Temporomandibular disorders are conditions that affect the jaw joint and surrounding muscles and may cause pain, limited jaw movement, stress, sleep problems, and teeth grinding. Physiotherapy is commonly used to manage these problems, but psychological and social factors may also influence symptoms.
The purpose of this study is to examine whether adding a biopsychosocial approach to physiotherapy improves stress levels, sleep quality, and bruxism in individuals with temporomandibular disorders. Participants will receive either physiotherapy alone or physiotherapy combined with education about pain, stress management, and sleep habits. The results of this study may help improve treatment strategies for people with temporomandibular disorders.
Diagnosed with temporomandibular disorders
Age between 18 and 65 years
Presence of stress, sleep disturbance, or bruxism symptoms
Ability to understand and follow study instructions
History of temporomandibular joint surgery
Presence of neurological, rheumatological, or systemic diseases affecting the musculoskeletal system
Current orthodontic treatment
Use of medications that may affect pain perception or sleep
Parallel
Physiotherapy Program
Other interventionA standardized physiotherapy program including therapeutic exercises and manual therapy targeting the temporomandibular joint and related musculoskeletal structures.
Biopsychosocial Intervention
Other interventionA biopsychosocial intervention including pain neuroscience education, stress management strategies, and sleep hygiene education.
Stress Level
Stress level will be assessed using a validated self-reported questionnaire to evaluate perceived stress in individuals with temporomandibular disorders.
Sleep Disturbance
Sleep disturbance will be assessed using a validated questionnaire evaluating sleep quality and sleep-related problems.
Bruxism Severity
Bruxism severity will be evaluated based on self-reported measures assessing teeth grinding and clenching behaviors.
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Betül Özata
Lead sponsor
Istinye University
Sponsor institution
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