Temporomandibular Joint DysfunctionNCT06883825
Temporomandibular Joint Respiratory and Thoracic Region Added to Myofunctional Rehabilitation in Dysfunction Comparison of the Effects of Exercises
A study testing Myofunctional Therapy, Myofunctional Therapy + Respiratory Exercises and Myofunctional Therapy + Thoracic Region Exercises in people with Temporomandibular Joint Dysfunction and Myofunctional Therapy, run by Merve Keskin at 1 site in Turkey (Türkiye).
Trial summary
In the study, a questionnaire form will be applied to the participants using a face-to-face interview technique. Through the questionnaires, demographic characteristics, pain intensity, location of pain, symptoms of dysfunction, oral habits, and loss of function in the jaw joint will be evaluated. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Temporomandibular Joint Dysfunction, Myofunctional Therapy, Rehabilitation Exercise
- What is being tested?
- Myofunctional Therapy, Myofunctional Therapy + Respiratory Exercises and Myofunctional Therapy + Thoracic Region Exercises
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 63 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 16 Oct 2024to 30 Jun 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 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 18-65 years old,
- According to the Temporomandibular Disorders Research Diagnostic Criteria;
- With muscle involvement,
- With muscle+joint involvement
- Those who volunteer to participate in the study will be included
Who cannot join
- According to the Temporomandibular Disorders Research Diagnostic Criteria;
- Those with disc displacement without reduction,
- Those with arthritis
- Those with a known neurological, systemic or psychological disease,
- Pregnant and lactating women,
- Those who have had any trauma/surgical operation in the last 6 months,
Show all 9Show fewer
- Those with severe to severe local and/or general musculoskeletal pain,
- Patients with an obstructive or restrictive respiratory problem,
- Those with scoliosis that may cause respiratory problems will not be included
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Izmir Katip Celebi University
Çiğli, İzmir, 35620
About this study
Official title: Temporomandibular Joint Respiratory and Thoracic Region Added to Myofunctional Rehabilitation in Dysfunction Comparison of the Effects of Exercises: A Randomized Controlled Trial
In the study, a questionnaire form will be applied to the participants using a face-to-face interview technique. Through the questionnaires, demographic characteristics, pain intensity, location of pain, symptoms of dysfunction, oral habits, and loss of function in the jaw joint will be evaluated. Soft tissue (muscle) affections, spine structure, and mobility will be evaluated and recorded in the questionnaire form to be used for the evaluation of jaw joint dysfunctions. Pain level, depression, stress, anxiety level, and sleep quality will be evaluated with the help of a questionnaire.
The aims of this study were;
Read more
- To investigate the effects of muscle and function therapy on dysfunction, spinal structure and mobility, depression, stress, anxiety, and sleep quality in patients with jaw joint dysfunction,
- To investigate the effects of breathing exercises added to muscle and function therapy on dysfunction, spine structure and mobility, depression, stress, anxiety, and sleep quality in patients with jaw joint dysfunction,
- To investigate the effects of back exercises added to muscle and function therapy on dysfunction, spinal structure and mobility, depression, stress, anxiety and sleep quality in patients with jaw joint dysfunction,
- To compare the effects of muscular and functional therapy alone, respiratory exercises added to muscular and functional therapy, and back exercises on dysfunction, spinal structure and mobility, depression, stress, anxiety, and sleep quality in patients with jaw joint dysfunction.
Hypotheses of this study; H1: Myofunctional rehabilitation in patients with temporomandibular joint dysfunction positively affects TMD dysfunction findings, spinal structure and mobility, and psychosocial effects.
H2: Respiratory exercises added to myofunctional rehabilitation in patients with temporomandibular joint dysfunction have a positive effect on TMD dysfunction findings, spinal structure and mobility, and psychosocial effects.
H3: Thoracic exercises added to myofunctional rehabilitation in patients with temporomandibular joint dysfunction have a positive effect on TMD dysfunction findings, spinal structure, mobility, and psychosocial effects.
H4: In patients with temporomandibular joint dysfunction, only myofunctional rehabilitation, respiratory exercises added to myofunctional rehabilitation, and thoracic exercises have no superiority over each other on TMD dysfunction symptoms, spinal structure mobility, and psychosocial effects.
