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Temporomandibular DisorderNCT06186817

Effectiveness of the Fascial Distortion Model on the Cervical Spine in Individuals With Temporomandibular Disorder

A study testing Fascial Distortion Model, Rocabado's 6x6 Exercises and Patient Education in people with Temporomandibular Disorder and Temporomandibular Disorders, run by Hacettepe University at 2 sites in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The goal of this randomized clinical trial is to investigate the effectiveness of Manual Therapy Based on the Fascial Distortion Model (FDM) on the cervical spine by comparing it with Core Stabilization Training (CST) or Control in individuals with temporomandibular disorders. Read more about this study

Who is it for?
Ages 18 to 64 years
What is being tested?
Fascial Distortion Model, Rocabado's 6x6 Exercises and Patient Education
Could I receive a placebo?
No, everyone receives an active treatment
How many people
51 participants
Where
2 sitesTurkey (Türkiye)
Study dates
17 Dec 2023to 2 Jan 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 64 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Having a temporomandibular joint complaint that has persisted for three months
  • Being diagnosed with temporomandibular disorder according to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) Axis I
  • Comprehension and interest in responding to assessment questions

Who cannot join

  • Having a systemic condition (neurological, rheumatological, oncological, etc.) that could affect the temporomandibular joint and/or interfere with the evaluation
  • History of any trauma that may have affected cranial, cervical, or facial region
  • Having undergone any surgical intervention in cranial, cervical, or facial regions in the previous six months
  • Receiving any surgical treatment, medical treatment, or physiotherapy for temporomandibular disorder in the last month
  • Having received radiotherapy in the cranial or cervical region
  • Pregnancy or breastfeeding
  • Exercise for head posture for the last month

Trial locations and contacts

2 sites in 1 country.

Turkey (Türkiye)2 sites
  • Hacettepe University

    Ankara, 06100

  • Karabük University

    Karabük, 78050

Other trials in Turkey (Türkiye)

About this study

Official title: Effectiveness of Manual Therapy Based on the Fascial Distortion Model on the Cervical Spine in Individuals With Temporomandibular Disorder

The goal of this randomized clinical trial is to investigate the effectiveness of Manual Therapy Based on the Fascial Distortion Model (FDM) on the cervical spine by comparing it with Core Stabilization Training (CST) or Control in individuals with temporomandibular disorders. The main questions it aims to answer are:

Is the effectiveness of the addition of FDM-based Manual Therapy to conventional therapy different from the addition of CST or control? Is the effectiveness of the addition of CST to conventional therapy different from the addition of FDM or control? All participants in the intervention groups will be given eight-week conventional therapy (Rocabado Exercises and Patient Education) in addition to FDM-based Manual Therapy or CST. Participants in the control group will not be given any therapy during the study.

Neck pain intensity, hand grip strength, head posture, cervical muscle performance, cervical range of motion (function), disability, and quality of life will be assessed.

Read the detailed description

Interventions are needed to address neck pain intensity, hand grip strength, head posture, cervical muscle performance, cervical range of motion (function), disability, and quality of life in individuals with temporomandibular disorder (TMD). This study aims to examine the effectiveness of Fascial Distortion Model-based Manual Therapy compared to Core Stabilization Training or Control in individuals with TMD over an 8-week period. Individuals with TMD will be randomized into Group 1 (Fascial Distortion Model-based Manual Therapy, Rocabado Exercises, and Patient Education), Group 2 (Core Stabilization Training, Rocabado Exercises, and Patient Education), or Group 3 (Control). Rocabado Exercises and Patient Education will be implemented as a home program for 8 weeks, while Fascial Distortion Model-based Manual Therapy and Core Stabilization Training will be conducted once a week in a clinical setting. Neck pain intensity will be assessed using the Graded Chronic Pain Scale (Revised) and the Short-Form McGill Pain Questionnaire. Hand grip strength and head posture will be assessed using a hand dynamometer and lateral photography, respectively. The Functional Strength Testing of the Cervical Spine and cervical range of motions will be used to assess cervical muscle performance and function, respectively. Disability and quality of life will be evaluated using the Neck Disability Index and the Cognitive Exercise Therapy Approach-Biopsychosocial Questionnaire. All outcomes will be measured at baseline and end of the study, while neck pain intensity will also undergo intermediate assessments (2nd, 4th, and 6th weeks).

