The Effectiveness of Temporomandibular Joint Mobilization and Exercise in Individuals With Chronic Neck Pain

Sponsor

Uskudar University (Other)

Overall Status

Not yet recruiting

CT.gov ID

NCT06005922

Collaborator

(none)

Enrollment

Location

Arms

Anticipated Duration (Months)

24.9

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

To examine the effects of temporomandibular joint mobilization and exercises added to the conventional physiotherapy program on posture, functionality and muscular endurance in individuals with chronic neck pain.

Condition or Disease	Intervention/Treatment	Phase
Temporomandibular Joint Disorders Temporomandibular Joint Dysfunction Syndrome Neck Pain Chronic Pain	Other: physiotherapy Other: TMJ exercises	N/A

Detailed Description

Our research is a randomized controlled trial. 50 participants will be included in the study, which will be conducted on individuals aged 18-65 years with chronic neck pain. Participants will be divided into 2 groups as experimental and control groups by simple randomization method. All patients will be treated with conventional physiotherapy methods for 4 weeks and 5 days a week. In addition to conventional treatment, temporomandibular joint mobilization techniques were applied to the experimental group; exercises will be given. In the study, temporomandibular dysfunction (TMD) Pain Screener, Neck Disability Index, and Visual Analog Scale questionnaires will be applied to the patients twice, before and after the treatment. Before and after the treatment, the cervical region's range of motion and muscular endurance will be measured by the physiotherapist. Pre- and post-intervention data were statistically analyzed and compared.

Study Design

Study Type:

Interventional

Anticipated Enrollment :

50 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Intervention Model Description:

temporomandibular joint mobilization and temporomandibular joint exercisestemporomandibular joint mobilization and temporomandibular joint exercises

Masking:

Single (Outcomes Assessor)

Primary Purpose:

Treatment

Official Title:

Investigation of the Effectiveness of Temporomandibular Joint Mobilization and Exercise on Posture, Endurance and Functionality in Individuals With Chronic Neck Pain

Anticipated Study Start Date :

Sep 15, 2023

Anticipated Primary Completion Date :

Oct 20, 2023

Anticipated Study Completion Date :

Nov 15, 2023

Arms and Interventions

Arm	Intervention/Treatment
Active Comparator: conventional physiotherapy methods conventional physiotherapy methods	Other: physiotherapy ultrasound hotpack electrotherapy joint range of motion exercises isometric neck exercises stretching exercises
Experimental: temporomandibular joint (TMJ) group conventional physiotherapy methods and temporomandibular joint mobilization and temporomandibular joint exercises	Other: physiotherapy ultrasound hotpack electrotherapy joint range of motion exercises isometric neck exercises stretching exercises Other: TMJ exercises tongue relaxation position TMJ isometric strengthening exercises Posture exercises Isometric neck extension in neutral position back extension Strengthening the abdominal muscles Supine dorsal stretch pectoral stretch

Arm

Intervention/Treatment

Active Comparator: conventional physiotherapy methods

conventional physiotherapy methods

Other: physiotherapy

ultrasound hotpack electrotherapy joint range of motion exercises isometric neck exercises stretching exercises

Experimental: temporomandibular joint (TMJ) group

conventional physiotherapy methods and temporomandibular joint mobilization and temporomandibular joint exercises

Other: physiotherapy

ultrasound hotpack electrotherapy joint range of motion exercises isometric neck exercises stretching exercises

Other: TMJ exercises

tongue relaxation position TMJ isometric strengthening exercises Posture exercises Isometric neck extension in neutral position back extension Strengthening the abdominal muscles Supine dorsal stretch pectoral stretch

Outcome Measures

Primary Outcome Measures

Neck Disability Index [6 weeks]
The survey consists of 10 questions. Each question has 5 options. For each question, points are given as A:0, B:1, C:2 D:3 E:4, F:4. 0-4 points are defined as no disability, 5-14 points as mild disability, 15-24 points as moderate disability, 25-34 points as severe disability, 35 or above points as complete disability.

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years to 65 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Being between the ages of 18-65,
Having neck pain lasting longer than 3 months,
Absence of known systemic disease or trauma history,
Volunteering to participate in the research.

Exclusion Criteria:

Having a history of trauma in the areas that are the subject of the study, such as head and neck surgery, upper extremity, thoracic and cervical vertebrae,
Disc displacement, osteoarthrosis, osteoarthritis signs and symptoms
Having a neurological-psychiatric diagnosis that may affect the measurement results.