In the study, a questionnaire form will be applied to the participants usinga face-to-face interview. Through the questionnaires, demographic characteristics, pain intensity, pain location, symptoms of dysfunction, oral habits, and the presence of jaw joint dysfunctions will be evaluated. Soft tissue (muscle) affections, spine structure, and mobility will be assessed and recorded in the questionnaire form to be used for the evaluation of jaw joint dysfunctions. Pain level, depression, stress, anxiety level, and sleep quality will be evaluated with the help of a questionnaire. The evaluation will take approximately 40-45 minutes.
Group 1 will be given a massage to relax the masticatory muscles and exercises for the masticatory muscles and the muscles in the neck region.
The 2nd group will be given breathing exercises in addition to the 1st group. The 3rd group will be given back exercises in addition to the 1st group. One session will last approximately 45-50 minutes, and a total of 16 sessions of treatment will be applied in 8 weeks, 2 sessions per week. Measurements will be taken twice, at the beginning and the end of the 8th week.
Read the detailed description
This research is planned as a randomized controlled study. The study will be conducted at Izmir Kâtip Çelebi University within two years after ethics committee permission is obtained. The population of the study consists of patients with temporomandibular joint dysfunction. The sample of our study will consist of patients aged 18-65 years with muscle and joint involvement according to the Temporomandibular Disorders Research Diagnostic Criteria, who volunteered to participate in the study. No suitable article using similar methods for calculating the sample size of the study was found. According to the power analysis for two-way analysis of variance in repeated measures using G*Power Version 3.1.9.2 (Franz Faul, Universitat Kiel, Germany) program, the effect size was calculated as f=0.5, number of repetitions=2, number of groups=3, correlation between repeated measures =0.5, Type I error=0.05 and statistical power=0.95, with at least 17 in each group and a total of 51 patients as the number of units in the sample. Considering possible data losses, the number of participants was added by 20% and it was planned to include at least 21 patients in a group and 63 patients in total.
Participants will be divided into three groups as myofunctional rehabilitation group, respiratory exercise group, and thoracic exercise group by block randomization method. Block randomization will be done via https://www.sealedenvelope.com/simple-randomiser/v1/lists.
1st group; deep friction massage to trigger points in masseter and temporalis muscles, mobilization to TMJ and surrounding soft tissues, Rocabodo exercises (6x6), suboccipital relaxation, stretching exercises to upper trapezius, pectoralis minor, levator scapula muscles will be applied.
Group 2 will be given progressive diaphragmatic breathing exercises in addition to group 1. Progression in diaphragmatic breathing exercises will be achieved by adapting the phases of sensorimotor training (static, dynamic, functional) adapted to exercise programs in order to prevent injuries and to ensure strength and stability (15,16).
Diaphragmatic exercises
- Static Phase (weeks 1-2): It is aimed to provide short-speed motor control and to create kinesthetic awareness. It will include exercises to provide diaphragmatic breathing at each stage of neurodevelopmental steps (supine, side lying, quadripedal, bipedal).
- Dynamic Phase (weeks 3-5): Following the teaching of diaphragmatic breathing at each stage of neurodevelopmental steps, limb movements will be included in the program with elastic resistance training. In order to teach conscious motor control of movement, they will be asked to maintain diaphragmatic breathing while performing coordinated limb movements at high speeds in a multi-planar field.
3rd Functional Phase (weeks 6-8): After the combination of diaphragmatic breathing with limb movements, exercises including functional complex training on unstable floors will take place in this phase in order to teach the subconscious control of the movement with the progressive resistances of elastic resistance training. For this purpose, elastic resistance bands and exercise balls will be used.
Diaphragmatic breathing exercises will consist of 3 sets of 10 repetitions in each session.
The 3rd group will be given progressive thoracic exercises in addition to the 1st group. Thoracic exercises will consist of 6 exercises including thoracic stretching and mobility exercises lasting 15-20 minutes. Progression in the program will be achieved by changing the color of the elastic resistance band used during the exercises and gradually increasing the number of repetitions of the exercises. To determine the resistance of the elastic resistance band, the participant will be asked to perform the determined movement for 15 repetitions. If the participant's fatigue is at the level of 12-14 (moderate difficulty) according to the Borg scale, which is a subjective questioning tool, it will indicate the appropriate color. Elastic resistance bands are ordered from easy level to more difficult level with skin, yellow, red, green, blue, black, gray, and golden yellow colors.