Being tested
Fascial Distortion Model, Rocabado's 6x6 Exercises, Patient Education, Core Stabilization Training
Keywords
Temporomandibular Disorders, Fascial Distortion Model, Core Stabilization Training, Head Posture, Neck Pain, Manual Therapy
Medical subject headings
Temporomandibular Joint Disorders, Temporomandibular Joint Dysfunction Syndrome, Neck Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Fascial Distortion ModelProcedure or surgery

    The following techniques were used on the cranial and cervical areas during therapy: Trigger band technique, herniated trigger point technique, continuum technique, folding technique, cylinder technique, and tectonic technique.

  • Rocabado's 6x6 ExercisesProcedure or surgery

    Resting position of the tongue, rotational control of temporomandibular joint, rhythmic stabilization, axial extension of the neck, shoulder posture, and stabilized head flexion

  • Patient EducationBehavioural

    Participants are instructed to perform some behaviors while avoiding others based on the etiology of temporomandibular disorders.

  • Core Stabilization TrainingProcedure or surgery

    Also called Spinal Stabilization Training

    Week 1st (1 x 10 reps): Supine deep cervical activation, supine deep lumbar activation, prone deep cervical activation, prone deep lumbar activation, supine combined deep cervical and lumbar activation, and prone combined deep cervical and lumbar activation; Week 2nd (1 x 10 reps): Arm openings, hundreds 1, one leg stretch 1, double leg stretch 1, shoulder bridge, breaststroke, leg pull prone prep 1; Week 3rd (1 x 10 reps): Arm openings, hundreds 2, one leg stretch 2, double leg stretch 2, shoulder bridge, breaststroke, leg pull prone prep 2; Week 4th (1 x 10 reps): Arm openings, hundreds 2, one leg stretch 2, double leg stretch 3, shoulder bridge, breaststroke, leg pull prone prep 2; Week 5th to 8th (with Resistance Band; 1 x 10 reps): Arm openings, shoulder bridge, swan dive, scapula isolations, plough, biceps curl, roll up, roll up with biceps, roll up with rowing, seated spine twist, swimming in kneeling, one leg kick in kneeling and diamond press in standing

Study groups in NCT06186817
Study groupRoleWhat they receive
Manual Therapy based Fascial Distortion ModelActive comparatorAll participants were given manual therapy based on the Fascial Distortion Model in addition to conventional therapy (Rocabado's 6x6 Exercises and Patient Education). Conventional therapy was implemented as a home program for 8 weeks, while Manual Therapy was conducted for forty-five minutes once a week in a clinical setting.
Receives: Procedure: Fascial Distortion Model; Procedure: Rocabado's 6x6 Exercises; Behavioral: Patient Education
Core Stabilization TrainingActive comparatorAll participants were given manual therapy based on the Core Stabilization Training in addition to conventional therapy (Rocabado's 6x6 Exercises and Patient Education). Conventional therapy was implemented as a home program for 8 weeks, while Core Stabilization Training was conducted for forty-five minutes once a week in a clinical setting.
Receives: Procedure: Rocabado's 6x6 Exercises; Behavioral: Patient Education; Procedure: Core Stabilization Training
ControlNo interventionNo participant was given any therapy during the study.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Eye-Tragus-Horizontal Angle on lateral photography of head posture

    The angle between the line connecting the midpoint of the lateral corner of the eye to the tragus of ear and the horizontal line emerging from the tragus level. It refers to the cranial rotation angle

    Measured: From enrollment to the end of treatment at 8 weeks

  2. Pogonion-Tragus-C7 Angle on lateral photography of head posture

    The angle between the line connecting the pogonion (the most protruding point on the front of the mandible) to the tragus and the line connecting the tragus to the C7 vertebra

    Measured: From enrollment to the end of treatment at 8 weeks

  3. Tragus-C7-Horizontal Angle on lateral photography of head posture

    The angle between the line connecting the tragus to the C7 vertebra and the horizontal line emerging from the C7 vertebra level. It refers to the neck inclination angle

    Measured: From enrollment to the end of treatment at 8 weeks

  4. Tragus-C7-Shoulder Angle on lateral photography of head posture

    The angle between the line connecting the acromion to the C7 vertebra and the line connecting the C7 vertebra to the tragus. It refers to the sum of the tragus-C7-horizontal angle and the shoulder-C7-horizontal angle; Shoulder-C7-Horizontal Angle (5): The angle between the line connecting the acromion to the C7 vertebra and the horizontal line emerging from the C7 vertebra level. It refers to the angle of the shoulder.

