Efficacy of Scapulothoracic Exercises on Postural Stability, Proprioception, Muscular Features and Mandibular Functions

NCT ID: NCT05966103

Last Updated: 2023-08-02

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

49 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-12-05

Study Completion Date

2023-07-05

Brief Summary

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The goal of this Randomized, Double-Blind, Clinical Trial is to investigate the effects of scapulothoracic exercises on postural stability, muscle strength, muscular endurance, mandibular functions and proprioception in sedentary individuals aged 18-45 years with head forward posture and temporomandibular joint dysfunction (Cranio-Cervico-Mandibular Malalignment). The main questions it aims to answer are:

• Do Scapulothoracic exercises given in addition to cervical posture exercises have an effect on postural stability, proprioception, muscle strength, muscular endurance and mandibular functions in individuals with Cranio-Cervico-Mandibular malalignment?

Researchers will compare conventional neck exercises (control group) and scapulothoracic exercises applied in addition to conventional neck exercises (treatment group) to see the effects of scapulothoracic exercises on the neck and jaw area.

Detailed Description

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The investigators aimed to investigate the effects of scapulothoracic exercises on postural stability, muscle strength, muscular endurance, mandibular functions and proprioception in sedentary individuals aged 18-45 years with cranio-cervico-mandibular malalignment including head-first posture and temporomandibular joint dysfunction problems.

Conditions

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Temporomandibular Joint Dysfunction Syndrome Forward Head Posture

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized Comparative Double-Blind Study
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors
Evaluations were done by a different physical therapist. The physiotherapist who administered the treatment was different. In addition, the participants did not know which group they were in.

Study Groups

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Conventional Exercise Group (Control Group)

Conventional neck exercises were applied to the control group.

Group Type ACTIVE_COMPARATOR

Exercises

Intervention Type OTHER

For control group; Cervical conventional exercises. For treatment group; scapulothoracic exercises including strengthening, proprioceptive and stabilization exercises in addition to cervical conventional exercises

Scapulothoracic Exercise (Treatment Group)

In the treatment group, scapulothoracic exercises were applied in addition to conventional neck exercises.

Group Type EXPERIMENTAL

Exercises

Intervention Type OTHER

For control group; Cervical conventional exercises. For treatment group; scapulothoracic exercises including strengthening, proprioceptive and stabilization exercises in addition to cervical conventional exercises

Interventions

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Exercises

For control group; Cervical conventional exercises. For treatment group; scapulothoracic exercises including strengthening, proprioceptive and stabilization exercises in addition to cervical conventional exercises

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Male and female students and employees between the ages of 18-45,
* Individuals with a craniovertabral angle (CVA) \<50° and a Fonseca questionnaire score between 20-100,
* Individuals with a Helkimo clinical dysfunction index score between 1-25,
* Individuals with a low level of physical activity according to the International Physical Activity Questionnaire.

Exclusion Criteria

* Serious problems of the musculoskeletal system, including the cervical and thoracic spine,
* Presence of serious chronic diseases such as hypertension, diabetes, cancer,
* Presence of neurological disease at a level that will affect balance and postural control,
* Being pregnant,
* Tooth and jaw problems in the last 6 months,
* Individuals with a total denture or prosthesis on the anterior teeth.
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eastern Mediterranean University

OTHER

Sponsor Role collaborator

Cyprus International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mehmet Micoogullari, MSc

Role: PRINCIPAL_INVESTIGATOR

Cyprus International University

Locations

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Cyprus International University

Mersin, Lefkosa, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Sajjadi, E., Olyaei, G. R., Talebian, S., Hadian, M. R., & Jalaie, S. (2014). The effect of forward head posture on cervical joint position sense. Archives of Advances in Biosciences, 5(4).

Reference Type BACKGROUND

Ryan, J., Akhter, R., Hassan, N., Hilton, G., Wickham, J., & Ibaragi, S. (2019). Epidemiology of temporomandibular disorder in the general population: A systematic review. Adv Dent Oral Health, 10(3), 1-13.

