[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100645524":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":25,"centralContacts":30,"locations":36,"responsibleParty":49,"collaborators":25,"id":51,"slug":52,"hasResults":53,"nctId":54,"briefTitle":55,"officialTitle":55,"acronym":25,"eligibilityCriteria":56,"healthyVolunteers":53,"sex":57,"minAge":58,"maxAge":59,"enrollmentInfo":60,"targetDuration":25,"studyType":63,"phases":64,"briefSummary":66,"conditions":67,"keywords":25,"overallStatus":69,"whyStopped":25,"lastUpdateSubmitDate":70,"lastUpdatePostDateStruct":71,"startDateStruct":74,"completionDateStruct":76,"leadSponsor":78,"locationsCount":79},{"fullName":5,"class":6},"Lahore University of Biological and Applied Sciences","OTHER",[8,15],{"label":9,"type":10,"description":11,"interventionNames":12},"Rocabado Exercises + Strain Counterstrain Technique","EXPERIMENTAL","Participants will receive Rocabado exercises combined with the Strain Counterstrain technique. A hot pack will be applied for 15 minutes, followed by Rocabado 6×6 exercises and application of Strain Counterstrain to masticatory muscles (masseter, temporalis, pterygoids). Sessions will be 45 minutes, 2-3 times per week for 6 weeks.",[13,14],"Other: Rocabado Exercise","Other: Strain Counterstrain Technique",{"label":16,"type":17,"description":18,"interventionNames":19},"Rocabado Only","ACTIVE_COMPARATOR","Participants will receive Rocabado exercises only. A hot pack will be applied for 15 minutes, followed by Rocabado 6×6 exercises. Sessions will be 45 minutes, 2-3 times per week for 6 weeks.",[13],[21,26],{"type":6,"name":22,"description":23,"armGroupLabels":24,"otherNames":25},"Rocabado Exercise","Rocabado exercises constitute a standardized 6×6 therapeutic protocol aimed at restoring normal temporomandibular joint (TMJ) biomechanics and craniocervical alignment. The intervention incorporates neuromuscular re-education techniques including tongue resting position, controlled mandibular rotation, rhythmic stabilization, axial extension of the cervical spine, and scapular postural correction. These exercises are designed to optimize joint kinematics, enhance proprioceptive control, reduce abnormal muscle activity, and improve functional jaw mobility while minimizing pain.",[9,16],null,{"type":6,"name":27,"description":28,"armGroupLabels":29,"otherNames":25},"Strain Counterstrain Technique","The Strain Counterstrain (SCS) technique is a passive, indirect manual therapy approach targeting myofascial tender points. It involves precise positioning of the involved muscle in a shortened, position of maximal comfort to reduce aberrant muscle spindle activity and nociceptive input. Sustained positioning (typically 60-90 seconds) facilitates neuromuscular reset, decreases localized hypertonicity, and alleviates pain. In this study, SCS will be applied to the masticatory muscles, including the masseter, temporalis, and pterygoid muscles, to improve muscle function and reduce pain sensitivity.",[9],[31],{"name":32,"role":33,"phone":34,"phoneExt":25,"email":35},"Nimra khalil","CONTACT","03090505681","nimrakhalil887@gmail.com",[37],{"facility":38,"status":25,"city":39,"state":40,"zip":25,"country":41,"countryCode":42,"cosmosGeoPoint":43,"geoPoint":48,"contacts":25},"Ghurki Trust and Teaching Hospital","Lahore","Punjab Province","Pakistan","PK",{"type":44,"coordinates":45},"Point",[46,47],74.35071,31.558,{"lat":47,"lon":46},{"type":50,"investigatorFullName":25,"investigatorTitle":25,"investigatorAffiliation":25,"oldNameTitle":25,"oldOrganization":25},"SPONSOR","100645524","effect-of-rocabado-exercises-with-strain-counter-strain-technique-on-muscles-of-mastication-for-pain-jaw-function-and-quality-of-life-in-patients-with-temporomandibular-joint-dysfunction-100645524",false,"NCT07703059","Effect of Rocabado Exercises With Strain Counter-Strain Technique on Muscles of Mastication for Pain, Jaw Function, and Quality of Life in Patients With Temporomandibular Joint Dysfunction","Inclusion Criteria:\n\n* Diagnosed patient of muscular TMJ ;According to Fonseca Questionnaire, ranging in the age group of 20 to 50 years, with both male and female were included in the study; Maximum mouth opening (MMO) 40-60mm for diagnosis of muscular TMJ ; Mild to moderate TMJ pain ; Unilateral TMJ ; Diagnostic features of muscular TMJ dysfunction: Pain location: Jaw, temple and masseter region ; Pain Behavior: Increase with chewing, talking and clenching ; Palpation findings: tenderness at masseter and temporal region ; ROM findings: limited and painful mouth opening (\\\u003C40mm) when measured with maximum mouth opening test ; MMO Test: The test involves measuring the maximum distance between the incisal edges of the upper and lower central incisors when the mouth is opened as wide as possible. This measurement is typically performed using a calibrated ruler, Vernier calipers, or a fiber ruler, with the subject positioned upright and instructed to open their mouth maximally.\n\nExclusion Criteria:\n\n* Who do not fall into the mentioned age group, with severe TMJ dysfunction according to Fonseca Questionnaire ; Recent oral surgeries; Spondyloarthropathies ;Recent oral trauma ; Systemic disease(hypothyroidism, hypercalcemia) ; Pregnant females ;Metal implants in the oral cavity ; Patient on TMJ drugs use ; Lactating females ; Neurological deficit (MS, Parkinson diseases) that effects the fascial muscles ; Any other inflammatory diseases","ALL","20 Years","50 Years",{"count":61,"type":62},44,"ESTIMATED","INTERVENTIONAL",[65],"NA","Temporomandibular joint dysfunction (TMD) is a common musculoskeletal disorder affecting the jaw joint and masticatory muscles, leading to pain, limited jaw function, and reduced quality of life. Conservative management includes therapeutic exercises and manual therapy. Rocabado exercises improve jaw mechanics and posture, while the Strain Counterstrain technique reduces muscle tenderness and pain.\n\nThis randomized controlled trial aims to evaluate the effectiveness of Rocabado exercises alone versus Rocabado exercises combined with the Strain Counterstrain technique in patients with muscular TMD. The intervention will be conducted over six weeks, with outcomes measured for pain, jaw function, and quality of life. The study seeks to determine whether the combined approach provides superior clinical outcomes.",[68],"Temporal Mandibular Joint Dysfunction","NOT_YET_RECRUITING","2026-07-09",{"date":72,"type":73},"2026-07-14","ACTUAL",{"date":75,"type":62},"2026-07-01",{"date":77,"type":62},"2026-11-20",{"name":5,"class":6},1]