Telerehabilitation in Individuals Temporomandibular Dysfunction With Bruxism

NCT ID: NCT04884152

Last Updated: 2024-01-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-03

Study Completion Date

2022-08-30

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Myofascial Pain Temporomandibular Disorder Bruxism

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Home Exercise Group

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.

Group Type ACTIVE_COMPARATOR

Home Exercise Group

Intervention Type PROCEDURE

Educational training program about bruxism and the other oral parafunctional activities in patients with myofascial temporomandibular disorders.

Telerehabilitation Group

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.

Group Type EXPERIMENTAL

Telerehabilitation Group

Intervention Type PROCEDURE

Telerehabilitation program combined with educational training program about bruxism and the other oral parafunctional activities in patients with myofascial temporomandibular disorders.

Interventions

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Home Exercise Group

Educational training program about bruxism and the other oral parafunctional activities in patients with myofascial temporomandibular disorders.

Intervention Type PROCEDURE

Telerehabilitation Group

Telerehabilitation program combined with educational training program about bruxism and the other oral parafunctional activities in patients with myofascial temporomandibular disorders.

Intervention Type PROCEDURE

Eligibility Criteria

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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
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hasan Kalyoncu University

OTHER

Sponsor Role lead

Responsible Party

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Ezgi Hatice Giray

Research assistant

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Aysenur Tuncer

Role: STUDY_DIRECTOR

Hasan Kalyoncu University

Locations

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Hasan Kalyoncu University

Gaziantep, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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2021/012

Identifier Type: -

Identifier Source: org_study_id

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