Is PNF Application Effective on Temporomandibular Dysfunction
TMD, TMJ Disorder, Pain
About this trial
This is an interventional treatment trial for TMD
Eligibility Criteria
Inclusion Criteria: Diagnosis of TMD according to the diagnostic criteria for temporomandibular disorders (RDC/TMD), Presence of trigger points in the relevant muscles, Presence of pain Exclusion Criteria: Intra-articular or degenerative joint disorders and subluxation requiring urgent treatment; History of temporomandibular joint (TMJ) or cervical region surgery in the last 3 months; Treatment history from relevant areas; Presence of rheumatic diseases, including TMJ diseases; TMJ instability or fracture; Presence of perception-cognition disorder; Presence of chronic pain such as trigeminal neuralgia Orthopedic, neurological or rheumatological cervical disorders affecting jaw movements History of surgery in the jaw, head and neck area Presence of vertigo that prevents head movements during exercise
Sites / Locations
- Gizem Ergezen
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Group 1
Group 2
Rocabado's 6 x 6 exercise program has been found to be beneficial in reducing pain and increasing masticatory muscle function, as well as improving forward head posture, correcting limited joint mobility, muscle length limitation, and postural and functional limitations. Rocabado's 6x6 program includes 6 basic components: tongue rest position, TMJ rotation control, cervical spine release, shoulder girdle retraction and rhythmic stabilization technique. Rocabado's 6x6 exercises will be shown to both groups and 6 sets and 6 repetitions will be performed per day for 8 weeks
Addition to Rocabado's, Proprioceptive neuromuscular facilitation (PNF) exercises will be applied to the neck and jaw with rhythmic stabilization (RS) and combined isotonic contraction (CIC) techniques. The patient will be placed supine on the treatment bed and asked to relax. The therapist's hands were placed according to PNF principles, depending on the applied technique and diagonality. Maximum resistance was provided to suit the needs of each individual First, the RS protocol will be applied and after a 2-minute rest interval, the exercise will continue with the KIK protocol applications. The expected duration of exercise exercises is 30 minutes. Maximum performance will be requested from the individual in all repetitions and the necessary verbal commands will be given for appropriate movement.