Back to resultsPNF Exercises on Treatment of Temporomandibular Dysfunction
Primary Purpose
Temporomandibular Joint Disorders
Status
Completed
Phase
Not Applicable
Locations
Egypt
Study Type
Interventional
Intervention
proprioceptive neuromuscular facilitation exercises
traditional physical therapy treatment
Sponsored by
About this trial
This is an interventional treatment trial for Temporomandibular Joint Disorders
Eligibility Criteria
Inclusion criteria: Patients of both genders of age between 20-40 years having symptoms of TMD for at least six weeks duration established by an expert physician or orthopaedician having forward head posture with CVA < 53 pain over TMJ between 3 to 6 on NPRS mouth opening < 25mm. Exclusion criteria: Patients will be excluded if they exhibited any of the following criteria: TMJ fracture undergone any surgical procedure for TMJ Fracture surrounding TMJ Dislocation or subluxation of TMJ systemic generalized joint diseases, such as rheumatoid arthritis, and osteoporosis, congenital diseases, or facial paralysis recently any dental treatment is taken or surgery over TMJ hematological cervical disorders which may affect the jaw Neurological deficits e.g. Bells palsy, Trigeminal neuralgia. Recent infections (within the last six months) affecting the head and neck e.g. bone infections, meningitis, encephalitis, malaria, ear infection Participants who were using any functional appliances e.g. dentures, braces, bite appliances which had been adjusted or fitted in the last 12 weeks prior to the commencement of this study DDwR, DDwoR Patients were excluded from the study if they were receiving any other form of treatment for their TMJ dysfunction.
Sites / Locations
- marwa S saleh
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
study group
control group
Arm Description
Outcomes
Primary Outcome Measures
Pressure Pain Threshold
A pressure algometer will be used for the objective measurement of the PPT. The algometer was pressed on the masseter, temporalis muscles until the patient feel pain. The unit of measurement will be in kg/cm2, and three measurements will be taken every 30 seconds. The average of the three consecutive measurements will be taken as the final value.
Secondary Outcome Measures
ROM assessment
A caliper will be used to measure mandibular depression, protrusion and lateral deviation.
Temporomandibular Disorder Disability Questionnaire
This questionnaire consists of the following:
The Temporomandibular Disorder Disability Index. It consists of 10 questions with 5 possible answers, rating a 0 to 4 score level for each of the answers.
The Temporomandibular Disorder symptom intensity scale and the Temporomandibular Disorder symptom frequency scale are two visual analogue scales which address the frequency and intensity of a patient's TMJ symptoms and consist of 7 sections for each scale where the patient must rate his/her intensity and frequency of symptoms on a scale of 0 to 10 score level.
The Pain Drawing sheet is used by the patients to capture pain location and quality.
Numerical Rating Scale (NRS)
The patient will be asked to indicate a number between 0 and 100 on a horizontal line, that best described his/her perceived level of pain intensity when it is at its worst and when it is at is least. The average of these two totals indicates the average pain experienced by the patient as a percentage.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05709340
Brief Title
PNF Exercises on Treatment of Temporomandibular Dysfunction
Official Title
Efficacy of PNF Exercises on Treatment of Temporomandibular Dysfunction in Patients With Forward Head Posture: A Double-blind, Randomized, Controlled Trial
Study Type
Interventional
2. Study Status
Record Verification Date
April 2023
Overall Recruitment Status
Completed
Study Start Date
January 25, 2023 (Actual)
Primary Completion Date
March 25, 2023 (Actual)
Study Completion Date
April 15, 2023 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Cairo University
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
Temporomandibular joint dysfunction (TMJD) is an important health problem that occurs approximately in 22 to 35 percent of adults, different physiotherapy methods are reported as treatment options for management of TMJD. Although that, there is no previous studies about the efficacy of PNF exercises in treatment of TMJD in patients with forward head posture. So, the purpose of the present double-blind, randomized, controlled trial is to investigate the efficacy of PNF exercises in treatment of TMJD in patients with forward head posture.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Temporomandibular Joint Disorders
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantOutcomes Assessor
Allocation
Randomized
Enrollment
24 (Actual)
8. Arms, Groups, and Interventions
Arm Title
study group
Arm Type
Experimental
Arm Title
control group
Arm Type
Active Comparator
Intervention Type
Other
Intervention Name(s)
proprioceptive neuromuscular facilitation exercises
Intervention Description
PNF exercises will be done for Masseter, Temporalis, Lateral pterygoid and medial pterygoid muscles. Each contraction will be held for 10 seconds, and each stretch (relaxation phase) will be allowed to continue as long as the muscle tension continued to give away.
