Effects Exercises in Temporomandibular Joint Disorders on Pain, Joint and Tongue Functions
COMPARISON OF THE EFFECTS OF OROFACIAL AND TONGUE EXERCISES APPLIED AS AN ADDITION TO MYOFUNCTIONAL TREATMENT IN TEMPOROMANDIBULAR JOINT DISORDERS ON PAIN, JOINT AND TONGUE FUNCTIONS: A RANDOMIZED CONTROLLED TRIAL
Tayfun ISIK
48 participants
Jun 19, 2025
INTERVENTIONAL
Conditions
Summary
The goal of this clinical trial is to learn if orofacial exercises works to treat temporomandibular disorders in adults. It will also learn about the safety of orofacial exercises on temporomandibular disorders. The main questions it aims to answer are: Does orofacial exercises improve function of temporomandibular disorders ? Does orofacial exercises decrease pain in temporomandibular disorders? Researchers will compare orofacial exercises and manual therapy to manual therapy. Participants will: Take manual therapy and orofacial exercises or manual therapy two days in every week for 6 weeks Assessment once every 2 weeks for tests
Eligibility
Inclusion Criteria4
- aged people
- Not having received physical therapy for the neck or jaw within the past three months.
- No history of surgical or oncological treatment related to the neck or jaw.
- Having a diagnosis of temporomandibular disorder according to the RDC/TMD criteria, specifically Group Ia, Group Ib, or Group IIa under Axis I.
Exclusion Criteria3
- Individuals who are pregnant or suspected to be pregnant.
- Individuals with rheumatologic diseases affecting the temporomandibular joint.
- Individuals with a diagnosed psychiatric disorder.
Interested in this trial?
Get notified about updates and connect with the research team.
Interventions
The orofacial and tongue exercises include four-directional tongue mobilizations and resisted tongue movements in forward and upward directions within the oral cavity to improve tongue mobility. In addition, safe mouth opening exercises, as well as cheek and lip exercises, are also included in the exercise program.
* Through in education program, participants will be informed about joint characteristics, eating and drinking habits, and behavioral training. * Diaphragmatic breathing will be taught to promote relaxation of the cervical muscles and to establish a proper breathing pattern. * Postural exercises will be instructed to improve neck and back mechanics. * Relaxation training may help reduce joint activity that increases during periods of stress. * When necessary, participants will also receive education on the appropriate use of hot and cold agents.
Manual therapy will begin with cervical stretching, relaxation of the cervical paraspinal muscles, and release techniques for the sternocleidomastoid and scalene muscles. The intensity of these exercises will be adjusted according to the patient's and tissue's tolerance. Relaxation of the masticatory muscles will be achieved through massage applied externally to the jaw and the temporal region. Passive range-of-motion exercises will be performed to increase the mobility of the temporomandibular joint.
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT07304557