Efficacy of Scapulothoracic Exercises on Postural Stability, Proprioception, Muscular Features and Mandibular Functions

The Effects of Scapulothoracic Exercises on Postural Stability, Muscle Strength, Muscular Endurance and Proprioception in Sedentary Individuals With Cranio-Servico-Mandibular Malalignment

The goal of this Randomized, Double-Blind, Clinical Trial is to investigate the effects of scapulothoracic exercises on postural stability, muscle strength, muscular endurance, mandibular functions and proprioception in sedentary individuals aged 18-45 years with head forward posture and temporomandibular joint dysfunction (Cranio-Cervico-Mandibular Malalignment). The main questions it aims to answer are:

• Do Scapulothoracic exercises given in addition to cervical posture exercises have an effect on postural stability, proprioception, muscle strength, muscular endurance and mandibular functions in individuals with Cranio-Cervico-Mandibular malalignment?

Researchers will compare conventional neck exercises (control group) and scapulothoracic exercises applied in addition to conventional neck exercises (treatment group) to see the effects of scapulothoracic exercises on the neck and jaw area.

The investigators aimed to investigate the effects of scapulothoracic exercises on postural stability, muscle strength, muscular endurance, mandibular functions and proprioception in sedentary individuals aged 18-45 years with cranio-cervico-mandibular malalignment including head-first posture and temporomandibular joint dysfunction problems.

Inclusion Criteria:

• Male and female students and employees between the ages of 18-45,
• Individuals with a craniovertabral angle (CVA) <50° and a Fonseca questionnaire score between 20-100,
• Individuals with a Helkimo clinical dysfunction index score between 1-25,
• Individuals with a low level of physical activity according to the International Physical Activity Questionnaire.

Exclusion Criteria:

• Serious problems of the musculoskeletal system, including the cervical and thoracic spine,
• Presence of serious chronic diseases such as hypertension, diabetes, cancer,
• Presence of neurological disease at a level that will affect balance and postural control,
• Being pregnant,
• Tooth and jaw problems in the last 6 months,
• Individuals with a total denture or prosthesis on the anterior teeth.