Telerehabilitation in Individuals Temporomandibular Dysfunction With Bruxism

Investigation of the Effectiveness of Telerehabilitation in Individuals Myofascial Temporomandibular Dysfunction With Bruxism

The aim of the study is to compare the effects of Home Exercise Therapy (HET) and Telerehabilitation in patients with myofascial temporomandibular disorders (TMD)with bruxism.

Home Exercise will be Group 1 and Telerehabilitation group will be Group 2.

Group 1 HET, will include an educational training program about parafunctional activities of TMD disorders and bruxism and active exercises for 4 weeks.

As part of the Home exercise program, a written document will be prepared, including relaxation, breathing training, posture, stretching, and strengthening exercises to be given to the patients.

Group 2, in addition to the training and written document, the second group will receive the same exercises using telerehabilitation once a week by video call, and reminder messages will be sent to the patients 3 times a week.

Inclusion Criteria:

• Ages between 18 and 65 years old
• Patients with TMD in the myofascial Group Ia, Ib according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) and diagnosed with bruxism
• Having pain ≥ 3 according to the Visual Analog Scale
• Those who have not received medical treatment for the last 3 months and will not receive it during the treatment process will be included in the study.

Exclusion Criteria:

• Ages under 18 and over 65 years old
• Patients with disc displacement and/or TMJ degeneration
• Patients who have orthodontic or splint treatment
• Patients with musculoskeletal problems in which systemic specific pathological conditions such as cervical and/or temporomandibular joint (TMJ) problem malignancy, fracture, the rheumatoid disease is proven
• Patients who have undergone any surgery related to the cervical and/or TMJ
• Patients with facial paralysis
• Patients who regularly use analgesic or anti-inflammatory drugs
• Patients who have received physical therapy associated with TMJ in less than 3 months
• Patients with a history of trauma (whiplash injury, condylar trauma, fracture)
• Patients with cognitive deficits
• Participation rate lower than 80% of the program schedule