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Completed

NCT Number: NCT06472141

Effectiveness of Cervical Stabilization Exercises in Individuals With Temporomandibular Joint Disorder

It is planned to examine the effect of cervical stabilization exercises on Temporomandibular Joint (TMJ) symptoms in individuals with TMJ disorder.

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Key information

Conditions

Temporomandibular Joint Disorders Craniomandibular Disorders Jaw Diseases Joint Diseases Mandibular Diseases Muscular Diseases Musculoskeletal Diseases Stomatognathic Diseases

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Bitlis Eren Üniversitesi

Merkez, Bitlis, 13000, Turkey (Türkiye)

About this study

Individuals included in the study will be divided into 2 groups, Stabilization and Control groups, by block randomization method. A standard treatment program (Education + home exercises) will be applied to both groups. In addition to the stabilization group, cervical stabilization exercises will be applied. Individuals will be evaluated with the Sociodemographic Data Form before the application.

Before and after the application, individuals were assessed for TMJ pain with the Numeric Pain Rating Scale (NPRS), TMJ symptom severity with the Fonseca Anamnestic Index (FAI) and cervical posture, mobility and muscle performance will be evaluated with craniovertebral angle, goniometer and craniocervical flexion test.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Having a TMJ disorder according to the TMJ Disorders Research Diagnostic Criteria (RDC/TMD),
  • Being between the ages of 18-65,

Exclusion criteria

  • Neurological diseases (such as Multiple Sclerosis, Parkinson's disease),
  • Metabolic and systemic diseases (such as Hypothyroidism, Hypercalcemia, Diabetes mellitus, Celiac disease),
  • Rheumatologic diseases (such as Rheumatoid arthritis, Scleroderma),
  • History of head and spine trauma/surgery in the last 6 months,
  • History of malignancy and pregnant women will be excluded.

Treatment and study plan

cervical stabilization exercises

Other

Cervical Stabilization Exercises will be performed 3 days a week for 8 weeks.

Standard treatment (Education + home exercises)

Other

Individuals will be informed about TMJ disorders, parafunctional activities (chewing gum, nail/pen biting, etc.) and recommendations. In addition, Rocabado exercises will be given as a home program.

Primary outcomes

  1. Numeric Pain Rating Scale (NPRS)

    Time frame: Change from baseline at 8 weeks

    TMJ pain will be evaluated at rest with the NPRS scale. It is a scale scored between 0-10 points and '0 points means 'I have no pain' and '10 points means 'I have unbearable pain'. NRS score between 1-3 points indicates mild pain, between 4-6 points indicates moderate pain and between 7-10 points indicates severe pain.

  2. Fonseca Anamnestic Index (FAI)

    Time frame: Change from baseline at 8 weeks

    It assesses TMJ disorder and its severity. The index includes three options: "yes" (10 points), "sometimes" (5 points) and "no" (0 points). A total score of 0-15 is considered as no TMJ disorder, 20-40 as mild, 45-65 as moderate, and 70-100 as severe.

  3. Cervical Posture

    Time frame: Change from baseline at 8 weeks

    Cervical posture will be evaluated from the craniovertebral angle.

  4. Cervical Mobility

    Time frame: Change from baseline at 8 weeks

    For cervical mobility, normal joint movements of the neck will be evaluated with a goniometer.

  5. Cervical Muscle Performance

    Time frame: Change from baseline at 8 weeks

    Cervical muscle performance will be evaluated with the craniocervical flexion test.

Sponsors and collaborators

Lead sponsor

Bitlis Eren University

Other

Registry information

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Jun 24, 2024
Registry last updated
Mar 26, 2025

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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