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Completed

NCT Number: NCT07403357

Effects of Stomatognathic Alignment Exercise Program in Craniomandibular Dysfunction.

The study was conducted to determine the effects of stomatognathic alignment exercise program in craniomandibular dysfunction.

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Key information

Conditions

Craniomandibular Dysfunction Stomatognathic Diseases

Age range

20 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Fatima Memorial Hospital (Oral & Maxillofacial Surgery Department)

Lahore, Punjab Province, 54000, Pakistan

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Male and female with age group of 20-65 years.
  • Patients diagnosed with temporomandibular dysfunction
  • Individuals with the sedentary life style
  • Craniovertebral angle <50 degrees
  • Patients who presented with at least one symptom of temporomandibular dysfunction, able to communicate effectively, cooperative with imaging examinations, and able to complete the prescribed treatment and patients with no contraindications for the required examinations or treatments.

Exclusion criteria

  • Serious musculoskeletal problems of cervical and thoracic spine
  • Neurological disease affecting balance and postural control
  • Dental prosthesis
  • Disc prolapsed
  • Previous surgery in TMJ area
  • Vertebral artery compromise test
  • Cerebrovascular disease

Treatment and study plan

Stomatognathic Alignment Exercise Program

Other

Chin Tuck Exercise:

Starting position: Supine and standing against a wall. Tuck chin backward over the sternal notch to place the patient's ears in line with the tips of the shoulders.

Repetitions:

Supine: Ten repetitions of a 10-second hold. Standing against a wall: Two repetitions of a 5-minute hold.

Anterior Chest Stretching Exercise:

Starting position: Standing against a wall with a flattened back; arms at 45° shoulder abduction with elbow in full extension.

Active ROM exercises of neck and TMJ:

Starting position: Sitting in a back-supported chair. Neck motions: flexion, extension, lateral flexion, and rotation. TMJ: Mouth opening, lateral excursion, and protrusion. Repetitions: A 10-second hold at the end range of each motion. Two series of ten repetitions for each motion.

Standard physiotherapy including hot pack and myofascial release of masticatory muscles.

A total of 12 sessions were conducted for 4 weeks with 3 sessions scheduled each week.

standard physical therapy treatment

Other

Control Group received only standard physiotherapy including hot pack and myofascial release of masticatory muscles. A total of 12 sessions were conducted for 4 weeks with 3 sessions scheduled each week.

Primary outcomes

  1. Numeric Pain Rating Scale

    Time frame: From enrollment until the end of treatment at the fourth week.

    Numeric Pain Rating Scale is utilized to evaluate pain. It consists of 11 points, having an overall score ranging from 0 to 10, where; 0 represents no pain, 1 to 3 represents mild pain, 4 to 6 represents moderate pain and 7 to 10 represents the most severe pain.

  2. Mandibular function impairment questionnaire

    Time frame: From enrollment until the end of treatment at the fourth week.

    MFIQ is used to evaluate the degree of jaw function impairment in TMJD patients. Two dimensions and 17 questions make up this questionnaire, which assigns a score ranging from 0 (no problem) to 4 (extreme difficulty or impossible without support) for a certain jaw function. The "functional capacity" dimension is made up of the first eleven components, whereas the "nutrition" dimension is made up of the next six. A high degree of jaw function impairment is indicated by a high overall score on the questionnaire.

Secondary outcomes

  1. ROM Cervical Spine (Felxion)

    Time frame: From enrollment until the end of treatment at the fourth week

    Changes in cervical spine flexion ROM at baseline and 4th week of intervention was measured using goniometer.

  2. ROM Cervical Spine (Extension)

    Time frame: From enrollment until the end of treatment at the fourth week.

    Changes in cervical spine extension ROM at baseline and 4th week of intervention was measured using goniometer.

  3. ROM Cervical Spine (Lateral Flexion) Left Side

    Time frame: From enrollment until the end of treatment at the fourth week.

    Changes in cervical spine lateral flexion on left side ROM at baseline and 4th week of intervention was measured using goniometer.

  4. ROM Cervical Spine (Lateral Flexion) Right Side

    Time frame: From enrollment until the end of treatment at the fourth week.

    Changes in cervical spine lateral flexion on right side ROM at baseline and 4th week of intervention was measured using goniometer.

  5. ROM Cervical Spine (Rotation) Left Side

    Time frame: From enrollment until the end of treatment at the fourth week.

    Changes in cervical spine rotation on left side ROM at baseline and 4th week of intervention was measured using goniometer.

  6. ROM Cervical Spine (Rotation) Right Side

    Time frame: From enrollment until the end of treatment at the fourth week.

    Changes in cervical spine rotation on right side ROM at baseline and 4th week of intervention was measured using goniometer.

  7. ROM temporomandibular joint, mouth opening (Depression)

    Time frame: From enrollment until the end of treatment at the fourth week.

    Changes in mouth opening ROM at baseline and 4th week of intervention was measured using ruler.

  8. ROM temporomandibular joint (Protrusion)

    Time frame: From enrollment until the end of treatment at the fourth week.

    Changes in protrusion ROM at baseline and 4th week of intervention was measured using ruler.

  9. ROM temporomandibular joint (Lateral Excursion) Left side

    Time frame: From enrollment until the end of treatment at the fourth week.

    Changes in lateral excursion on left side ROM at baseline and 4th week of intervention was measured using ruler.

  10. ROM temporomandibular joint (Lateral Excursion) Right side

    Time frame: From enrollment until the end of treatment at the fourth week.

    Changes in lateral excursion on right side ROM at baseline and 4th week of intervention was measured using ruler

  11. Craniovertebral angle

    Time frame: From enrollment until the end of treatment at the fourth week.

    For assessing the severity and alignment of forward head posture by evaluating the position of the head in relation to the trunk. Changes in craniovertebral angle at baseline and 4th week of intervention was measured using Markus Bader-Software solution.

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Feb 11, 2026
Registry last updated
Feb 11, 2026

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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