It is planned to examine the effect of cervical stabilization exercises on Temporomandibular Joint (TMJ) symptoms in individuals with TMJ disorder.
Individuals included in the study will be divided into 2 groups, Stabilization and Control groups, by block randomization method. A standard treatment program (Education + home exercises) will be applied to both groups. In addition to the stabilization group, cervical stabilization exercises will be applied. Individuals will be evaluated with the Sociodemographic Data Form before the application. Before and after the application, individuals were assessed for TMJ pain with the Numeric Pain Rating Scale (NPRS), TMJ symptom severity with the Fonseca Anamnestic Index (FAI) and cervical posture, mobility and muscle performance will be evaluated with craniovertebral angle, goniometer and craniocervical flexion test.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
30
Cervical Stabilization Exercises will be performed 3 days a week for 8 weeks.
Individuals will be informed about TMJ disorders, parafunctional activities (chewing gum, nail/pen biting, etc.) and recommendations. In addition, Rocabado exercises will be given as a home program.
Bitlis Eren Üniversitesi
Merkez, Bitlis, Turkey (Türkiye)
Numeric Pain Rating Scale (NPRS)
TMJ pain will be evaluated at rest with the NPRS scale. It is a scale scored between 0-10 points and '0 points means 'I have no pain' and '10 points means 'I have unbearable pain'. NRS score between 1-3 points indicates mild pain, between 4-6 points indicates moderate pain and between 7-10 points indicates severe pain.
Time frame: Change from baseline at 8 weeks
Fonseca Anamnestic Index (FAI)
It assesses TMJ disorder and its severity. The index includes three options: "yes" (10 points), "sometimes" (5 points) and "no" (0 points). A total score of 0-15 is considered as no TMJ disorder, 20-40 as mild, 45-65 as moderate, and 70-100 as severe.
Time frame: Change from baseline at 8 weeks
Cervical Posture
Cervical posture will be evaluated from the craniovertebral angle.
Time frame: Change from baseline at 8 weeks
Cervical Mobility
For cervical mobility, normal joint movements of the neck will be evaluated with a goniometer.
Time frame: Change from baseline at 8 weeks
Cervical Muscle Performance
Cervical muscle performance will be evaluated with the craniocervical flexion test.
Time frame: Change from baseline at 8 weeks
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