Effect of Progressive Neck Motor Control Exercises on Temporomandibular Joint Dysfunction

Temporomandibular Joint Dysfunction Syndrome Clinical Trial

Official title:

Investigation of the Effect of Progressive Neck Motor Control Exercises on Craniocervical Pain, Posture, Function and Kinesiophobia in Different Types of Temporomandibular Joint Dysfunction

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT06148818
• Other study ID #: 2023/15
• Status: Not yet recruiting
• Phase: N/A
• Start date: April 1, 2024
• Est. completion date: February 20, 2025

Study information

• Verified date: March 2024
• Source: Karadeniz Technical University
• Contact: nurhayat korkmaz, PhDstudent
• Phone: +90538736
• Email: krkmznrhyt[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

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.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 75
• Est. completion date: February 20, 2025
• Est. primary completion date: December 30, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 55 Years

Eligibility

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

Related Conditions & MeSH terms

• Joint Diseases
• Temporomandibular Joint Disorders
• Temporomandibular Joint Dysfunction Syndrome

Intervention

Other:
• Progressive neck motor control exercise therapy
The exercise programme will be conducted as a single session two days a week for 6 weeks. The sessions will always be conducted by the same physiotherapist. Each exercise session will consist of 10 minutes of warm-up exercises, 40 minutes of neck motor control exercises and 10 minutes of cool down exercises. Each exercise will be performed as 2 sets of 10 repetitions.
• Patient education
The content of this education consists of information about the disease and symptoms, chewing recommendations, dietary changes, parafunctional habits, activities to be avoided, posture recommendations.

Locations

Country	Name	City	State
Turkey	Karadeniz Technical University	Trabzon

Sponsors (1)

Lead Sponsor	Collaborator
Karadeniz Technical University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Fonseca Anamnestic Index	Assessment of Temporomandibular Dysfunction Severity	1st, sixth week, first mont
Primary	Numeric Pain Scale	Assessment of Pain, 0: No pain, 10: Maximum pain	1st, sixth week, first mont
Primary	Pressure pain threshold	Assessment of Pressure pain threshold	1st, sixth week, first mont
Primary	Range of motion	Assessment of Temporomandibular joint and neck range of motion	1st, sixth week, first mont
Primary	Joint position error test	Assessment of Cervical proprioception	1st, sixth week, first mont
Primary	Endurance	Assessment of Deep neck flexor endurance	1st, sixth week, first mont
Primary	Photographic Posture Analysis	Assessment of head and neck posture	1st, sixth week, first mont
Primary	Mandibular Function Impairment Questionnaire	Assessment of Mandibular Function	1st, sixth week, first mont
Secondary	Tampa kinesiophobia scale	Assessment of kinesiophobia for temporomandibular joint, 12 points: low kinesiophobia; 48 points:high kinesiophobia	1st, sixth week, first mont