Effect of Exercises on Convergence Insufficiency in Individuals With Temporomandibular Disorders
Temporomandibular Disorder, Temporomandibular Joint Disorders, Temporomandibular Joint Dysfunction Syndrome
About this trial
This is an interventional treatment trial for Temporomandibular Disorder focused on measuring Convergence Insufficiency, Temporomandibular Disorder, Clinical trials, oculomotor therapy, Physiotherapy
Eligibility Criteria
Inclusion Criteria: Age between 18 and 60 years; Presence of pain in the facial region in the last 6 months; Presence of pain, at least 3 on the numeric pain scale (END), in the Temporomandibular Joint and/or masticatory muscles and in the last 6 months; Diagnosis of myogenic Temporomandibular Disorder, by DC/TMD; Moderate and Severe Temporomandibular Disorder carrier, according to Fonseca's Anamnestic Index; Presence of Insufficiency of Convergence according to Convergence Test (TC) and by Convergence insufficiency symptom Survey (CISS). Exclusion Criteria: Permanent strabismus; History of strabismus surgery; History of cervical and/or craniofacial trauma/surgical procedure; History of ocular nerve injury; Neurological disorders; disc disease ; Systemic diseases; Fibromyalgia diagnosis; Previous treatments for TMD carried out in the last 3 months; Previous treatments of Convergence Insufficiency with oculomotor therapy (no more than 2 months of treatment in the last year); Occlusal treatment in progress; Any ocular or systemic medication known to affect accommodation or vergence ; Systemic diseases that affect ocular accommodation, vergence , and motility, such as multiple sclerosis, Graves' thyroid disease, myasthenia gravis, diabetes, and Parkinson's disease; In continuous use of analgesics, anti-inflammatories, anxiolytics and/or antidepressants; Pregnant women.
Sites / Locations
- Daniela Aparecida Biasotto GonzalezRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Oculomotor Therapy
Therapy for Temporomandibular Disorder
The procedures for oculomotor therapy will be arranged sequentially, from easiest to most difficult. It will consist of a convergence technique (Brock Cord and Barrille Cartouche) and an accommodative technique (Eccentric circles or lifesaving cards) and Eye Relaxation.
Extra-oral and intra-oral massage: The main objective is to reduce pain as well as re-establish proper muscle length and flexibility. The patient will be instructed to use diaphragmatic breathing to promote relaxation during these massage procedures. Myofascial release of the masseter, temporalis and sternocleidomastoid muscles, release of neck soft tissues, cervical pomp, suboccipital inhibition, passive anteroposterior mobilization of the upper cervical, cervical exercises, Temporomandibular Joint exercises (mouth opening exercise with tongue on palate) , Proprioceptive exercises).