Telerehabilitation Dual-Task Training in 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: Standard Physiotherapy Program, Dual-Task Training.
- Who it may be relevant to
- Registry conditions: Temporomandibular Joint Dysfunction. Basic parameters: 18 years — 25 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
- Center list to be confirmed — check the primary protocol.
- 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
Effect of Telerehabilitation-Based Dual-Task Training on Clinical Outcomes in Temporomandibular Joint Dysfunction
Overview
This randomized controlled trial will be conducted among 18-25-year-old participants who present with temporomandibular joint dysfunction symptoms, including pain, limited range of motion, and joint crepitation. Participants will be randomly allocated into control and intervention groups using block randomization. The control group will receive a standard physiotherapy program, while the intervention group will additionally perform telerehabilitation-based dual-task exercises. The intervention will last for six weeks, with progressive increases in exercise and cognitive task difficulty. Outcomes will be assessed at baseline and at the end of the 6th week. Primary and secondary outcome measures include pain intensity (Visual Analog Scale), jaw functional limitation (Jaw Functional Limitation Scale-20), oral habits, static balance (Tetrax system), and dynamic balance (Timed Up and Go Test). Within-group and between-group comparisons will be performed. The sample size was calculated using power analysis, resulting in 30 participants in total (15 per group), accounting for potential dropouts.
Interventions
- Behavioral Standard Physiotherapy Program
Cervical range of motion exercises, cervical lateral flexion stretching, upper trapezius stretching, pectoral stretching, breathing exercises, seated cervical postural correction exercises, supine and prone cervical postural exercises, postural training exercises, temporomandibular joint (TMJ) rotation control exercises, TMJ opening, closing, protrusion, and retrusion exercises, tongue resting position training, isometric TMJ elevation, depression, and lateral deviation exercises in sitting posi - Behavioral Dual-Task Training
Backward counting from 200 by threes during cervical range of motion exercises and pectoral stretching, naming cities starting with the letter "A" during supine cervical postural exercises, naming animals starting with the letter "A" during TMJ rotation control exercises, simple arithmetic tasks (addition and subtraction) during isometric TMJ elevation and depression exercises, and more complex arithmetic tasks during lateral deviation exercises in sitting position. Cognitive task difficulty wil
Primary outcome measures
- Pain Intensity [Time frame: Measurements will be recorded at baseline and at week 6. Change in pain intensity will be analyzed.]
- Jaw Functional Limitation [Time frame: Assessments will be performed at baseline and week 6.]
Secondary outcome measures (7)
- Temporomandibular Disorder Classification [Time frame: Assessment will be performed at baseline.]
- Oral Habits [Time frame: Assessments will be performed at baseline and week 6.]
- Dynamic Balance [Time frame: Assessments will be performed at baseline and week 6.]
- Stability Index (SI) [Time frame: Baseline and after 6 weeks]
- Weight Distribution Index (WDI) [Time frame: Baseline and after 6 weeks]
- Fourier Harmonic Index (FHI) [Time frame: Baseline and after 6 weeks]
- Fall Index [Time frame: Baseline and after 6 weeks]
Eligibility criteria
Inclusion criteria
- Diagnosis of temporomandibular joint dysfunction according to the
- Temporomandibular Disorders Research Diagnostic Criteria and Diagnostic
- Criteria for Temporomandibular Disorders
- No neurological, orthopedic, or systemic condition that may affect balance
- Ability to comply with a telerehabilitation program
- Willingness to provide written informed consent
- No prior physiotherapy treatment for temporomandibular joint dysfunction
Exclusion criteria
- Inability to participate in regular exercise or telerehabilitation programs
- Presence of severe systemic diseases (cardiac, rheumatologic, neurological) or other severe chronic conditions
- Presence of psychiatric disorders or cognitive impairment
- Use of medications that may affect balance (such as sedatives)
- History of jaw or dental surgery within the last 6 months
- Receipt of physiotherapy, splint therapy, or similar treatment for temporomandibular joint dysfunction within the last 3-6 months
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Center list to be confirmed — check the primary protocol.
Identifiers
NCT: NCT07556510 · TMJ2026