Comparison of Gold Fish Exercises and Cervico-thoracic Postural Correction Training in Patients With TMJD

Riphah International University

Status: Completed

Conditions: Temporomandibular Joint Dysfunction; Temporomandibular Joint

Treatments: Other: Cervico-thoracic postural correction training; Other: Conventional PT treatment; Other: Gold Fish exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT06228690

S22C08G30024

Details and patient eligibility

About

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.

Full 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.

Enrollment: 54 patients

Sex: All

Ages: 20 to 40 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

54 participants in 3 patient groups

Gold Fish exercises

Experimental group

Description:

Gold Fish exercises for the flexibility of TMJ that will target the Jaw muscles.

Treatment:

Other: Gold Fish exercises

Cervico-thoracic postural correction training.

Experimental group

Description:

Cervico-thoracic postural correction training for upper thoracic and neck muscles.

Treatment:

Other: Cervico-thoracic postural correction training

Conventional PT treatment

Active Comparator group

Description:

Conventional PT including Hot Pack for 10mins, Active-Passive neck Stretching Exercise + jaw Isometric Exercises.

Treatment:

Other: Conventional PT treatment