Exercises for the thoracic region;
- Thoracic spine extension exercise with a foam roller (2x10),
- Thoracic extension flexibility exercise (2x10),
- Thoracic spine rotation exercise (2x8),
- Thoracic rotation exercise in quadripedal position (2x8),
- Thoracic rotation exercise in side lying (Open book 2x8),
- Bird-dog exercise (2x8). One session will last approximately 45-50 minutes, 2 sessions per week, for a total of 16 sessions in 8 weeks. Measurements will be taken twice, at the beginning and the end of the 8th week.
- Being tested
- Myofunctional Therapy, Myofunctional Therapy + Respiratory Exercises, Myofunctional Therapy + Thoracic Region Exercises
- Keywords
- temporomandibular joint dysfunction, myofunctional therapy, rehabilitation, exercise, thoracic region, diapragmatic breathing
- Medical subject headings
- Temporomandibular Joint Disorders, Motor Activity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Myofunctional TherapyOther
Participants will only receive myofunctional rehabilitation therapy. This treatment includes massage and exercises to improve the function of the jaw muscles.
Myofunctional Therapy + Respiratory ExercisesOther
Participants will receive breathing exercises as well as myofunctional therapy. This treatment includes exercises to improve jaw function and support the respiratory system.
Myofunctional Therapy + Thoracic Region ExercisesOther
Participants will receive myofunctional therapy as well as exercises for the thoracic region. This treatment includes exercises to improve jaw function and increase the flexibility of the chest area.
| Study group | Role | What they receive |
|---|---|---|
| Myofunctional Therapy | Active comparator | Participants will only receive myofunctional rehabilitation therapy. This treatment includes massage and exercises to improve the function of the jaw muscles. Receives: Other: Myofunctional Therapy |
| Myofunctional Therapy + Respiratory Exercises | Experimental | Participants will receive breathing exercises as well as myofunctional therapy. This treatment includes exercises to improve jaw function and support the respiratory system. Receives: Other: Myofunctional Therapy + Respiratory Exercises |
| Myofunctional Therapy + Thoracic Region Exercises | Experimental | Participants will receive myofunctional therapy as well as exercises for the thoracic region. This treatment includes exercises to improve jaw function and increase the flexibility of the chest area. Receives: Other: Myofunctional Therapy + Thoracic Region Exercises |
What is being measured
The primary outcome is the main question the study is designed to answer.
Evaluation of Temporomandibular Joint Dysfunction
Diagnosis of TMD - Evaluated using the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD), reported as categorical data (diagnosis classification).
Measured: At baseline and from enrollment to the end of treatment at week 8
Pain Assessment
Measured using the Visual Analog Scale (VAS), reported in centimeters (cm)
Measured: At baseline and from enrollment to the end of treatment at week 8
Symptom Severity
Assessed with the Symptom Questionnaire for Temporomandibular Disorders, reported in units on a scale.
Measured: At baseline and from enrollment to the end of treatment at week 8
Oral Habits Frequency
Measured with the Oral Habits Checklist, reported in units on a scale.
Measured: At baseline and from enrollment to the end of treatment at week 8
Jaw Function Limitation
Assessed using the Jaw Function Restriction Scale, reported in units on a scale.
Measured: At baseline and from enrollment to the end of treatment at week 8
Soft Tissue Examination
Assessed using ultrasound to measure masseter muscle thickness and elastography at rest and during contraction, reported in millimeters (mm) and kilopascals (kPa), respectively.
Measured: At baseline and from enrollment to the end of treatment at week 8
Secondary outcomes (5)
Head Position
Measured as the angle between the head and neck, recorded in degrees (°).
Measured: At baseline and from enrollment to the end of treatment at week 8
Thoracic Region Evaluation
Assessed using the Valedo Shape device, with angular measurements recorded in degrees (°).
Measured: At baseline and from enrollment to the end of treatment at week 8
Thoracic Rotation
Measured using a mobile application, recorded in degrees (°).
