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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Myofascial | Experimental | Myofascial Temporomandibular Dysfunction |
|
| disc displacement with reduction | Experimental | Temporomandibular joint disc displacement with reduction |
|
| disc displacement without reduction | Experimental | Temporomandibular joint disc displacement without reduction |
|
| Myofascial2 | Other | Myofascial Temporomandibular Dysfunction |
|
| disc displacement with reduction2 | Other | Temporomandibular joint disc displacement with reduction |
|
| disc displacement without reduction2 |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Progressive neck motor control exercise therapy | Other | The exercise programme will be conducted as a single session two days a week for 6 weeks. The sessions will always be conducted by the same physiotherapist. Each exercise session will consist of 10 minutes of warm-up exercises, 40 minutes of neck motor control exercises and 10 minutes of cool down exercises. Each exercise will be performed as 2 sets of 10 repetitions. |
| Measure | Description | Time Frame |
|---|---|---|
| Fonseca Anamnestic Index | Assessment of Temporomandibular Dysfunction Severity | 1st, sixth week, first mont |
| Numeric Pain Scale | Assessment of Pain, 0: No pain, 10: Maximum pain | 1st, sixth week, first mont |
| Pressure pain threshold | Assessment of Pressure pain threshold | 1st, sixth week, first mont |
| Range of motion | Assessment of Temporomandibular joint and neck range of motion | 1st, sixth week, first mont |
| Joint position error test | Assessment of Cervical proprioception | 1st, sixth week, first mont |
| Endurance | Assessment of Deep neck flexor endurance | 1st, sixth week, first mont |
| Photographic Posture Analysis | Assessment of head and neck posture | 1st, sixth week, first mont |
| Mandibular Function Impairment Questionnaire | Assessment of Mandibular Function | 1st, sixth week, first mont |
| Measure | Description | Time Frame |
|---|---|---|
| Tampa kinesiophobia scale | Assessment of kinesiophobia for temporomandibular joint, 12 points: low kinesiophobia; 48 points:high kinesiophobia | 1st, sixth week, first mont |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| nurhayat korkmaz, PhDstudent | Contact | +90538736 | 9062 | krkmznrhyt@gmail.com |
| Nurhayat Korkmaz, MSc | Contact | +90538736 | 9062 | krkmznrhyt@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Nurhayat Korkmaz, PhDstudent | Karadeniz Technical University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Karadeniz Technical University | Recruiting | Trabzon | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41645126 | Derived | Korkmaz Ucuncu N, Yilmaz O, Korkmaz YT, Coskun G. An investigation of the effect of progressive neck motor control exercises on craniocervical pain, posture, function and kinesiophobia in different types of temporomandibular disorders: a randomised controlled study protocol. BMC Oral Health. 2026 Feb 5;26(1):285. doi: 10.1186/s12903-026-07775-z. |
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| ID | Term |
|---|---|
| D013706 | Temporomandibular Joint Dysfunction Syndrome |
| D010146 | Pain |
| D000092442 | Kinesiophobia |
| ID | Term |
|---|---|
| D013705 | Temporomandibular Joint Disorders |
| D017271 | Craniomandibular Disorders |
| D008336 | Mandibular Diseases |
| D007571 | Jaw Diseases |
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| ID | Term |
|---|---|
| D010353 | Patient Education as Topic |
| ID | Term |
|---|---|
| D006266 | Health Education |
| D011314 | Preventive Health Services |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
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Temporomandibular joint disc displacement without reduction |
|
|
| Patient education | Other | The content of this education consists of information about the disease and symptoms, chewing recommendations, dietary changes, parafunctional habits, activities to be avoided, posture recommendations. |
|
| D009140 | Musculoskeletal Diseases |
| D007592 | Joint Diseases |
| D009135 | Muscular Diseases |
| D009209 | Myofascial Pain Syndromes |
| D009057 | Stomatognathic Diseases |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010698 | Phobic Disorders |
| D001008 | Anxiety Disorders |
| D001523 | Mental Disorders |