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Temporo-mandibular dysfunction can cause pain and tenderness of jaw so posture correction exercises and Rocabado exercises will be performed targeting jaw opening and kinesiophobia.
Temporo-mandibular dysfunction refers to pain in area of Temporo-mandibular joint and masticatory muscles.Temporo-mandibular dysfunction can cause pain or tenderness of jaw and aching pain in and around the ear along with difficulty in chewing.In addition to these symptoms the Temporo-mandibular dysfunction results in impairment of mouth opening. So the posture correction exercises and Rocabado exercises will be used to treat patients which will target jaw opening and kinesiophobia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A (Rocabdo exercises) | Experimental | The exercises created by Dr. Rocabado, will be performed by the patient at home, consist of six different exercises and six repetitions of each exercise, performed six times per day. It consists of Tongue 'Clucking', Controlled TMJ Rotation on Opening, Mandibular Rhythmic Stabilization, Upper Cervical Distraction, Axial Extension of the Cervical Spine and Shoulder Girdle Retraction. |
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| Group B (Postural correction exercises) | Experimental | This group will perform posture correction exercises for six days and six times per day. Posture correction exercises include chest stretch , wall stretch , chin tuck in and face down arm lifts. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Rocabdo exercises | Other | The exercises created by Dr. Rocabado, will be performed by the patient at home, consist of six different exercises and six repetitions of each exercise, performed six times per day. It consists of Tongue 'Clucking', Controlled TMJ Rotation on Opening, Mandibular Rhythmic Stabilization, Upper Cervical Distraction, Axial Extension of the Cervical Spine and Shoulder Girdle Retraction. This group will only perform Rocabdo exercises. |
| Measure | Description | Time Frame |
|---|---|---|
| Mouth opening | Maximum pain free opening from incisor to incisor measured vertically by ruler method where the score of less than 25mm indicate TMJ dysfunction | 6 days |
| Kinesiophobia | Kinesiophobia is excessive fear of physical movement that results from a feeling of vulnerability to painful injury Or re-injury where the score of 37 on Tampa scale indicate there is kinesiophobia | 6 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Rida Nasir, MSMSKPT | Contact | 03215205662 | nasirrida487@yahoo.com | |
| Furqan Hassan, PHD | Contact | 03334056768 |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Foundation University Islamabad | Recruiting | Islamabad | Federal | 64000 | Pakistan |
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Group A will receive conventional therapy for pain management and Rocabado exercises.
Group B will receive similar basic conventional therapy for pain management and perform posture correction exercises.
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| Postural correction exercises | Other |
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