Comparison of Rocabado Approach Versus Postural Correction Exercises on Kinesiophobia and Interincisal Distance in Patients With Temporo-Mandibular Dysfunction

Temporo-mandibular dysfunction can cause pain and tenderness of jaw so posture correction exercises and Rocabado exercises will be performed targeting jaw opening and kinesiophobia.

Study Overview

• Status: Recruiting
• Conditions: Temporo-mandibular Dysfunction
• Intervention / Treatment: Other: Rocabdo exercises; Other: Postural correction exercises

Detailed Description

Temporo-mandibular dysfunction refers to pain in area of Temporo-mandibular joint and masticatory muscles.Temporo-mandibular dysfunction can cause pain or tenderness of jaw and aching pain in and around the ear along with difficulty in chewing.In addition to these symptoms the Temporo-mandibular dysfunction results in impairment of mouth opening. So the posture correction exercises and Rocabado exercises will be used to treat patients which will target jaw opening and kinesiophobia.

• Study Type: Interventional
• Enrollment (Estimated): 40
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Rida Nasir, MSMSKPT; Phone Number: 03215205662; Email: nasirrida487@yahoo.com
• Study Contact Backup: Name: Furqan Hassan, PHD; Phone Number: 03334056768

Study Locations

• Pakistan
  • Federal
    • Islamabad, Federal, Pakistan, 64000
      • Recruiting
      • Foundation University Islamabad
      • Contact: Rida Nasir; Phone Number: 03215205662

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Male and female of 18 to 45 years with TMD pain for less than six months and pain rating at least moderate in severity
• Must not be receiving any treatment for TMD at the onset of the study (for example, an occlusal splint, prescription medication)
• Pain must have been of masticatory muscle origin
• Pain on jaw movement, headache and referred pain are suggestive of a muscular problems.

Exclusion Criteria:

• Patients of Systemic rheumatic disease & Fibromyalgia
• Dental pathology
• Orofacial pain disorders
• Cervical structural pathology
• Current use of analgesics more than 3 days per week
• Current use of narcotics, hypnotic drugs, sedatives, or muscle relaxants

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Group A (Rocabdo exercises); The exercises created by Dr. Rocabado, will be performed by the patient at home, consist of six different exercises and six repetitions of each exercise, performed six times per day. It consists of Tongue 'Clucking', Controlled TMJ Rotation on Opening, Mandibular Rhythmic Stabilization, Upper Cervical Distraction, Axial Extension of the Cervical Spine and Shoulder Girdle Retraction.	Other: Rocabdo exercises; The exercises created by Dr. Rocabado, will be performed by the patient at home, consist of six different exercises and six repetitions of each exercise, performed six times per day. It consists of Tongue 'Clucking', Controlled TMJ Rotation on Opening, Mandibular Rhythmic Stabilization, Upper Cervical Distraction, Axial Extension of the Cervical Spine and Shoulder Girdle Retraction. This group will only perform Rocabdo exercises.
Experimental: Group B (Postural correction exercises); This group will perform posture correction exercises for six days and six times per day. Posture correction exercises include chest stretch , wall stretch , chin tuck in and face down arm lifts.	Other: Postural correction exercises; Posture correction exercises will be performed six times a day for six days.; Patient will be assessed on the first day and then on the last day of the treatment, i.e., on 6th day the patient will be re-assessed after they have performed posture correction exercises.; Posture correction exercises consist of chin tuck in, chest stretch, wall stretch, on your Back chest stretch and face down arm lifts.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Mouth opening	Maximum pain free opening from incisor to incisor measured vertically by ruler method where the score of less than 25mm indicate TMJ dysfunction	6 days
Kinesiophobia	Kinesiophobia is excessive fear of physical movement that results from a feeling of vulnerability to painful injury Or re-injury where the score of 37 on Tampa scale indicate there is kinesiophobia	6 days

Collaborators and Investigators

• Sponsor: Foundation University Islamabad

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2023
• Primary Completion (Estimated): June 15, 2023
• Study Completion (Estimated): July 1, 2023

Study Registration Dates

• First Submitted: June 15, 2023
• First Submitted That Met QC Criteria: June 15, 2023
• First Posted (Actual): June 26, 2023

Study Record Updates

• Last Update Posted (Actual): June 26, 2023
• Last Update Submitted That Met QC Criteria: June 15, 2023
• Last Verified: June 1, 2023

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Mental Disorders; Joint Diseases; Musculoskeletal Diseases; Muscular Diseases; Stomatognathic Diseases; Anxiety Disorders; Jaw Diseases; Craniomandibular Disorders; Mandibular Diseases; Phobic Disorders; Myofascial Pain Syndromes; Temporomandibular Joint Disorders; Temporomandibular Joint Dysfunction Syndrome; Kinesiophobia
• Other Study ID Numbers: FUI/CTR/2023/9

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No