Stomatognathic alignment exercise program along with standard treatment.

Myofascial release of masticatory muscles and heating pad at cervical.

Chin Tuck Exercise:

Starting position: Supine and standing against a wall. Tuck chin backward over the sternal notch to place the patient's ears in line with the tips of the shoulders.

Repetitions:

Supine: Ten repetitions of a 10-second hold. Standing against a wall: Two repetitions of a 5-minute hold.

Anterior Chest Stretching Exercise:

Starting position: Standing against a wall with a flattened back; arms at 45° shoulder abduction with elbow in full extension.

Active ROM exercises of neck and TMJ:

Starting position: Sitting in a back-supported chair. Neck motions: flexion, extension, lateral flexion, and rotation. TMJ: Mouth opening, lateral excursion, and protrusion. Repetitions: A 10-second hold at the end range of each motion. Two series of ten repetitions for each motion.

Standard physiotherapy including hot pack and myofascial release of masticatory muscles.

A total of 12 sessions were conducted for 4 weeks with 3 sessions scheduled each week.

Numeric Pain Rating Scale is utilized to evaluate pain. It consists of 11 points, having an overall score ranging from 0 to 10, where; 0 represents no pain, 1 to 3 represents mild pain, 4 to 6 represents moderate pain and 7 to 10 represents the most severe pain.

MFIQ is used to evaluate the degree of jaw function impairment in TMJD patients. Two dimensions and 17 questions make up this questionnaire, which assigns a score ranging from 0 (no problem) to 4 (extreme difficulty or impossible without support) for a certain jaw function. The "functional capacity" dimension is made up of the first eleven components, whereas the "nutrition" dimension is made up of the next six. A high degree of jaw function impairment is indicated by a high overall score on the questionnaire.

Changes in cervical spine flexion ROM at baseline and 4th week of intervention was measured using goniometer.