PNF Exercises on Treatment of Temporomandibular Dysfunction

NCT ID: NCT05709340

Last Updated: 2023-04-18

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 24 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-01-25
• Study Completion Date: 2023-04-15

Brief Summary

Temporomandibular joint dysfunction (TMJD) is an important health problem that occurs approximately in 22 to 35 percent of adults, different physiotherapy methods are reported as treatment options for management of TMJD. Although that, there is no previous studies about the efficacy of PNF exercises in treatment of TMJD in patients with forward head posture. So, the purpose of the present double-blind, randomized, controlled trial is to investigate the efficacy of PNF exercises in treatment of TMJD in patients with forward head posture.

Conditions

Temporomandibular Joint Disorders

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

study group

Group Type: EXPERIMENTAL

proprioceptive neuromuscular facilitation exercises

Intervention Type: OTHER

PNF exercises will be done for Masseter, Temporalis, Lateral pterygoid and medial pterygoid muscles. Each contraction will be held for 10 seconds, and each stretch (relaxation phase) will be allowed to continue as long as the muscle tension continued to give away.

control group

Group Type: ACTIVE_COMPARATOR

traditional physical therapy treatment

Intervention Type: OTHER

• Ultrasound: Continuous ultrasound at 1MHZ to temporomandibular joint at 1.0-1.25 W/CM2 for 5 min over each affected TMJ and masseter area, with the mouth in a slightly open position.
• Forward head posture correction exercises including: chin tuck exercise, Strengthening shoulder retractors, stretching of sternocleidomastoid muscle, and Stretching of pectoralis muscle.

Interventions

proprioceptive neuromuscular facilitation exercises

PNF exercises will be done for Masseter, Temporalis, Lateral pterygoid and medial pterygoid muscles. Each contraction will be held for 10 seconds, and each stretch (relaxation phase) will be allowed to continue as long as the muscle tension continued to give away.

Intervention Type: OTHER

traditional physical therapy treatment

• Ultrasound: Continuous ultrasound at 1MHZ to temporomandibular joint at 1.0-1.25 W/CM2 for 5 min over each affected TMJ and masseter area, with the mouth in a slightly open position.
• Forward head posture correction exercises including: chin tuck exercise, Strengthening shoulder retractors, stretching of sternocleidomastoid muscle, and Stretching of pectoralis muscle.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Patients of both genders of age between 20-40 years
• having symptoms of TMD for at least six weeks duration established by an expert physician or orthopaedician
• having forward head posture with CVA < 53
• pain over TMJ between 3 to 6 on NPRS
• mouth opening < 25mm.

Exclusion Criteria

Patients will be excluded if they exhibited any of the following criteria:

• TMJ fracture undergone any surgical procedure for TMJ
• Fracture surrounding TMJ
• Dislocation or subluxation of TMJ
• systemic generalized joint diseases, such as rheumatoid arthritis, and osteoporosis, congenital diseases, or facial paralysis
• recently any dental treatment is taken or surgery over TMJ
• hematological cervical disorders which may affect the jaw
• Neurological deficits e.g. Bells palsy, Trigeminal neuralgia.
• Recent infections (within the last six months) affecting the head and neck e.g. bone infections, meningitis, encephalitis, malaria, ear infection
• Participants who were using any functional appliances e.g. dentures, braces, bite appliances which had been adjusted or fitted in the last 12 weeks prior to the commencement of this study
• DDwR, DDwoR
• Patients were excluded from the study if they were receiving any other form of treatment for their TMJ dysfunction.

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 40 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Marwa Shafiek Mustafa Saleh

assistance professor doctor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

marwa S saleh

Giza, , Egypt

Countries

Egypt

Other Identifiers

PNF exercises for TMJ

Identifier Type: -

Identifier Source: org_study_id