Effect of Progressive Neck Motor Control Exercises on Temporomandibular Joint Dysfunction

Investigation of the Effect of Progressive Neck Motor Control Exercises on Craniocervical Pain, Posture, Function and Kinesiophobia in Different Types of Temporomandibular Joint Dysfunction

The primary aim of this study was to investigate the effects of progressive neck motor control exercises on craniocervical pain, posture, function and kinesiophobia in different types of temporomandibular dysfunction. The secondary aim of the study was to examine the differences between the effects of progressive neck motor control exercises on different types of temporomandibular dysfunction.

In this randomised controlled study, the effects of progressive neck motor control exercise therapy on craniocervical pain, posture, function and kinesiophobia in individuals with different types of temporomandibular dysfunction (myofascial, disc displacement with reduction, disc displacement without reduction) and their differences with the control group will be compared. Participants diagnosed by a dentist according to three different types of temporomandibular dysfunction will be included in the study. Participants will be divided into groups by block randomisation method. A total of 6 groups will be included in the study, including participants with three different types of temporomandibular dysfunction who voluntarily agree to participate in the study and meet the inclusion criteria, and the control group of each group. The study groups will receive the same treatment and patient education for 6 weeks, while the control groups will receive only patient education.

Inclusion Criteria:

• 18 to 55 years old,
• Temporomandibular joint-related complaints for at least 3 months,
• Temporomandibular dysfunction is diagnosed as a result of clinical and radiological evaluation by the dentist,
• Neck pain of 3 or more according to the numeric pain scale

Exclusion Criteria:

• Cognitive problems,
• The one with the splint,
• Those who have used painkillers or muscle relaxants for temporomandibular dysfunction complaints in the last 1 week,
• With any systematic joint or muscle disease (e.g. fibromyalgia, rheumatoid arthritis),
• Those with serious systemic diseases,
• Any neurological disorder (e.g. trigeminal neuralgia),
• Pregnancy or breastfeeding,
• Treated for Temporomandibular joint or orofacial muscle pain in the last 3 months,
• Has undergone an operation/trauma to the cervical region and/or temporomandibular joint,
• Positive vertebrobasilar artery test