Measured: At baseline and from enrollment to the end of treatment at week 8
Depression, Anxiety, and Stress
Assessed using the DASS-21 questionnaire, reported in units on a scale.
Measured: At baseline and from enrollment to the end of treatment at week 8
Sleep Quality
Evaluated using a single-item sleep quality scale, reported in units on a scale.
Measured: At baseline and from enrollment to the end of treatment at week 8
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Mar 2025
- Study start16 Oct 2024
- Primary completion30 Jun 2025
- Study completion30 Jun 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Temporomandibular Joint DysfunctionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 63 participants (actual)
Sponsor and investigators
- Lead sponsor
- Merve Keskin
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor-investigator, Merve Keskin, Izmir Katip Celebi University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06883825
- Sponsor's protocol ID
- 0090
- Status last verified
- Feb 2025
- First submitted
- 24 Feb 2025
- Last updated
- 13 Jan 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 13 Jan 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Temporomandibular Joint Respiratory and Thoracic Region Added to Myofunctional Rehabilitation in Dysfunction Comparison of the Effects of Exercises: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT06883825
- Acronym / sponsor ID
- 0090
- Keywords
- temporomandibular joint dysfunction, myofunctional therapy, rehabilitation, exercise, thoracic region, diapragmatic breathing
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 63 participants (actual)
- Lead sponsor
- Merve KeskinUniversity, hospital or other
- Study start
- 16 Oct 2024 (actual)
- Primary completion
- 30 Jun 2025 (actual)
- Study completion
- 30 Jun 2025 (actual)
- First posted
- 19 Mar 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
In the study, a questionnaire form will be applied to the participants using a face-to-face interview technique. Through the questionnaires, demographic characteristics, pain intensity, location of pain, symptoms of dysfunction, oral habits, and loss of function in the jaw joint will be evaluated. Soft tissue (muscle) affections, spine structure, and mobility will be evaluated and recorded in the questionnaire form to be used for the evaluation of jaw joint dysfunctions. Pain level, depression, stress, anxiety level, and sleep quality will be evaluated with the help of a questionnaire.
The aims of this study were;
- To investigate the effects of muscle and function therapy on dysfunction, spinal structure and mobility, depression, stress, anxiety, and sleep quality in patients with jaw joint dysfunction,
- To investigate the effects of breathing exercises added to muscle and function therapy on dysfunction, spine structure and mobility, depression, stress, anxiety, and sleep quality in patients with jaw joint dysfunction,
- To investigate the effects of back exercises added to muscle and function therapy on dysfunction, spinal structure and mobility, depression, stress, anxiety and sleep quality in patients with jaw joint dysfunction,
- To compare the effects of muscular and functional therapy alone, respiratory exercises added to muscular and functional therapy, and back exercises on dysfunction, spinal structure and mobility, depression, stress, anxiety, and sleep quality in patients with jaw joint dysfunction.
Hypotheses of this study; H1: Myofunctional rehabilitation in patients with temporomandibular joint dysfunction positively affects TMD dysfunction findings, spinal structure and mobility, and psychosocial effects.
H2: Respiratory exercises added to myofunctional rehabilitation in patients with temporomandibular joint dysfunction have a positive effect on TMD dysfunction findings, spinal structure and mobility, and psychosocial effects.
H3: Thoracic exercises added to myofunctional rehabilitation in patients with temporomandibular joint dysfunction have a positive effect on TMD dysfunction findings, spinal structure, mobility, and psychosocial effects.
H4: In patients with temporomandibular joint dysfunction, only myofunctional rehabilitation, respiratory exercises added to myofunctional rehabilitation, and thoracic exercises have no superiority over each other on TMD dysfunction symptoms, spinal structure mobility, and psychosocial effects.
In the study, a questionnaire form will be applied to the participants usinga face-to-face interview. Through the questionnaires, demographic characteristics, pain intensity, pain location, symptoms of dysfunction, oral habits, and the presence of jaw joint dysfunctions will be evaluated. Soft tissue (muscle) affections, spine structure, and mobility will be assessed and recorded in the questionnaire form to be used for the evaluation of jaw joint dysfunctions. Pain level, depression, stress, anxiety level, and sleep quality will be evaluated with the help of a questionnaire. The evaluation will take approximately 40-45 minutes.
