Effectiveness of Telerehabilitation in Individuals With Temporomandibular Joint Dysfunction and Myofascial Pain
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorBiruni University
About this trial
Telerehabilitation is a treatment method that allows the patient to access treatment remotely, regardless of where they are, thanks to developing technology. Telerehabilitation provides us with opportunities such as patient evaluation, monitoring, therapy, consultation, education and patient follow-up. Within the scope of our study, the effects of applying an exercise program to patients through a home exercise program and telerehabilitation will be investigated. The purpose of this study for individuals with temporomandibular joint dysfunction is; To investigate the effectiveness of exercises for myofascial pain through telerehabilitation in individuals with myofascial pain and TMJ dysfunction.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
People between the ages of 18-65 with myofascial temporomandibular pain
Displacement of the disc with anterior reduction,
Pain in the masticatory muscle/temporomandibular area lasting more than a month
Symptoms lasting at least three months,
Disqualifiers
Anterior disc displacement without reduction,
Primary arthrogenic pain,
Other temporomandibular disorders,
Neurological or psychiatric disorders,
Trial design
Design model
Parallel
Treatments tested in this trial
Video-Conference based rehabilitation
Other interventionAll exercises in the brochure will be performed by patients via telerehabilitation. The exercises included in the exercise package are as follows: * Post-isometric relaxation exercise and relaxation exercise with diaphragmatic breathing * Neck Exercises: 5 neck exercises including cervical isometric flexion, extension, right and left lateral flexion and chin tuck exercises. * Soft tissue-friction massage: It will be applied to the area where myofascial pain develops due to TMJD. * Mandibular mobility exercises: opening and closing the mouth slowly and rhythmically, lateral movements, protrusion movement, hold-relax technique, jaw isometric exercises * Stretching exercises: Stretching exercises for chewing muscles (masseter muscle stretching, temporalis muscle stretching, pterygoid muscle stretching).
Home-Based rehabilitation
Other interventionPatient education will be provided by showing all exercises in practice. Brochures will then be given to patients so they can apply them at home. The exercises in the brochure are as follows; * Post-isometric relaxation exercise and relaxation exercise with diaphragmatic breathing * Neck Exercises: 5 neck exercises including cervical isometric flexion, extension, right and left lateral flexion and chin tuck exercises. * Soft tissue-friction massage: It will be applied to the area where myofascial pain develops due to TMJD. * Mandibular mobility exercises: opening and closing the mouth slowly and rhythmically, lateral movements, protrusion movement, hold-relax technique, jaw isometric exercises * Stretching exercises: Stretching exercises for chewing muscles (masseter muscle stretching, temporalis muscle stretching, pterygoid muscle stretching).
Treatment groups
40 Participants
are divided into 2 treatment groupsGroup A: Telerehabilitation GroupExperimental treatment 1 intervention
Group B: Home-Based Exercise GroupActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Fonseca Anamnestic Index
Temporomandibular dysfunction is assessed using the Fonseca Anamnestic Index .
Time frame
Change from Fonseca Anamnestic Index at 6 weeks.2
Visual Analogue Scale
Participants; It is performed to evaluate jaw and facial pain when waking up in the morning, during the day, at bedtime, when chewing and at rest. Visual Analogue Scale includes scoring between 0-10. The minimum value is 0 score - no pain; The maximum score of 10 indicates unbearable pain. A higher score means more pain and a worse outcome.
Time frame
Change from Visual Analog Scale at 6 weeks.3
Painless Maximum Mouth Opening
It will be done to evaluate the painless maximum mouth opening of the participants. It will be performed to evaluate the pain-free maximum mouth opening of the participants. The patient will be asked to open his mouth as far as possible and the distance between the lower and upper incisors will be measured with a millimeter ruler. The result will be recorded in mm.
Time frame
Change from Painless Maximum Mouth Opening at 6 weeks.4
Painful Maximum Mouth Opening
It will be performed to evaluate the participants' maximum mouth opening with pain. The patient will be asked to open his mouth to the last painful point and the distance between the lower and upper incisors will be measured with a millimeter ruler. The result will be recorded in mm.
Time frame
Change from Painful Maximum Mouth Opening at 6 weeks.Secondary outcomes
1
Oral Behaviour Checklist
It is applied to evaluate the oral behaviour of the participants.
Time frame
Change from Oral Behaviour Checklist at 6 weeks.2
Cervical Region Joint Range of Motion
It will be applied to evaluate the participants cervical region flexion, extension, right and left lateral flexion, and right and left rotation degrees.
Time frame
Change from Cervical Region Joint Range of Motion at 6 weeks.3
Neck Disability Index
The NDI measures self-reported pain intensity (pain, headache) and limitations in performing daily work-related activities (work, lifting and concentration) and non-work-related activities (personal care, reading, driving, sleeping and leisure).
Time frame
Change from Neck Disability Index at 6 weeks.Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Biruni University
Lead sponsor
Bezmialem Vakif University
Collaborator
Source ClinicalTrials.gov
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