Intervention Type
Other
Intervention Name(s)
traditional physical therapy treatment
Intervention Description
Ultrasound: Continuous ultrasound at 1MHZ to temporomandibular joint at 1.0-1.25 W/CM2 for 5 min over each affected TMJ and masseter area, with the mouth in a slightly open position.
Forward head posture correction exercises including: chin tuck exercise, Strengthening shoulder retractors, stretching of sternocleidomastoid muscle, and Stretching of pectoralis muscle.
Primary Outcome Measure Information:
Title
Pressure Pain Threshold
Description
A pressure algometer will be used for the objective measurement of the PPT. The algometer was pressed on the masseter, temporalis muscles until the patient feel pain. The unit of measurement will be in kg/cm2, and three measurements will be taken every 30 seconds. The average of the three consecutive measurements will be taken as the final value.
Time Frame
change from base line at 6 weeks.
Secondary Outcome Measure Information:
Title
ROM assessment
Description
A caliper will be used to measure mandibular depression, protrusion and lateral deviation.
Time Frame
change from base line at 6 weeks.
Title
Temporomandibular Disorder Disability Questionnaire
Description
This questionnaire consists of the following:
The Temporomandibular Disorder Disability Index. It consists of 10 questions with 5 possible answers, rating a 0 to 4 score level for each of the answers.
The Temporomandibular Disorder symptom intensity scale and the Temporomandibular Disorder symptom frequency scale are two visual analogue scales which address the frequency and intensity of a patient's TMJ symptoms and consist of 7 sections for each scale where the patient must rate his/her intensity and frequency of symptoms on a scale of 0 to 10 score level.
The Pain Drawing sheet is used by the patients to capture pain location and quality.
Time Frame
change from base line at 6 weeks.
Title
Numerical Rating Scale (NRS)
Description
The patient will be asked to indicate a number between 0 and 100 on a horizontal line, that best described his/her perceived level of pain intensity when it is at its worst and when it is at is least. The average of these two totals indicates the average pain experienced by the patient as a percentage.
Time Frame
change from baseline at 6 weeks.
10. Eligibility
Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria:
Patients of both genders of age between 20-40 years
having symptoms of TMD for at least six weeks duration established by an expert physician or orthopaedician
having forward head posture with CVA < 53
pain over TMJ between 3 to 6 on NPRS
mouth opening < 25mm.
Exclusion criteria:
Patients will be excluded if they exhibited any of the following criteria:
TMJ fracture undergone any surgical procedure for TMJ
Fracture surrounding TMJ
Dislocation or subluxation of TMJ
systemic generalized joint diseases, such as rheumatoid arthritis, and osteoporosis, congenital diseases, or facial paralysis
recently any dental treatment is taken or surgery over TMJ
hematological cervical disorders which may affect the jaw
Neurological deficits e.g. Bells palsy, Trigeminal neuralgia.
Recent infections (within the last six months) affecting the head and neck e.g. bone infections, meningitis, encephalitis, malaria, ear infection
Participants who were using any functional appliances e.g. dentures, braces, bite appliances which had been adjusted or fitted in the last 12 weeks prior to the commencement of this study
DDwR, DDwoR
Patients were excluded from the study if they were receiving any other form of treatment for their TMJ dysfunction.
Facility Information:
Facility Name
marwa S saleh
City
Giza
Country
Egypt
12. IPD Sharing Statement
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PNF Exercises on Treatment of Temporomandibular Dysfunction
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