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Temporomandibular joint dysfunction (TMJD) is an important health problem that occurs approximately in 22 to 35 percent of adults, different physiotherapy methods are reported as treatment options for management of TMJD. Although that, there is no previous studies about the efficacy of PNF exercises in treatment of TMJD in patients with forward head posture. So, the purpose of the present double-blind, randomized, controlled trial is to investigate the efficacy of PNF exercises in treatment of TMJD in patients with forward head posture.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| study group | Experimental |
| |
| control group | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| proprioceptive neuromuscular facilitation exercises | Other | PNF exercises will be done for Masseter, Temporalis, Lateral pterygoid and medial pterygoid muscles. Each contraction will be held for 10 seconds, and each stretch (relaxation phase) will be allowed to continue as long as the muscle tension continued to give away. |
| Measure | Description | Time Frame |
|---|---|---|
| Pressure Pain Threshold | A pressure algometer will be used for the objective measurement of the PPT. The algometer was pressed on the masseter, temporalis muscles until the patient feel pain. The unit of measurement will be in kg/cm2, and three measurements will be taken every 30 seconds. The average of the three consecutive measurements will be taken as the final value. | change from base line at 6 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| ROM assessment | A caliper will be used to measure mandibular depression, protrusion and lateral deviation. | change from base line at 6 weeks. |
| Temporomandibular Disorder Disability Questionnaire |
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Inclusion criteria:
Exclusion criteria:
Patients will be excluded if they exhibited any of the following criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| marwa S saleh | Giza | Egypt |
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| ID | Term |
|---|---|
| D013705 | Temporomandibular Joint Disorders |
| ID | Term |
|---|---|
| D017271 | Craniomandibular Disorders |
| D008336 | Mandibular Diseases |
| D007571 | Jaw Diseases |
| D009140 | Musculoskeletal Diseases |
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|
| traditional physical therapy treatment | Other |
|
|
This questionnaire consists of the following:
| change from base line at 6 weeks. |
| Numerical Rating Scale (NRS) | The patient will be asked to indicate a number between 0 and 100 on a horizontal line, that best described his/her perceived level of pain intensity when it is at its worst and when it is at is least. The average of these two totals indicates the average pain experienced by the patient as a percentage. | change from baseline at 6 weeks. |
| D007592 |
| Joint Diseases |
| D009135 | Muscular Diseases |
| D009057 | Stomatognathic Diseases |