Effect of Progressive Neck Motor Control Exercises on Temporomandibular Joint Dysfunction

Karadeniz Technical University

Status: Enrolling

Conditions: Temporomandibular Joint Dysfunction Syndrome

Treatments: Other: Patient education; Other: Progressive neck motor control exercise therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT06148818

2023/15

Details and patient eligibility

About

The primary aim of this study was to investigate the effects of progressive neck motor control exercises on craniocervical pain, posture, function and kinesiophobia in different types of temporomandibular dysfunction. The secondary aim of the study was to examine the differences between the effects of progressive neck motor control exercises on different types of temporomandibular dysfunction.

Full description

In this randomised controlled study, the effects of progressive neck motor control exercise therapy on craniocervical pain, posture, function and kinesiophobia in individuals with different types of temporomandibular dysfunction (myofascial, disc displacement with reduction, disc displacement without reduction) and their differences with the control group will be compared. Participants diagnosed by a dentist according to three different types of temporomandibular dysfunction will be included in the study. Participants will be divided into groups by block randomisation method. A total of 6 groups will be included in the study, including participants with three different types of temporomandibular dysfunction who voluntarily agree to participate in the study and meet the inclusion criteria, and the control group of each group. The study groups will receive the same treatment and patient education for 6 weeks, while the control groups will receive only patient education.

Enrollment: 75 estimated patients

Sex: All

Ages: 18 to 55 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• 18 to 55 years old,
• Temporomandibular joint-related complaints for at least 3 months,
• Temporomandibular dysfunction is diagnosed as a result of clinical and radiological evaluation by the dentist,
• Neck pain of 3 or more according to the numeric pain scale

Exclusion criteria

• Cognitive problems,
• The one with the splint,
• Those who have used painkillers or muscle relaxants for temporomandibular dysfunction complaints in the last 1 week,
• With any systematic joint or muscle disease (e.g. fibromyalgia, rheumatoid arthritis),
• Those with serious systemic diseases,
• Any neurological disorder (e.g. trigeminal neuralgia),
• Pregnancy or breastfeeding,
• Treated for Temporomandibular joint or orofacial muscle pain in the last 3 months,
• Has undergone an operation/trauma to the cervical region and/or temporomandibular joint,
• Positive vertebrobasilar artery test

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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75 participants in 6 patient groups

Myofascial

Experimental group

Description:

Myofascial Temporomandibular Dysfunction

Treatment:

Other: Progressive neck motor control exercise therapy

Other: Patient education

disc displacement with reduction

Experimental group

Description:

Temporomandibular joint disc displacement with reduction

Treatment:

Other: Progressive neck motor control exercise therapy

Other: Patient education

disc displacement without reduction

Experimental group

Description:

Temporomandibular joint disc displacement without reduction

Treatment:

Other: Progressive neck motor control exercise therapy

Other: Patient education

Myofascial2

Other group

Description:

Myofascial Temporomandibular Dysfunction

Treatment:

Other: Patient education

disc displacement with reduction2

Other group

Description:

Temporomandibular joint disc displacement with reduction

Treatment:

Other: Patient education

disc displacement without reduction2

Other group

Description:

Temporomandibular joint disc displacement without reduction

Treatment:

Other: Patient education