Treatment Outcome of Supervised Exercise and Home Exercise in Patients with Symptomatic Disc Displacement with Reduction

Armed Forces Institute of Dentistry, Pakistan

Status: Completed

Conditions: Anterior Disc Displacement

Treatments: Behavioral: Supervised Exercise Group; Behavioral: Home Exercise Group

Study type: Interventional

Funder types: Other

Identifiers

NCT06651814

AYounas

Details and patient eligibility

About

The aim of the study is to evaluate the treatment outcome of supervised exercise and home exercise in patients with symptomatic disc displacement with reduction.

Full description

This study will help the clinical practitioner to choose better exercise option in patients with symptomatic disc displacement with reduction in order to avoid clicking sound.

Enrollment: 200 patients

Sex: All

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Age: 18-70 years

2. Both genders

3. TMJ clicking sounds fulfilling RDC/TMD for symptomatic disc displacement

   1. Clicking sounds during jaw opening and closing
   2. Interincisor distance ≥ 5mm wider during mouth opening
   3. Clicking suppression with protruded mandible
   4. Clicking presence in at least two of three repetitions

4. NRS score ≥ 4 for TMJ clicking sound severity

5. TMJ clicking sound frequency: once a week or more

Exclusion criteria

1. Major psychiatric disorders
2. Ongoing treatments related to symptoms
3. Active rheumatologic disease
4. Malignant disease

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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200 participants in 2 patient groups

Supervised Exercise Group

Experimental group

Description:

Patients receive supervised exercise therapy from a qualified physical therapist or healthcare professional, with a set frequency and duration

Treatment:

Behavioral: Supervised Exercise Group

Home Exercise Group

Active Comparator group

Description:

Patients receive written instructions and demonstrations for performing exercises at home, with recommended frequency and duration

Treatment:

Behavioral: Home Exercise Group