Comparison of Rocabado Approach Versus Postural Correction Exercises on Kinesiophobia and Interincisal Distance in Patients With Temporo-Mandibular Dysfunction

Foundation University Islamabad

Status: Enrolling

Conditions: Temporo-mandibular Dysfunction

Treatments: Other: Postural correction exercises; Other: Rocabdo exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT05917769

FUI/CTR/2023/9

Details and patient eligibility

About

Temporo-mandibular dysfunction can cause pain and tenderness of jaw so posture correction exercises and Rocabado exercises will be performed targeting jaw opening and kinesiophobia.

Full description

Temporo-mandibular dysfunction refers to pain in area of Temporo-mandibular joint and masticatory muscles.Temporo-mandibular dysfunction can cause pain or tenderness of jaw and aching pain in and around the ear along with difficulty in chewing.In addition to these symptoms the Temporo-mandibular dysfunction results in impairment of mouth opening. So the posture correction exercises and Rocabado exercises will be used to treat patients which will target jaw opening and kinesiophobia.

Enrollment: 40 estimated patients

Sex: All

Ages: 18 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Male and female of 18 to 45 years with TMD pain for less than six months and pain rating at least moderate in severity
• Must not be receiving any treatment for TMD at the onset of the study (for example, an occlusal splint, prescription medication)
• Pain must have been of masticatory muscle origin
• Pain on jaw movement, headache and referred pain are suggestive of a muscular problems.

Exclusion criteria

• Patients of Systemic rheumatic disease & Fibromyalgia
• Dental pathology
• Orofacial pain disorders
• Cervical structural pathology
• Current use of analgesics more than 3 days per week
• Current use of narcotics, hypnotic drugs, sedatives, or muscle relaxants

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

Group A (Rocabdo exercises)

Experimental group

Description:

The exercises created by Dr. Rocabado, will be performed by the patient at home, consist of six different exercises and six repetitions of each exercise, performed six times per day. It consists of Tongue 'Clucking', Controlled TMJ Rotation on Opening, Mandibular Rhythmic Stabilization, Upper Cervical Distraction, Axial Extension of the Cervical Spine and Shoulder Girdle Retraction.

Treatment:

Other: Rocabdo exercises

Group B (Postural correction exercises)

Experimental group

Description:

This group will perform posture correction exercises for six days and six times per day. Posture correction exercises include chest stretch , wall stretch , chin tuck in and face down arm lifts.

Treatment:

Other: Postural correction exercises