Telerehabilitation in Individuals Temporomandibular Dysfunction With Bruxism

Investigation of the Effectiveness of Telerehabilitation in Individuals Myofascial Temporomandibular Dysfunction With Bruxism

Sponsors

Lead Sponsor: Hasan Kalyoncu University

Source Hasan Kalyoncu University
Brief Summary

The aim of the study is to compare the effects of Home Exercise Therapy (HET) and Telerehabilitation in patients with myofascial temporomandibular disorders (TMD)with bruxism.

Detailed Description

Home Exercise will be Group 1 and Telerehabilitation group will be Group 2. Group 1 HET, will include an educational training program about parafunctional activities of TMD disorders and bruxism and active exercises for 4 weeks. As part of the Home exercise program, a written document will be prepared, including relaxation, breathing training, posture, stretching, and strengthening exercises to be given to the patients. Group 2, in addition to the training and written document, the second group will receive the same exercises using telerehabilitation once a week by video call, and reminder messages will be sent to the patients 3 times a week.

Overall Status Recruiting
Start Date 2021-05-03
Completion Date 2021-10-29
Primary Completion Date 2021-09-30
Phase N/A
Study Type Interventional
Primary Outcome
Measure Time Frame
Change from Baseline in Pain at 4 weeks and 8 weeks Baseline, 4 weeks, 8 weeks
Change from Baseline in Mandibular range of movements at 4 weeks and 8 weeks Baseline, 4 weeks, 8 weeks
Change from Baseline in Neck disability at 4 weeks and 8 weeks Baseline, 4 weeks, 8 weeks
Change from Baseline in Headache at 4 weeks and 8 weeks Baseline, 4 weeks, 8 weeks
Change from Baseline in Sleep Quality at 4 weeks and 8 weeks Baseline, 4 weeks, 8 weeks
Change from Baseline in Oral Behavior at 4 weeks and 8 weeks Baseline, 4 weeks, 8 weeks
Change from Baseline in Quality of life at 4 weeks and 8 weeks Baseline, 4 weeks, 8 weeks
Secondary Outcome
Measure Time Frame
Change from Baseline in Head and Shoulder Posture at 4 weeks and 8 weeks Baseline, 4 weeks, 8 weeks
Change from Baseline in Anxiety at 4 weeks and 8 weeks Baseline, 4 weeks, 8 weeks
Change from Baseline in Fatigue at 4 weeks and 8 weeks Baseline, 4 weeks, 8 weeks
Enrollment 40
Condition
Intervention

Intervention Type: Procedure

Intervention Name: Home Exercise Group

Description: Educational training program about bruxism and the other oral parafunctional activities in patients with myofascial temporomandibular disorders.

Arm Group Label: Home Exercise Group

Intervention Type: Procedure

Intervention Name: Telerehabilitation Group

Description: Telerehabilitation program combined with educational training program about bruxism and the other oral parafunctional activities in patients with myofascial temporomandibular disorders.

Arm Group Label: Telerehabilitation Group

Eligibility

Criteria:

Inclusion Criteria: - Ages between 18 and 65 years old - Patients with TMD in the myofascial Group Ia, Ib according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) and diagnosed with bruxism - Having pain ≥ 3 according to the Visual Analog Scale - Those who have not received medical treatment for the last 3 months and will not receive it during the treatment process will be included in the study. Exclusion Criteria: - Ages under 18 and over 65 years old - Patients with disc displacement and/or TMJ degeneration - Patients who have orthodontic or splint treatment - Patients with musculoskeletal problems in which systemic specific pathological conditions such as cervical and/or temporomandibular joint (TMJ) problem malignancy, fracture, the rheumatoid disease is proven - Patients who have undergone any surgery related to the cervical and/or TMJ - Patients with facial paralysis - Patients who regularly use analgesic or anti-inflammatory drugs - Patients who have received physical therapy associated with TMJ in less than 3 months - Patients with a history of trauma (whiplash injury, condylar trauma, fracture) - Patients with cognitive deficits - Participation rate lower than 80% of the program schedule

Gender:

All

Minimum Age:

18 Years

Maximum Age:

65 Years

Healthy Volunteers:

No

Overall Official
Last Name Role Affiliation
Aysenur Tuncer Study Director Hasan Kalyoncu University
Overall Contact

Last Name: Aysenur Tuncer

Phone: +90 342 2118080

Phone Ext.: 2110

Email: [email protected]

Location
Facility: Status: Contact: Investigator: Hasan Kalyoncu University Ezgi H Giray +90 342 2118080 [email protected] Ezgi H Giray Principal Investigator
Location Countries

Turkey

Verification Date

2021-05-01

Responsible Party

Type: Principal Investigator

Investigator Affiliation: Hasan Kalyoncu University

Investigator Full Name: Ezgi Hatice Giray

Investigator Title: Research assistant

Keywords
Has Expanded Access No
Condition Browse
Number Of Arms 2
Arm Group

Label: Home Exercise Group

Type: Active Comparator

Description: The home Exercise program includes an educational training program about parafunctional activities of patients having bruxism with myofascial temporomandibular disorders. The program includes stretching and strengthening of masticatory and neck muscles and posture exercises as well as diaphragmatic breathing exercises. Relaxation: Relaxation exercises with diaphragmatic breathing Posture Exercise: Rest position of tongue and TMJ, head and neck posture correction exercises Stretching Exercises: Stretching exercises for chewing muscles, cervical muscles, and pectoral muscles Strengthening: The neck will consist of strengthening exercises for deep flexor muscles, suprahyoid and infrahyoid muscles, and scapular retractors.

Label: Telerehabilitation Group

Type: Experimental

Description: The program includes the same stretching and strengthening of masticatory and neck muscles and posture exercises as well as diaphragmatic breathing exercises using telerehabilitation once a week by video call, and reminder messages will be sent to the patients 3 times a week. Relaxation: Relaxation exercises with diaphragmatic breathing Posture Exercise: Rest position of tongue and TMJ, head and neck posture correction exercises Stretching Exercises: Stretching exercises for chewing muscles, cervical muscles, and pectoral muscles Strengthening: The neck will consist of strengthening exercises for deep flexor muscles, suprahyoid and infrahyoid muscles, and scapular retractors.

Study Design Info

Allocation: Randomized

Intervention Model: Parallel Assignment

Primary Purpose: Treatment

Masking: Single (Outcomes Assessor)

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