Comparison of Gold Fish Exercises and Cervico-thoracic Postural Correction Training in Patients With TMJD

NCT ID: NCT06228690

Last Updated: 2024-01-29

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

COMPLETED

Clinical Phase

NA

Total Enrollment

54 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-08-03

Study Completion Date

2023-12-28

Brief Summary

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The aim of this randomized controlled trial is to determine the effect of Gold Fish exercises and cervico-thoracic postural correction training in patients with temporo-mandibular joint dysfunction to improve pain, ROM and maximum mouth opening of jaw.

Detailed Description

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Goldfish Exercise works on the principle of pulsatile motion of Goldfish in water \& thereby imitating the same motion for health benefits. It can be thought of stretching the fibrous bands, reducing TMJ stiffness \& resulting in improvement of mouth opening. It would be beneficial to use this technique on daily basis and as far there are no contraindications of this exercise because it's done within the pain limits \& further progression depends on the mouth opening of the patient.

Posture can affect the three-dimensional movement of the jaw during opening which is seen most clearly in the slumped posture as reduced maximal mouth opening. While mouth opening and head extension are linked, there is variability in the amount of head extension when opening wide and the relationship between head extension and mouth opening is negated when opening in a slumped posture. This has implications for the association of neck dysfunction, posture, and temporo-mandibular joint disorder which should be explored further.

Conditions

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Temporomandibular Joint Temporomandibular Joint Dysfunction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Gold Fish exercises

Gold Fish exercises for the flexibility of TMJ that will target the Jaw muscles.

Group Type EXPERIMENTAL

Gold Fish exercises

Intervention Type OTHER

Specific exercise for the flexibility of TMJ that will target the Jaw muscles. Frequency: 3 times/week for 4 weeks Intensity: moderate intensity (pain free) Time: 30-45 minutes Type: Gold Fish exercises for jaw flexibility, pain and maximum mouth opening.

Cervico-thoracic postural correction training.

Cervico-thoracic postural correction training for upper thoracic and neck muscles.

Group Type EXPERIMENTAL

Cervico-thoracic postural correction training

Intervention Type OTHER

Cervico-thoracic postural correction training for upper thoracic and neck muscles.

Frequency: 3 times/week for 4 weeks Intensity: moderate intensity (pain free) Time: 30-45 minutes Type: Muscle energy technique to improve range of motion, pain and maximum mouth opening.

Conventional PT treatment

Conventional PT including Hot Pack for 10mins, Active-Passive neck Stretching Exercise + jaw Isometric Exercises.

Group Type ACTIVE_COMPARATOR

Conventional PT treatment

Intervention Type OTHER

Conventional PT including Hot Pack for 10mins, Active-Passive neck Stretching Exercise + jaw Isometric Exercises.

* Frequency: hold followed by 5secs rest. 2-3times for 3 times/week for 4 weeks, Intensity: moderate-high intensity (depending on pain tolerance) Time: 30-45 mins for Active-Passive neck Stretching.
* Frequency: 3secs hold, 6 times repetitions for Isometric Exercises. Type: conventional treatment for pain, ROM, MMO.

Interventions

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Gold Fish exercises

Specific exercise for the flexibility of TMJ that will target the Jaw muscles. Frequency: 3 times/week for 4 weeks Intensity: moderate intensity (pain free) Time: 30-45 minutes Type: Gold Fish exercises for jaw flexibility, pain and maximum mouth opening.

Intervention Type OTHER

Cervico-thoracic postural correction training

Cervico-thoracic postural correction training for upper thoracic and neck muscles.

Frequency: 3 times/week for 4 weeks Intensity: moderate intensity (pain free) Time: 30-45 minutes Type: Muscle energy technique to improve range of motion, pain and maximum mouth opening.

Intervention Type OTHER

Conventional PT treatment

Conventional PT including Hot Pack for 10mins, Active-Passive neck Stretching Exercise + jaw Isometric Exercises.

* Frequency: hold followed by 5secs rest. 2-3times for 3 times/week for 4 weeks, Intensity: moderate-high intensity (depending on pain tolerance) Time: 30-45 mins for Active-Passive neck Stretching.
* Frequency: 3secs hold, 6 times repetitions for Isometric Exercises. Type: conventional treatment for pain, ROM, MMO.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

\- Age group 20-40 Both males and females Forward head posture and temporo-mandibular joint dysfunction for more than 3 months.

Pain provocation during neck movement, chewing and yawning; more than 5 on the Visual analogue scale.

Exclusion Criteria

* History of cervical spine injury or surgery
* Pain due to underlying condition i.e. neoplasm, vascular disease
* Infection, inflammation
* Erupting 3rd molar/dental origin
* Congenital condition of cervical spine or TMJ
Minimum Eligible Age

20 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Muhammad Affan Iqbal, Phd*

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

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Dentovilla Esthetic and Medical Center

Islamabad, Federal, Pakistan

Site Status

Countries

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Pakistan

Other Identifiers

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S22C08G30024

Identifier Type: -

Identifier Source: org_study_id

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