Group 1 will be given a massage to relax the masticatory muscles and exercises for the masticatory muscles and the muscles in the neck region.
The 2nd group will be given breathing exercises in addition to the 1st group. The 3rd group will be given back exercises in addition to the 1st group. One session will last approximately 45-50 minutes, and a total of 16 sessions of treatment will be applied in 8 weeks, 2 sessions per week. Measurements will be taken twice, at the beginning and the end of the 8th week.
Detailed description
This research is planned as a randomized controlled study. The study will be conducted at Izmir Kâtip Çelebi University within two years after ethics committee permission is obtained. The population of the study consists of patients with temporomandibular joint dysfunction. The sample of our study will consist of patients aged 18-65 years with muscle and joint involvement according to the Temporomandibular Disorders Research Diagnostic Criteria, who volunteered to participate in the study. No suitable article using similar methods for calculating the sample size of the study was found. According to the power analysis for two-way analysis of variance in repeated measures using G*Power Version 3.1.9.2 (Franz Faul, Universitat Kiel, Germany) program, the effect size was calculated as f=0.5, number of repetitions=2, number of groups=3, correlation between repeated measures =0.5, Type I error=0.05 and statistical power=0.95, with at least 17 in each group and a total of 51 patients as the number of units in the sample. Considering possible data losses, the number of participants was added by 20% and it was planned to include at least 21 patients in a group and 63 patients in total.
Participants will be divided into three groups as myofunctional rehabilitation group, respiratory exercise group, and thoracic exercise group by block randomization method. Block randomization will be done via https://www.sealedenvelope.com/simple-randomiser/v1/lists.
1st group; deep friction massage to trigger points in masseter and temporalis muscles, mobilization to TMJ and surrounding soft tissues, Rocabodo exercises (6x6), suboccipital relaxation, stretching exercises to upper trapezius, pectoralis minor, levator scapula muscles will be applied.
Group 2 will be given progressive diaphragmatic breathing exercises in addition to group 1. Progression in diaphragmatic breathing exercises will be achieved by adapting the phases of sensorimotor training (static, dynamic, functional) adapted to exercise programs in order to prevent injuries and to ensure strength and stability (15,16).
Diaphragmatic exercises
- Static Phase (weeks 1-2): It is aimed to provide short-speed motor control and to create kinesthetic awareness. It will include exercises to provide diaphragmatic breathing at each stage of neurodevelopmental steps (supine, side lying, quadripedal, bipedal).
- Dynamic Phase (weeks 3-5): Following the teaching of diaphragmatic breathing at each stage of neurodevelopmental steps, limb movements will be included in the program with elastic resistance training. In order to teach conscious motor control of movement, they will be asked to maintain diaphragmatic breathing while performing coordinated limb movements at high speeds in a multi-planar field.
3rd Functional Phase (weeks 6-8): After the combination of diaphragmatic breathing with limb movements, exercises including functional complex training on unstable floors will take place in this phase in order to teach the subconscious control of the movement with the progressive resistances of elastic resistance training. For this purpose, elastic resistance bands and exercise balls will be used.
Diaphragmatic breathing exercises will consist of 3 sets of 10 repetitions in each session.
The 3rd group will be given progressive thoracic exercises in addition to the 1st group. Thoracic exercises will consist of 6 exercises including thoracic stretching and mobility exercises lasting 15-20 minutes. Progression in the program will be achieved by changing the color of the elastic resistance band used during the exercises and gradually increasing the number of repetitions of the exercises. To determine the resistance of the elastic resistance band, the participant will be asked to perform the determined movement for 15 repetitions. If the participant's fatigue is at the level of 12-14 (moderate difficulty) according to the Borg scale, which is a subjective questioning tool, it will indicate the appropriate color. Elastic resistance bands are ordered from easy level to more difficult level with skin, yellow, red, green, blue, black, gray, and golden yellow colors.
