Effects of Stomatognathic Alignment Exercise Program in Craniomandibular Dysfunction.

Riphah International University64 enrolled

Overview

The study was conducted to determine the effects of stomatognathic alignment exercise program in craniomandibular dysfunction.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Craniomandibular Dysfunction

Interventions

Stomatognathic Alignment Exercise ProgramOTHER

Chin Tuck Exercise: Starting position: Supine and standing against a wall. Tuck chin backward over the sternal notch to place the patient's ears in line with the tips of the shoulders. Repetitions: Supine: Ten repetitions of a 10-second hold. Standing against a wall: Two repetitions of a 5-minute hold. Anterior Chest Stretching Exercise: Starting position: Standing against a wall with a flattened back; arms at 45° shoulder abduction with elbow in full extension. Active ROM exercises of neck and TMJ: Starting position: Sitting in a back-supported chair. Neck motions: flexion, extension, lateral flexion, and rotation. TMJ: Mouth opening, lateral excursion, and protrusion. Repetitions: A 10-second hold at the end range of each motion. Two series of ten repetitions for each motion. Standard physiotherapy including hot pack and myofascial release of masticatory muscles. A total of 12 sessions were conducted for 4 weeks with 3 sessions scheduled each week.

Standard Physical therapy treatmentOTHER

Control Group received only standard physiotherapy including hot pack and myofascial release of masticatory muscles. A total of 12 sessions were conducted for 4 weeks with 3 sessions scheduled each week.

Eligibility

Sex: ALLMin age: 20 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Male and female with age group of 20-65 years. * Patients diagnosed with temporomandibular dysfunction * Individuals with the sedentary life style * Craniovertebral angle \<50 degrees * Patients who presented with at least one symptom of temporomandibular dysfunction, able to communicate effectively, cooperative with imaging examinations, and able to complete the prescribed treatment and patients with no contraindications for the required examinations or treatments. Exclusion Criteria: * Serious musculoskeletal problems of cervical and thoracic spine * Neurological disease affecting balance and postural control * Dental prosthesis * Disc prolapsed * Previous surgery in TMJ area * Vertebral artery compromise test * Cerebrovascular disease

Locations (1)

Fatima Memorial Hospital (Oral & Maxillofacial Surgery Department)

Lahore, Punjab Province, Pakistan

Outcomes

Primary Outcomes

Numeric Pain Rating Scale

Numeric Pain Rating Scale is utilized to evaluate pain. It consists of 11 points, having an overall score ranging from 0 to 10, where; 0 represents no pain, 1 to 3 represents mild pain, 4 to 6 represents moderate pain and 7 to 10 represents the most severe pain.

Time frame: From enrollment until the end of treatment at the fourth week.

Mandibular function impairment questionnaire

MFIQ is used to evaluate the degree of jaw function impairment in TMJD patients. Two dimensions and 17 questions make up this questionnaire, which assigns a score ranging from 0 (no problem) to 4 (extreme difficulty or impossible without support) for a certain jaw function. The "functional capacity" dimension is made up of the first eleven components, whereas the "nutrition" dimension is made up of the next six. A high degree of jaw function impairment is indicated by a high overall score on the questionnaire.

Time frame: From enrollment until the end of treatment at the fourth week.

Secondary Outcomes

ROM Cervical Spine (Felxion)

Changes in cervical spine flexion ROM at baseline and 4th week of intervention was measured using goniometer.

Time frame: From enrollment until the end of treatment at the fourth week

ROM Cervical Spine (Extension)

Changes in cervical spine extension ROM at baseline and 4th week of intervention was measured using goniometer.

Time frame: From enrollment until the end of treatment at the fourth week.

ROM Cervical Spine (Lateral Flexion) Left Side

Changes in cervical spine lateral flexion on left side ROM at baseline and 4th week of intervention was measured using goniometer.

Time frame: From enrollment until the end of treatment at the fourth week.

Data from ClinicalTrials.gov

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