    Measured: From enrollment to the end of treatment at 8 weeks

  5. Shoulder-C7-Horizontal Angle on lateral photography of head posture

    The angle between the line connecting the acromion to the C7 vertebra and the horizontal line emerging from the C7 vertebra level. It refers to the angle of the shoulder.

    Measured: From enrollment to the end of treatment at 8 weeks

  6. Disability based on Neck Disability Index

    Neck Disability Index. Minimum and maximum values are 0 and 5 points, respectively. Higher scores mean a worse outcome.

    Measured: From enrollment to the end of treatment at 8 weeks

  7. Quality of Life based on Cognitive Exercise Therapy Approach-Biopsychosocial Questionnaire

    Cognitive Exercise Therapy Approach-Biopsychosocial Questionnaire. Minimum and maximum values are 0 and 4 points, respectively. Higher scores mean a worse outcome.

    Measured: From enrollment to the end of treatment at 8 weeks

  8. Chronic neck pain intensity

    Graded Chronic Pain Scale (Revised). Scoring: Grade 1=mild, Grade 2=bothersome, Grade 3=high impact chronic pain. Higher scores mean a worse outcome.

    Measured: Baseline, 2nd week, 4th week, 6th week and 8th week

  9. Neck pain intensity at last seven days based on Short-Form McGill Pain Questionnaire

    Short-Form McGill Pain Questionnaire. Minimum and maximum values are 0 and 3 points, respectively. Higher scores mean a worse outcome.

    Measured: Baseline, 2nd week, 4th week, 6th week and 8th week

  10. Present neck pain intensity

    Visual Analog Scale. Minimum and maximum values are 0 and 10 cm, respectively. Higher scores mean a worse outcome.

    Measured: Baseline, 2nd week, 4th week, 6th week and 8th week

  11. Present neck pain intensity (ordinal)

    Present pain intensity scale of McGill Pain Questionnaire. Minimum and maximum values are 0 and 5 points, respectively. Higher scores mean a worse outcome.

    Measured: Baseline, 2nd week, 4th week, 6th week and 8th week

  12. Neck pain intensity at last seven days based on Numeric Pain Rating Scale

    Numeric Pain Rating Scale. Minimum and maximum values are 0 and 10 points, respectively. Higher scores mean a worse outcome.

    Measured: Baseline, 2nd week, 4th week, 6th week and 8th week

  13. Cervical active range of motion

    Dijital inclinometric measurements. Flexion, extension, right and left lateral flexions and right and left rotations.

    Measured: From enrollment to the end of treatment at 8 weeks

Secondary outcomes (2)
  1. Hand grip strength

    An hand dynamometer will be used to measure grip strength. Two measurements will taken with a 30-second rest between each trial, and the average of the three measurements will be recorded.

    Measured: From enrollment to the end of treatment at 8 weeks

  2. Cervical muscle performance

    The Functional Strength Testing of the Cervical Spine was used to evaluate the cervical muscle performance. This is a test that functionally evaluates cervical muscle strength. Results of this test are assessed as functional, functionally fair, functionally poor, and nonfunctional. Six-to-eight repetitions for the flexion test and 20-25 s holding time for the other tests indicate that the test result is functional. Three-to-five repetitions for the flexion test and 10-19 s holding time for the other tests indicate that the test result is functionally fair. One-to-two repetitions for the flexion test and 1-9 s holding time for the other tests indicate that the test result is functionally poor. Zero repetition for the flexion test and 0 s holding time for the other tests indicate that the test result is nonfunctional. Each test was terminated at onset of pain, and the relevant value was recorded.

    Measured: From enrollment to the end of treatment at 8 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Jan 2024
  2. Study start17 Dec 2023
  3. Primary completion30 Mar 2024
  4. Study completion2 Jan 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
51 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06186817
Sponsor's protocol ID
2023/1359
Status last verified
Jul 2024
First submitted
17 Dec 2023
Last updated
13 Mar 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Fascial Distortion Model, Rocabado's 6x6 Exercises and Patient Education in people with Temporomandibular Disorder and Temporomandibular Disorders, run by Hacettepe University at 2 sites in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 13 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Eye-Tragus-Horizontal Angle on lateral photography of head posture (time frame: From enrollment to the end of treatment at 8 weeks). The study lists 13 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Mar 2025.

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