Reference Type BACKGROUND

Weber, P., Corrêa, E. C. R., de Paula Bolzan, G., dos Santos Ferreira, F., Soares, J. C., & da Silva, A. M. T. (2012). Relationship between craniocervical posture, mandible and hyoid bone and influence on alimentary functions. Brazilian Journal of Oral Sciences, 11(2), 141-147.

Reference Type BACKGROUND

Ries LG, Berzin F. Analysis of the postural stability in individuals with or without signs and symptoms of temporomandibular disorder. Braz Oral Res. 2008 Oct-Dec;22(4):378-83. doi: 10.1590/s1806-83242008000400016.

Reference Type BACKGROUND
PMID: 19148396 (View on PubMed)

Gadotti I, Hicks K, Koscs E, Lynn B, Estrazulas J, Civitella F. Electromyography of the masticatory muscles during chewing in different head and neck postures - A pilot study. J Oral Biol Craniofac Res. 2020 Apr-Jun;10(2):23-27. doi: 10.1016/j.jobcr.2020.02.002. Epub 2020 Feb 5.

Reference Type BACKGROUND
PMID: 32071851 (View on PubMed)

Moustafa IM, Youssef A, Ahbouch A, Tamim M, Harrison DE. Is forward head posture relevant to autonomic nervous system function and cervical sensorimotor control? Cross sectional study. Gait Posture. 2020 Mar;77:29-35. doi: 10.1016/j.gaitpost.2020.01.004. Epub 2020 Jan 7.

Reference Type BACKGROUND
PMID: 31955048 (View on PubMed)

de Albuquerque Vieira, M., de Araújo, M. D. G. R., Antonino, G. B., da Silva Tenório, A., das Graças Paiva, M., & de Lima Ferreira, A. P. (2018). Cervical and scapular instability in subjects with temporomandibular disorder. Manual Therapy, Posturology & Rehabilitation Journal, 1-5.

Reference Type BACKGROUND

Chaves TC, Turci AM, Pinheiro CF, Sousa LM, Grossi DB. Static body postural misalignment in individuals with temporomandibular disorders: a systematic review. Braz J Phys Ther. 2014 Nov-Dec;18(6):481-501. doi: 10.1590/bjpt-rbf.2014.0061. Epub 2014 Oct 31.

Reference Type BACKGROUND
PMID: 25590441 (View on PubMed)

Safwat͘, Y. M., Wadee, A. N., Lasheen, Y. R., & Kamel, R. M. (2019). Influence of Scapular Stabilization Exercises on Asymptomatic Forward Head Posture; A Randomized Controlled Trial. Indian Journal of Public Health Research & Development, 10(12).

Reference Type BACKGROUND

Dickerson SM, Weaver JM, Boyson AN, Thacker JA, Junak AA, Ritzline PD, Donaldson MB. The effectiveness of exercise therapy for temporomandibular dysfunction: a systematic review and meta-analysis. Clin Rehabil. 2017 Aug;31(8):1039-1048. doi: 10.1177/0269215516672275. Epub 2016 Oct 3.

Reference Type BACKGROUND
PMID: 27697824 (View on PubMed)

Saito ET, Akashi PM, Sacco Ide C. Global body posture evaluation in patients with temporomandibular joint disorder. Clinics (Sao Paulo). 2009;64(1):35-9. doi: 10.1590/s1807-59322009000100007.

Reference Type BACKGROUND
PMID: 19142549 (View on PubMed)

Zhao W, You H, Jiang S, Zhang H, Yang Y, Zhang M. Effect of Pro-kin visual feedback balance training system on gait stability in patients with cerebral small vessel disease. Medicine (Baltimore). 2019 Feb;98(7):e14503. doi: 10.1097/MD.0000000000014503.

Reference Type BACKGROUND
PMID: 30762779 (View on PubMed)

Other Identifiers

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2022-0232

Identifier Type: -

Identifier Source: org_study_id

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