Telerehabilitation Dual-Task Training in Temporomandibular Joint Dysfunction

Официальное название

Effect of Telerehabilitation-Based Dual-Task Training on Clinical Outcomes in Temporomandibular Joint Dysfunction

Обзор

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.

Вмешательства

• Поведенческое 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
• Поведенческое 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

Первичные конечные точки

• Pain Intensity [Срок оценки: Measurements will be recorded at baseline and at week 6. Change in pain intensity will be analyzed.]
• Jaw Functional Limitation [Срок оценки: Assessments will be performed at baseline and week 6.]

Вторичные конечные точки (7)

• Temporomandibular Disorder Classification [Срок оценки: Assessment will be performed at baseline.]
• Oral Habits [Срок оценки: Assessments will be performed at baseline and week 6.]
• Dynamic Balance [Срок оценки: Assessments will be performed at baseline and week 6.]
• Stability Index (SI) [Срок оценки: Baseline and after 6 weeks]
• Weight Distribution Index (WDI) [Срок оценки: Baseline and after 6 weeks]
• Fourier Harmonic Index (FHI) [Срок оценки: Baseline and after 6 weeks]
• Fall Index [Срок оценки: Baseline and after 6 weeks]

Критерии участия

Критерии включения

• 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

Критерии исключения

• 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

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Список центров уточняется — проверьте первичный протокол.

Идентификаторы

NCT: NCT07556510 · TMJ2026

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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