Telerehabilitation in Individuals Temporomandibular Dysfunction With Bruxism

Hasan Kalyoncu University

Status: Completed

Conditions: Bruxism; Temporomandibular Disorder; Myofascial Pain

Treatments: Procedure: Home Exercise Group; Procedure: Telerehabilitation Group

Study type: Interventional

Funder types: Other

Identifiers

NCT04884152

2021/012

Details and patient eligibility

About

The aim of the study is to compare the effects of Home Exercise Therapy (HET) and Telerehabilitation in patients with myofascial temporomandibular disorders (TMD)with bruxism.

Full description

Home Exercise will be Group 1 and Telerehabilitation group will be Group 2.

Group 1 HET, will include an educational training program about parafunctional activities of TMD disorders and bruxism and active exercises for 4 weeks.

As part of the Home exercise program, a written document will be prepared, including relaxation, breathing training, posture, stretching, and strengthening exercises to be given to the patients.

Group 2, in addition to the training and written document, the second group will receive the same exercises using telerehabilitation once a week by video call, and reminder messages will be sent to the patients 3 times a week.

Enrollment: 40 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Ages between 18 and 65 years old
• Patients with TMD in the myofascial Group Ia, Ib according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) and diagnosed with bruxism
• Having pain ≥ 3 according to the Visual Analog Scale
• Those who have not received medical treatment for the last 3 months and will not receive it during the treatment process will be included in the study.

Exclusion criteria

• Ages under 18 and over 65 years old
• Patients with disc displacement and/or TMJ degeneration
• Patients who have orthodontic or splint treatment
• Patients with musculoskeletal problems in which systemic specific pathological conditions such as cervical and/or temporomandibular joint (TMJ) problem malignancy, fracture, the rheumatoid disease is proven
• Patients who have undergone any surgery related to the cervical and/or TMJ
• Patients with facial paralysis
• Patients who regularly use analgesic or anti-inflammatory drugs
• Patients who have received physical therapy associated with TMJ in less than 3 months
• Patients with a history of trauma (whiplash injury, condylar trauma, fracture)
• Patients with cognitive deficits
• Participation rate lower than 80% of the program schedule

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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40 participants in 2 patient groups

Home Exercise Group

Active Comparator group

Description:

The home Exercise program includes an educational training program about parafunctional activities of patients having bruxism with myofascial temporomandibular disorders. The program includes stretching and strengthening of masticatory and neck muscles and posture exercises as well as diaphragmatic breathing exercises. Relaxation: Relaxation exercises with diaphragmatic breathing Posture Exercise: Rest position of tongue and TMJ, head and neck posture correction exercises Stretching Exercises: Stretching exercises for chewing muscles, cervical muscles, and pectoral muscles Strengthening: The neck will consist of strengthening exercises for deep flexor muscles, suprahyoid and infrahyoid muscles, and scapular retractors.

Treatment:

Procedure: Home Exercise Group

Telerehabilitation Group

Experimental group

Description:

The program includes the same stretching and strengthening of masticatory and neck muscles and posture exercises as well as diaphragmatic breathing exercises using telerehabilitation once a week by video call, and reminder messages will be sent to the patients 3 times a week. Relaxation: Relaxation exercises with diaphragmatic breathing Posture Exercise: Rest position of tongue and TMJ, head and neck posture correction exercises Stretching Exercises: Stretching exercises for chewing muscles, cervical muscles, and pectoral muscles Strengthening: The neck will consist of strengthening exercises for deep flexor muscles, suprahyoid and infrahyoid muscles, and scapular retractors.

Treatment:

Procedure: Telerehabilitation Group