Effect of Progressive Neck Motor Control Exercises on Temporomandibular Joint Dysfunction
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Progressive neck motor control exercise therapy, Patient education.
- Who it may be relevant to
- Registry conditions: Temporomandibular Joint Dysfunction Syndrome. Basic parameters: 18 years — 55 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Turkey (Türkiye)
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Investigation of the Effect of Progressive Neck Motor Control Exercises on Craniocervical Pain, Posture, Function and Kinesiophobia in Different Types of Temporomandibular Joint Dysfunction
Overview
The primary aim of this study was to investigate the effects of progressive neck motor control exercises on craniocervical pain, posture, function and kinesiophobia in different types of temporomandibular dysfunction. The secondary aim of the study was to examine the differences between the effects of progressive neck motor control exercises on different types of temporomandibular dysfunction.
Detailed description
In this randomised controlled study, the effects of progressive neck motor control exercise therapy on craniocervical pain, posture, function and kinesiophobia in individuals with different types of temporomandibular dysfunction (myofascial, disc displacement with reduction, disc displacement without reduction) and their differences with the control group will be compared. Participants diagnosed by a dentist according to three different types of temporomandibular dysfunction will be included in the study. Participants will be divided into groups by block randomisation method. A total of 6 groups will be included in the study, including participants with three different types of temporomandibular dysfunction who voluntarily agree to participate in the study and meet the inclusion criteria, and the control group of each group. The study groups will receive the same treatment and patient education for 6 weeks, while the control groups will receive only patient education.
Interventions
- Other Progressive neck motor control exercise therapy
The exercise programme will be conducted as a single session two days a week for 6 weeks. The sessions will always be conducted by the same physiotherapist. Each exercise session will consist of 10 minutes of warm-up exercises, 40 minutes of neck motor control exercises and 10 minutes of cool down exercises. Each exercise will be performed as 2 sets of 10 repetitions. - Other Patient education
The content of this education consists of information about the disease and symptoms, chewing recommendations, dietary changes, parafunctional habits, activities to be avoided, posture recommendations.
Primary outcome measures
- Fonseca Anamnestic Index [Time frame: 1st, sixth week, first mont]
- Numeric Pain Scale [Time frame: 1st, sixth week, first mont]
- Pressure pain threshold [Time frame: 1st, sixth week, first mont]
- Range of motion [Time frame: 1st, sixth week, first mont]
- Joint position error test [Time frame: 1st, sixth week, first mont]
- Endurance [Time frame: 1st, sixth week, first mont]
- Photographic Posture Analysis [Time frame: 1st, sixth week, first mont]
- Mandibular Function Impairment Questionnaire [Time frame: 1st, sixth week, first mont]
Secondary outcome measures (1)
- Tampa kinesiophobia scale [Time frame: 1st, sixth week, first mont]
Eligibility criteria
Inclusion criteria
- 18 to 55 years old,
- Temporomandibular joint-related complaints for at least 3 months,
- Temporomandibular dysfunction is diagnosed as a result of clinical and radiological evaluation by the dentist,
- Neck pain of 3 or more according to the numeric pain scale
Exclusion criteria
- Cognitive problems,
- The one with the splint,
- Those who have used painkillers or muscle relaxants for temporomandibular dysfunction complaints in the last 1 week,
- With any systematic joint or muscle disease (e.g. fibromyalgia, rheumatoid arthritis),
- Those with serious systemic diseases,
- Any neurological disorder (e.g. trigeminal neuralgia),
- Pregnancy or breastfeeding,
- Treated for Temporomandibular joint or orofacial muscle pain in the last 3 months,
- Has undergone an operation/trauma to the cervical region and/or temporomandibular joint,
- Positive vertebrobasilar artery test
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
Turkey (Türkiye) · 1 center
- Karadeniz Technical University — Trabzon
Publications
- Korkmaz Ucuncu N, Yilmaz O, Korkmaz YT, Coskun G. An investigation of the effect of progressive neck motor control exercises on craniocervical pain, posture, function and kinesiophobia in different types of temporomandibular disorders: a randomised controlled study protocol. BMC Oral Health. 2026 Feb 5;26(1):285. doi: 10.1186/s12903-026-07775-z. PMID 41645126
Identifiers
NCT: NCT06148818 · 2023/15