Effect of Chronic Low Back Pain Treatment on Temporomandibular Disorder"

Medipol University

Status: Not yet enrolling

Conditions: Chronic Low-back Pain; Temporomandibular Disorder

Treatments: Other: Rocabado's Group; Other: Therapeutic Group

Study type: Interventional

Funder types: Other

Identifiers

NCT06343155

E-10840098-202.3.02-235

Details and patient eligibility

About

According to the information obtained from clinical studies, it has been stated that Temporomandibular Disorder (TMD) is associated with chronic low back pain (LBP). In this study, participants will be divided into two groups. Only Rocabado's exercise will be given to the Rocabado's group (RG), and Rocabado's and therapeutic lumbar exercises will be given to the therapeutic group (TG). Warm-up exercises will be given before starting the exercises with the therapeutic group, and cool-down exercises will be given after the exercises with the therapeutic group. At the end of the sixth week, the effect of therapeutic lumbar exercises on TMD pain and function will be evaluated.

Full description

Studies indicate that TMD could coexist with low back pain. It has been proven in studies that physiotherapy reduces inflammation, joint pain, and mandibular movement limitation in TMD patients. The most common exercise known for TMD is defined as Rocabado's exercise 6x6. Each exercise is given in 6 sets of 6 repetitions. Rocabado's described techniques to facilitate neuromuscular stabilization using repeated lateral deviation movements. This technique can be used as a proprioceptive exercise method to increase functionality in areas where there is no pain. For patients with low back pain, our treatment goal is to minimize bed rest and restore functionality as soon as possible. Physiotherapy is recommended for patients with low back pain, and an exercise program is created according to the reasons and demands of the patients. There are many different intervention options, such as aerobic exercises, stretching exercises, and muscle building. Therapeutic exercises show positive results in low back and neck pain. In studies conducted in the treatment of TMD, the effect of therapeutic exercises on pain is still not fully known. Our aim in our study is to examine the effect of chronic low back pain treatment on temporomandibular disorder. Participants will be divided into two groups: the therapeutic group and the Rocabado's group. The therapeutic group will receive therapeutic lumbar exercises via remote online video for 6 weeks and will additionally be asked to do the Rocabado's exercise. Rocabado's exercises will be given to the Rocabado's group only as home exercises. In order to compare the effects of these techniques with each other, pre-treatment and post-treatment evaluations will be made for both groups.

Enrollment: 40 estimated patients

Sex: All

Ages: 23 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Between the ages 23-65
• Pain in the Temporomandibular Joint area for at least 3 months
• Participants had low back pain complaints for at least 6 months and were diagnosed with chronic low back pain.

Exclusion criteria

• History of trauma, anatomical deformities and fractures,
• Diagnosed orthopedic or rheumatological diseases,
• Acute trauma or infection in relevant areas,
• Pregnancy,
• Having received TMD treatment or been included in a physiotherapy program in the last 6 months,
• History of vertebral fracture in the last 6 months,
• Individuals with a history of surgery in the lumbar region.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

40 participants in 2 patient groups

Therapeutic Exercises

Experimental group

Description:

Participants will be planned to participate in therapeutic lumbar exercises in groups of 5, in the morning and at noon, via the Zoom Platform in 40-minute sessions, 3 days a week, with a physiotherapist, for 6 weeks. Additionally, participants will do Rocabado's exercise at home. All exercises will be taught face to face in the first session. Online sessions with the physiotherapist will continue. A 5-minute warm-up and cool-down period and a 30-minute exercise period are planned. Patients will be asked to perform the exercises in 3 sets of 10-15 repetitions and will be allowed to rest for 10 seconds. Every exercise performed unilaterally will be performed bilaterally.

Treatment:

Other: Therapeutic Group

Other: Rocabado's Group

Rocabado's Exercises

Active Comparator group

Description:

Each exercise will consist of 6 sets and 6 repetitions.

Treatment:

Other: Rocabado's Group