Effect of Progressive Neck Motor Control Exercises on Temporomandibular Joint Dysfunction

NCT ID: NCT06148818

Last Updated: 2025-01-29

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

RECRUITING

Clinical Phase

NA

Total Enrollment

75 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-11-04

Study Completion Date

2025-06-30

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Temporomandibular Joint Dysfunction Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Myofascial

Myofascial Temporomandibular Dysfunction

Group Type EXPERIMENTAL

Progressive neck motor control exercise therapy

Intervention Type OTHER

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

Intervention Type OTHER

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.

disc displacement with reduction

Temporomandibular joint disc displacement with reduction

Group Type EXPERIMENTAL

Progressive neck motor control exercise therapy

Intervention Type OTHER

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

Intervention Type OTHER

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.

disc displacement without reduction

Temporomandibular joint disc displacement without reduction

Group Type EXPERIMENTAL

Progressive neck motor control exercise therapy

Intervention Type OTHER

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

Intervention Type OTHER

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.

Myofascial2

Myofascial Temporomandibular Dysfunction

Group Type OTHER

Patient education

Intervention Type OTHER

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.

disc displacement with reduction2

Temporomandibular joint disc displacement with reduction

Group Type OTHER

Patient education

Intervention Type OTHER

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.

disc displacement without reduction2

Temporomandibular joint disc displacement without reduction

Group Type OTHER

Patient education

Intervention Type OTHER

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.

Interventions

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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.

Intervention Type OTHER

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.

Intervention Type OTHER

Eligibility Criteria

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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
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Karadeniz Technical University

OTHER

Sponsor Role lead

Responsible Party

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Nurhayat KORKMAZ

Research assisstant

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Nurhayat Korkmaz, PhDstudent

Role: PRINCIPAL_INVESTIGATOR

Karadeniz Technical University

Locations

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Karadeniz Technical University

Trabzon, , Turkey (Türkiye)

Site Status RECRUITING

Countries

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Turkey (Türkiye)

Central Contacts

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nurhayat korkmaz, PhDstudent

Role: CONTACT

+90538736 ext. 9062

Nurhayat Korkmaz, MSc

Role: CONTACT

+90538736 ext. 9062

Facility Contacts

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Nurhayat Korkmaz, Msc

Role: primary

+90462377 ext. 2471

Other Identifiers

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2023/15

Identifier Type: -

Identifier Source: org_study_id

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