Treatment Outcome of Supervised Exercise and Home Exercise in Patients with Symptomatic Disc Displacement with Reduction

NCT ID: NCT06651814

Last Updated: 2025-03-04

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 200 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-08-20
• Study Completion Date: 2025-02-21

Brief Summary

The aim of the study is to evaluate the treatment outcome of supervised exercise and home exercise in patients with symptomatic disc displacement with reduction.

Detailed Description

This study will help the clinical practitioner to choose better exercise option in patients with symptomatic disc displacement with reduction in order to avoid clicking sound.

Conditions

Anterior Disc Displacement

Study Design

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

Study Groups

Supervised Exercise Group

Patients receive supervised exercise therapy from a qualified physical therapist or healthcare professional, with a set frequency and duration

Group Type: EXPERIMENTAL

Supervised Exercise Group

Intervention Type: BEHAVIORAL

A supervised exercise program will consists of 10 sessions. The 1st exercise station will be a 5-minute warming up of the jaw with a heat lamp. The 2nd station will involve jaw opening-closing movements (TMJ rotation) with the mandible in a slightly protruded position for 6 minutes. The 3rd and 4th exercise stations will comprised of jaw opening and jaw protrusion, respectively, against resistance for 4 minutes each. Measurements will be done before the trial started and after 3 months.

Home Exercise Group

Patients receive written instructions and demonstrations for performing exercises at home, with recommended frequency and duration

Group Type: ACTIVE_COMPARATOR

Home Exercise Group

Intervention Type: BEHAVIORAL

Patients will received a home regime of jaw exercises. They will be instructed to do two different trainings. The 1st type of exercise will be jaw opening and closing movements daily for 5 minutes after each meal with the mandible and the head of the TMJ in a slightly protruded position. This exercise should not produce any clicking sounds. The 2nd type of exercise will be isometric exercises; this entailed jaw opening and jaw protrusion against resistance with their hand for 10 seconds with 10 repetitions each daily. All the patients will receive a training brochure with photos of the exercises and detailed information on frequency and exercise time. The brochure will include a diary. After 6 weeks, the subject and the assistant will check the performance of the exercise and the diary

Interventions

Supervised Exercise Group

A supervised exercise program will consists of 10 sessions. The 1st exercise station will be a 5-minute warming up of the jaw with a heat lamp. The 2nd station will involve jaw opening-closing movements (TMJ rotation) with the mandible in a slightly protruded position for 6 minutes. The 3rd and 4th exercise stations will comprised of jaw opening and jaw protrusion, respectively, against resistance for 4 minutes each. Measurements will be done before the trial started and after 3 months.

Intervention Type: BEHAVIORAL

Home Exercise Group

Patients will received a home regime of jaw exercises. They will be instructed to do two different trainings. The 1st type of exercise will be jaw opening and closing movements daily for 5 minutes after each meal with the mandible and the head of the TMJ in a slightly protruded position. This exercise should not produce any clicking sounds. The 2nd type of exercise will be isometric exercises; this entailed jaw opening and jaw protrusion against resistance with their hand for 10 seconds with 10 repetitions each daily. All the patients will receive a training brochure with photos of the exercises and detailed information on frequency and exercise time. The brochure will include a diary. After 6 weeks, the subject and the assistant will check the performance of the exercise and the diary

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

1. Age: 18-70 years

2. Both genders

3. TMJ clicking sounds fulfilling RDC/TMD for symptomatic disc displacement

1. Clicking sounds during jaw opening and closing

2. Interincisor distance ≥ 5mm wider during mouth opening

3. Clicking suppression with protruded mandible

4. Clicking presence in at least two of three repetitions

4. NRS score ≥ 4 for TMJ clicking sound severity

5. TMJ clicking sound frequency: once a week or more

Exclusion Criteria

1. Major psychiatric disorders

2. Ongoing treatments related to symptoms

3. Active rheumatologic disease

4. Malignant disease

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 70 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Armed Forces Institute of Dentistry, Pakistan

OTHER

Sponsor Role: lead

Responsible Party

Dr. Ayesha Younas

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Ayesha Younas, BDS

Role: PRINCIPAL_INVESTIGATOR

Armed Forces Institute of Dentistry, Pakistan

Locations

Armed Forces Institute of Dentistry

Rawalpindi, Punjab Province, Pakistan

Countries

Pakistan

Other Identifiers

AYounas

Identifier Type: -

Identifier Source: org_study_id