusal splint, etc. Since bruxism is a functional problem of muscular origin, it is possible to talk about muscle-oriented exercise applications in its treatment. As a result of studies in which exercises are frequently prescribed for the chewing muscles and temporomandibular muscles, it has been determined that bruxism symptoms are relieved and functional gains are achieved. It has also been stated that muscle pain and activity, mouth opening, oral health, anxiety, stress, depression and head posture can be improved in individuals with bruxism with physiotherapy approaches. When the literature is examined; There are studies investigating the effects of physiotherapy applications in bruxism. In addition, although it is known that the neck region is affected in bruxism, causing the head to tilt forward and increased muscle activation in the neck region, no study has been found investigating the effects of specific cervical region stabilization exercises. This study was planned considering the effects of cervical stabilization exercises on correcting cervical posture and providing muscle activation balance.

Enrollment

28 patients

Sex

Female

Ages

18 to 30 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Patients with full dentition including 2nd molars
Patients without facial asymmetry

Exclusion criteria

Patients with systemic and/or neuromuscular diseases
Patients with orofacial pain not caused by bruxism
History of temporomandibular joint (TMJ) surgery or injection
Use of any medical drugs affecting the muscular system
Patients with developmental deformities or a history of surgery in the maxillofacial region (facial trauma history, resection history, etc.)
TMJ pathologies (major condylar changes seen on panoramic radiographs)
History of radiotherapy and/or chemotherapy
Ongoing orthodontic treatment
Use of removable prosthesis
Inflammatory connective tissue diseases
Pregnancy
Obstructive sleep apnea
Local skin infection over the myofascial area
Patients who have undergone root canal treatment
Reluctance to take responsibility for the work