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The aim of the study is to examine the effect of high voltage electrical stimulation on pain, temporomandibular joint mobility, cervical mobility, head position, tender points and joint sounds in individuals with temporomandibular disorders.
28 individuals who meet the TMER / Research Diagnostic Criteria classification will be randomly divided into 2 groups. Exercise with high voltage electrical stimulation (YVES) will be applied to the 1st group and only exercise will be applied to the 2nd group. The second group will be the control group of the study. Both groups will be informed about the disease before starting the study before the treatment and patient education will be given about the situations that need attention. Again, 2 groups will be given an exercise program from the day they start the treatment, 3 times a week for 4 weeks during the treatment. As sociodemographic information of the individuals, age, gender, height, weight, body mass index, marital and educational status, occupation, smoking and alcohol use, patient history, family history and complaint sides will be recorded. Before starting treatment, individuals will be evaluated for pain, temporomandibular joint mobility, cervical mobility, tender points, and joint sounds:
After 4 weeks of treatment, the measurements will be repeated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment group | Experimental | High voltage electrical stimulation + exercise therapy |
|
| Control group | Active Comparator | Exercise therapy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| High voltage electrical stimulation+exercise therapy | Other | The effect of high voltage electrical stimulation on temporomandibular disorders |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in pain on temporomandibular joint | Pain with Visual Analogue Scale (VAS) | Before and after treatment, 4 weeks apart. It takes 10 seconds. |
| Change in temporomandibular joint mobility | Temporomandibular joint mobility with a ruler | Before and after treatment, 4 weeks apart. It takes 3 minutes. |
| Change in cervical mobility | Cervical mobility with C-ROM (Cervical Range of Motion) inclinometer | Before and after treatment, 4 weeks apart. It takes 5 minutes. |
| Change in head position | Head position with universal goniometer and ImageJ software | Before and after treatment, 4 weeks apart. It takes 3 minutes. |
| Change in tender points | Tender points with algometer | Before and after treatment, 4 weeks apart. It takes 10 minutes. |
| Change in joint sounds | Joint sounds as present / absent as a result of the evaluation of movements in all directions (maximum mouth opening, right / left lateral excursions, protrusion and retrusion) | Before and after treatment, 4 weeks apart. It takes 2 minutes. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Halime ARIKAN, MSc. | Gazi University, Faculty of Health Sciences | Principal Investigator |
| Gokhan MARAS, MSc. | Gazi University, Faculty of Health Sciences | Principal Investigator |
| Seyit CITAKER, Dr. | Gazi University, Faculty of Health Sciences | Principal Investigator |
| Cahit UCOK, Dr. | Ankara University, Faculty of Dentistry | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gazi University, Faculty of Health Sciences | Ankara | None Selected | 06490 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D013705 | Temporomandibular Joint Disorders |
| D010146 | Pain |
| ID | Term |
|---|---|
| D017271 | Craniomandibular Disorders |
| D008336 | Mandibular Diseases |
| D007571 | Jaw Diseases |
| D009140 | Musculoskeletal Diseases |
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| ID | Term |
|---|---|
| D005081 | Exercise Therapy |
| ID | Term |
|---|---|
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
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Prospective, randomized-controlled
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| Exercise therapy | Other | The effect of high voltage electrical stimulation on temporomandibular disorders |
|
| D007592 |
| Joint Diseases |
| D009135 | Muscular Diseases |
| D009057 | Stomatognathic Diseases |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D013812 |
| Therapeutics |
| D026741 | Physical Therapy Modalities |