Effect of Progressive Neck Motor Control Exercises on Temporomandibular Joint Dysfunction

Investigation of the Effect of Progressive Neck Motor Control Exercises on Craniocervical Pain, Posture, Function and Kinesiophobia in Different Types of Temporomandibular Joint Dysfunction

The primary aim of this study was to investigate the effects of progressive neck motor control exercises on craniocervical pain, posture, function and kinesiophobia in different types of temporomandibular dysfunction. The secondary aim of the study was to examine the differences between the effects of progressive neck motor control exercises on different types of temporomandibular dysfunction.

Study Overview

• Status: Recruiting
• Conditions: Temporomandibular Joint Dysfunction Syndrome
• Intervention / Treatment: Other: Progressive neck motor control exercise therapy; Other: Patient education

Detailed Description

In this randomised controlled study, the effects of progressive neck motor control exercise therapy on craniocervical pain, posture, function and kinesiophobia in individuals with different types of temporomandibular dysfunction (myofascial, disc displacement with reduction, disc displacement without reduction) and their differences with the control group will be compared. Participants diagnosed by a dentist according to three different types of temporomandibular dysfunction will be included in the study. Participants will be divided into groups by block randomisation method. A total of 6 groups will be included in the study, including participants with three different types of temporomandibular dysfunction who voluntarily agree to participate in the study and meet the inclusion criteria, and the control group of each group. The study groups will receive the same treatment and patient education for 6 weeks, while the control groups will receive only patient education.

• Study Type: Interventional
• Enrollment (Estimated): 75
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: nurhayat korkmaz, PhDstudent; Phone Number: 9062 +90538736; Email: krkmznrhyt@gmail.com
• Study Contact Backup: Name: Nurhayat Korkmaz, MSc; Phone Number: 9062 +90538736; Email: krkmznrhyt@gmail.com

Study Locations

• Turkey
  • Trabzon, Turkey
    • Recruiting
    • Karadeniz Technical University
    • Contact: nurhayat korkmaz, MSc
    • Contact: Nurhayat Korkmaz, Msc; Phone Number: 2471 +90462377

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

• 18 to 55 years old,
• Temporomandibular joint-related complaints for at least 3 months,
• Temporomandibular dysfunction is diagnosed as a result of clinical and radiological evaluation by the dentist,
• Neck pain of 3 or more according to the numeric pain scale

Exclusion Criteria:

• Cognitive problems,
• The one with the splint,
• Those who have used painkillers or muscle relaxants for temporomandibular dysfunction complaints in the last 1 week,
• With any systematic joint or muscle disease (e.g. fibromyalgia, rheumatoid arthritis),
• Those with serious systemic diseases,
• Any neurological disorder (e.g. trigeminal neuralgia),
• Pregnancy or breastfeeding,
• Treated for Temporomandibular joint or orofacial muscle pain in the last 3 months,
• Has undergone an operation/trauma to the cervical region and/or temporomandibular joint,
• Positive vertebrobasilar artery test

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

6

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Myofascial; Myofascial Temporomandibular Dysfunction	Other: Progressive neck motor control exercise therapy; The exercise programme will be conducted as a single session two days a week for 6 weeks. The sessions will always be conducted by the same physiotherapist. Each exercise session will consist of 10 minutes of warm-up exercises, 40 minutes of neck motor control exercises and 10 minutes of cool down exercises. Each exercise will be performed as 2 sets of 10 repetitions.; Other: Patient education; The content of this education consists of information about the disease and symptoms, chewing recommendations, dietary changes, parafunctional habits, activities to be avoided, posture recommendations.
Experimental: disc displacement with reduction; Temporomandibular joint disc displacement with reduction	Other: Progressive neck motor control exercise therapy; The exercise programme will be conducted as a single session two days a week for 6 weeks. The sessions will always be conducted by the same physiotherapist. Each exercise session will consist of 10 minutes of warm-up exercises, 40 minutes of neck motor control exercises and 10 minutes of cool down exercises. Each exercise will be performed as 2 sets of 10 repetitions.; Other: Patient education; The content of this education consists of information about the disease and symptoms, chewing recommendations, dietary changes, parafunctional habits, activities to be avoided, posture recommendations.
Experimental: disc displacement without reduction; Temporomandibular joint disc displacement without reduction	Other: Progressive neck motor control exercise therapy; The exercise programme will be conducted as a single session two days a week for 6 weeks. The sessions will always be conducted by the same physiotherapist. Each exercise session will consist of 10 minutes of warm-up exercises, 40 minutes of neck motor control exercises and 10 minutes of cool down exercises. Each exercise will be performed as 2 sets of 10 repetitions.; Other: Patient education; The content of this education consists of information about the disease and symptoms, chewing recommendations, dietary changes, parafunctional habits, activities to be avoided, posture recommendations.
Other: Myofascial2; Myofascial Temporomandibular Dysfunction	Other: Patient education; The content of this education consists of information about the disease and symptoms, chewing recommendations, dietary changes, parafunctional habits, activities to be avoided, posture recommendations.
Other: disc displacement with reduction2; Temporomandibular joint disc displacement with reduction	Other: Patient education; The content of this education consists of information about the disease and symptoms, chewing recommendations, dietary changes, parafunctional habits, activities to be avoided, posture recommendations.
Other: disc displacement without reduction2; Temporomandibular joint disc displacement without reduction	Other: Patient education; The content of this education consists of information about the disease and symptoms, chewing recommendations, dietary changes, parafunctional habits, activities to be avoided, posture recommendations.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Fonseca Anamnestic Index	Assessment of Temporomandibular Dysfunction Severity	1st, sixth week, first mont
Pressure pain threshold	Assessment of Pressure pain threshold	1st, sixth week, first mont
Range of motion	Assessment of Temporomandibular joint and neck range of motion	1st, sixth week, first mont
Joint position error test	Assessment of Cervical proprioception	1st, sixth week, first mont
Endurance	Assessment of Deep neck flexor endurance	1st, sixth week, first mont
Mandibular Function Impairment Questionnaire	Assessment of Mandibular Function	1st, sixth week, first mont
Numeric Pain Scale	Assessment of Pain, 0: No pain, 10: Maximum pain	1st, sixth week, first mont
Photographic Posture Analysis	Assessment of head and neck posture	1st, sixth week, first mont

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Tampa kinesiophobia scale	Assessment of kinesiophobia for temporomandibular joint, 12 points: low kinesiophobia; 48 points:high kinesiophobia	1st, sixth week, first mont

Collaborators and Investigators

• Sponsor: Karadeniz Technical University
• Investigators: Principal Investigator: Nurhayat Korkmaz, PhDstudent, Karadeniz Technical University

Study record dates

Study Major Dates

• Study Start (Actual): November 4, 2024
• Primary Completion (Estimated): May 30, 2025
• Study Completion (Estimated): June 30, 2025

Study Registration Dates

• First Submitted: November 20, 2023
• First Submitted That Met QC Criteria: November 20, 2023
• First Posted (Actual): November 28, 2023

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: January 27, 2025
• Last Verified: October 1, 2024

More Information

Terms related to this study

• Keywords: Pain; function; kinesiophobia; posture; Temporomandibular Joint Dysfunction Syndrome; neck motor control exercise
• Additional Relevant MeSH Terms: Musculoskeletal Diseases; Stomatognathic Diseases; Muscular Diseases; Jaw Diseases; Mandibular Diseases; Craniomandibular Disorders; Myofascial Pain Syndromes; Joint Diseases; Temporomandibular Joint Disorders; Temporomandibular Joint Dysfunction Syndrome
• Other Study ID Numbers: 2023/15

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No