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The aim of the study is to evaluate the treatment outcome of supervised exercise and home exercise in patients with symptomatic disc displacement with reduction.
This study will help the clinical practitioner to choose better exercise option in patients with symptomatic disc displacement with reduction in order to avoid clicking sound.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Supervised Exercise Group | Experimental | Patients receive supervised exercise therapy from a qualified physical therapist or healthcare professional, with a set frequency and duration |
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| Home Exercise Group | Active Comparator | Patients receive written instructions and demonstrations for performing exercises at home, with recommended frequency and duration |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Supervised Exercise Group | Behavioral | A supervised exercise program will consists of 10 sessions. The 1st exercise station will be a 5-minute warming up of the jaw with a heat lamp. The 2nd station will involve jaw opening-closing movements (TMJ rotation) with the mandible in a slightly protruded position for 6 minutes. The 3rd and 4th exercise stations will comprised of jaw opening and jaw protrusion, respectively, against resistance for 4 minutes each. Measurements will be done before the trial started and after 3 months. |
| Measure | Description | Time Frame |
|---|---|---|
| clicking sounds frequency | Assessment of clicking sounds frequency before and after intervention. | 3 months |
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Inclusion Criteria:
Age: 18-70 years
Both genders
TMJ clicking sounds fulfilling RDC/TMD for symptomatic disc displacement
NRS score ≥ 4 for TMJ clicking sound severity
TMJ clicking sound frequency: once a week or more
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ayesha Younas, BDS | Armed Forces Institute of Dentistry, Pakistan | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Armed Forces Institute of Dentistry | Rawalpindi | Punjab Province | 46000 | Pakistan |
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| Home Exercise Group | Behavioral | Patients will received a home regime of jaw exercises. They will be instructed to do two different trainings. The 1st type of exercise will be jaw opening and closing movements daily for 5 minutes after each meal with the mandible and the head of the TMJ in a slightly protruded position. This exercise should not produce any clicking sounds. The 2nd type of exercise will be isometric exercises; this entailed jaw opening and jaw protrusion against resistance with their hand for 10 seconds with 10 repetitions each daily. All the patients will receive a training brochure with photos of the exercises and detailed information on frequency and exercise time. The brochure will include a diary. After 6 weeks, the subject and the assistant will check the performance of the exercise and the diary |
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