Temporomandibular Joint Problems and Core Stabilization

Temporomandibular Joint Problems, Head Posture, Tongue Strength and Endurance and Core Stabilization With University Students

This study aimed to investigate the relationship between temporomandibular joint problems, head posture, tongue strength, and endurance with core stabilization.

Study Overview

• Status: Completed
• Conditions: Temporomandibular Joint Disorders; Core Stability
• Intervention / Treatment: Other: TMJ dysfunction; Other: Maximum pain-free mouth opening (MMO); Other: Forward head posture; Other: Tongue strength and endurance; Other: Static endurance evaluation of the trunk muscles; Other: Dynamic endurance evaluation of the core muscles

Detailed Description

This cross-sectional study was conducted on university students aged 18-31 between September 2022 and February 2023. In the evaluation of the students were used that the Fonseca's Anamnestic Questionnaire for temporomandibular joint dysfunction, Research Diagnostic Criteria for Temporomandibular Disorders Examination Form for maximum pain-free mouth opening, presence of sound in temporomandibular joint movements, and palpation parameters of temporomandibular joint and surrounding muscles, Craniovertebral Angle for forward head posture, and Iowa Oral Performance Instrument for tongue strength and endurance. In addition, the Trunk Flexor Endurance Test and Biering Sorenson Test were used for static endurance of the core muscles, and Sit-ups Test and Modified Push-ups Test were used for dynamic endurance of the core muscles.

• Study Type: Observational
• Enrollment (Actual): 70

Contacts and Locations

Study Locations

• Turkey
  • Balıkesir, Turkey
    • Bandırma Onyedi Eylül University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: Yes

• Sampling Method: Probability Sample

Study Population

University students

Description

Inclusion Criteria:

• University students aged 18 and 31 who agreed to participate in the study
• signed the Informed Consent Form were included.

Exclusion Criteria:

• having a non-reducible disc problem,
• having surgery related to spine, abdomen and/or TMJ problem,
• history of trauma, cancer,
• presence of neurological problems, congenital anomaly, musculoskeletal problems, systemic disease, facial paralysis,
• receiving any treatment related to the spine and TMJ in less than six months.

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
TMJ dysfunction	Fonseca's Anamnestic Questionnaire (FAQ) was used for TMJ dysfunction. The FAQ has a multi-factor evaluation structure. The questionnaire consists of ten questions about pain in TMJ, head, and joints, with answer options of "No, Sometimes and Yes." A score of 25 and above was accepted as the presence of TMD.	September 2022- February 2023
Maximum pain-free mouth opening (MMO)	The maximum pain-free mouth opening was recorded using a 15 cm ruler	September 2022- February 2023
Forward head posture	Forward head posture was evaluated by CVA using a goniometer.	September 2022- February 2023
Tongue strength and endurance	Tongue strength and endurance were evaluated with IOPI (Medical LLC, Redmond, WA), which has been clinically validated and reliable	September 2022- February 2023
Static endurance evaluation of the trunk muscles	The Trunk Flexors Endurance Test and the Biering Sorenson Test were used. These static tests are measurements targeting the local core muscles. The time the individuals maintained their position was recorded in seconds (sec) using a stopwatch.	September 2022- February 2023
Dynamic endurance evaluation of the core muscles:	The Sit-ups and the Modified Push-ups Tests were used. These dynamic tests are measurements targeting the global core muscles. The number of times the individuals could perform the movement for 30 sec was recorded.	September 2022- February 2023

Collaborators and Investigators

• Sponsor: Bandırma Onyedi Eylül University

Study record dates

Study Major Dates

• Study Start (Actual): September 1, 2022
• Primary Completion (Actual): February 1, 2023
• Study Completion (Actual): February 15, 2023

Study Registration Dates

• First Submitted: September 6, 2023
• First Submitted That Met QC Criteria: September 6, 2023
• First Posted (Actual): September 13, 2023

Study Record Updates

• Last Update Posted (Actual): September 29, 2023
• Last Update Submitted That Met QC Criteria: September 28, 2023
• Last Verified: September 1, 2023

More Information

Terms related to this study

• Keywords: temporomandibular disorders; core stability; tongue strength; head posture
• Additional Relevant MeSH Terms: Musculoskeletal Diseases; Muscular Diseases; Stomatognathic Diseases; Jaw Diseases; Craniomandibular Disorders; Mandibular Diseases; Myofascial Pain Syndromes; Joint Diseases; Temporomandibular Joint Disorders; Temporomandibular Joint Dysfunction Syndrome
• Other Study ID Numbers: 2022-18

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

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