Exercises for the thoracic region;
- Thoracic spine extension exercise with a foam roller (2x10),
- Thoracic extension flexibility exercise (2x10),
- Thoracic spine rotation exercise (2x8),
- Thoracic rotation exercise in quadripedal position (2x8),
- Thoracic rotation exercise in side lying (Open book 2x8),
- Bird-dog exercise (2x8). One session will last approximately 45-50 minutes, 2 sessions per week, for a total of 16 sessions in 8 weeks. Measurements will be taken twice, at the beginning and the end of the 8th week.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Myofunctional Therapy | Active comparator | Other: Myofunctional TherapyParticipants will only receive myofunctional rehabilitation therapy. This treatment includes massage and exercises to improve the function of the jaw muscles. |
| Myofunctional Therapy + Respiratory Exercises | Experimental | Other: Myofunctional Therapy + Respiratory ExercisesParticipants will receive breathing exercises as well as myofunctional therapy. This treatment includes exercises to improve jaw function and support the respiratory system. |
| Myofunctional Therapy + Thoracic Region Exercises | Experimental | Other: Myofunctional Therapy + Thoracic Region ExercisesParticipants will receive myofunctional therapy as well as exercises for the thoracic region. This treatment includes exercises to improve jaw function and increase the flexibility of the chest area. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- 18-65 years old,
- According to the Temporomandibular Disorders Research Diagnostic Criteria;
- Those who volunteer to participate in the study will be included
Key exclusion criteria (9 listed)
- According to the Temporomandibular Disorders Research Diagnostic Criteria;
- Those with disc displacement without reduction,
- Those with arthritis
- Those with a known neurological, systemic or psychological disease,
- Pregnant and lactating women,
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Myofunctional TherapyParticipants will only receive myofunctional rehabilitation therapy. This treatment includes massage and exercises to improve the function of the jaw muscles. | Other | Myofunctional Therapy |
| Myofunctional Therapy + Respiratory ExercisesParticipants will receive breathing exercises as well as myofunctional therapy. This treatment includes exercises to improve jaw function and support the respiratory system. | Other | Myofunctional Therapy + Respiratory Exercises |
| Myofunctional Therapy + Thoracic Region ExercisesParticipants will receive myofunctional therapy as well as exercises for the thoracic region. This treatment includes exercises to improve jaw function and increase the flexibility of the chest area. | Other | Myofunctional Therapy + Thoracic Region Exercises |
Primary outcome
Evaluation of Temporomandibular Joint Dysfunction
Time frame: At baseline and from enrollment to the end of treatment at week 8
Diagnosis of TMD - Evaluated using the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD), reported as categorical data (diagnosis classification).
Pain Assessment
Time frame: At baseline and from enrollment to the end of treatment at week 8
Measured using the Visual Analog Scale (VAS), reported in centimeters (cm)
Symptom Severity
Time frame: At baseline and from enrollment to the end of treatment at week 8
Assessed with the Symptom Questionnaire for Temporomandibular Disorders, reported in units on a scale.
Oral Habits Frequency
Time frame: At baseline and from enrollment to the end of treatment at week 8
Measured with the Oral Habits Checklist, reported in units on a scale.
Jaw Function Limitation
Time frame: At baseline and from enrollment to the end of treatment at week 8
Assessed using the Jaw Function Restriction Scale, reported in units on a scale.
Soft Tissue Examination
Time frame: At baseline and from enrollment to the end of treatment at week 8
Assessed using ultrasound to measure masseter muscle thickness and elastography at rest and during contraction, reported in millimeters (mm) and kilopascals (kPa), respectively.
5 secondary outcomes
Head Position
Time frame: At baseline and from enrollment to the end of treatment at week 8
Thoracic Region Evaluation
Time frame: At baseline and from enrollment to the end of treatment at week 8
Thoracic Rotation
Time frame: At baseline and from enrollment to the end of treatment at week 8
Depression, Anxiety, and Stress
Time frame: At baseline and from enrollment to the end of treatment at week 8
Sleep Quality
Time frame: At baseline and from enrollment to the end of treatment at week 8
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Jan 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Myofunctional Therapy, Myofunctional Therapy + Respiratory Exercises and Myofunctional Therapy + Thoracic Region Exercises in people with Temporomandibular Joint Dysfunction and Myofunctional Therapy, run by Merve Keskin at 1 site 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 5 inclusion and 9 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 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site 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?
Evaluation of Temporomandibular Joint Dysfunction (time frame: At baseline and from enrollment to the end of treatment at week 8). The study lists 6 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 Jan 2026.