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Completed

NCT Number: NCT04374682

Effectiveness of a Home Based Exercise Program on Temporomandibular Dysfunction Syndrome

patients with chronic refractory temporomandibular dysfunction were prescribed home exercise and were followed for 6 months. Pain , mouth opening and Fonseca's were done at day 1 and after 6 months of the study.

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Key information

Conditions

Temporomandibular Disorder Behavior Craniomandibular Disorders Jaw Diseases Joint Diseases Mandibular Diseases Motor Activity Muscular Diseases Musculoskeletal Diseases Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms Stomatognathic Diseases Temporomandibular Joint Disorders

Age range

16 year–60 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Assiut University

Asyut, 71515, Egypt

About this study

Each patient was seen by the rheumatologist who did the following; Full history taking including special habits like chewing gums or biting nails, Pain level measured by visual analogue scale 100 (both at rest and during temporomandibular joint movement) Clinical Examination of the temporomandibular joint including localized tenderness and amount of mouth opening After that the patients were prescribed the rehabilitation program in the form of heat modalities and Transcutaneous electric nerve stimulation on the on the temporomandibular joint, given an individual demonstration of the home based exercises and were given a reminding handout.

The rehabilitation program consisted of the following exercises: lateral deviation, protrusion/retraction and mandibular opening.

Isometric cervical muscle strengthening exercises were also prescribed for the patients.

Assessment of the severity of temporomandibular joint affection using the Fonseca's questionnaire were done twice; the first at the entry point to the study and once again after 6 months.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • patients suffering painful temporomandibular joint

Exclusion criteria

  • Patients with history of face trauma
  • Patients with surgery at the temporomandibular joint
  • Dental procedure in the last 6 months period
  • Patients with rheumatic diseases

Treatment and study plan

Exercises

Other

stretching exercises - physiotherapy modalities - self care instructions

Primary outcomes

  1. visual analogue scale for pain during rest and on moving the jaw

    Time frame: 6 months

    visual analogue scale 0-100 with higher score indicating more pain.

  2. mouth opening

    Time frame: 6 months

    Distance between the edges of central incisors was measured. Measures are compared pre and post exercises.

  3. Fonseca's scale.

    Time frame: 6 months

    It is composed of 10 questions, which include checking for the presence of pain in temporomandibular joint, head, back, and while chewing, parafunctional habits, movement limitations, joint clicking, perception of malocclusion, and sensation of emotional stress. The volunteers were informed that the 10 questions should be answered with "yes", "no" and "sometimes" and that only one answer should be marked for each question. Scoring ranges between 0-50 with higher score indicating worse results.

Sponsors and collaborators

Lead sponsor

Assiut University

Other

Registry information

Official study title

Effectiveness of a Home Based Exercise Program on Temporomandibular Dysfunction Syndrome: A Pilot Study in a Tertiary Care Hospital.

Important dates

Study start
2020
Primary completion
2020
Study completion
2020
First posted
May 5, 2020
Registry last updated
Jul 10, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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