NCT06228690

Comparison of Gold Fish Exercises and Cervico-thoracic Postural Correction Training in Patients With TMJD

Comparison of Gold Fish Exercises and Cervico-thoracic Postural Correction Training in Patients With Temporo-mandibular Joint Dysfunction

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 54 (actual)
• Sponsor: Riphah International University · Academic / Other
• Sex: All
• Age: 20 Years – 40 Years
• Healthy volunteers: Not accepted

Summary

The aim of this randomized controlled trial is to determine the effect of Gold Fish exercises and cervico-thoracic postural correction training in patients with temporo-mandibular joint dysfunction to improve pain, ROM and maximum mouth opening of jaw.

Detailed description

Goldfish Exercise works on the principle of pulsatile motion of Goldfish in water \& thereby imitating the same motion for health benefits. It can be thought of stretching the fibrous bands, reducing TMJ stiffness \& resulting in improvement of mouth opening. It would be beneficial to use this technique on daily basis and as far there are no contraindications of this exercise because it's done within the pain limits \& further progression depends on the mouth opening of the patient. Posture can affect the three-dimensional movement of the jaw during opening which is seen most clearly in the slumped posture as reduced maximal mouth opening. While mouth opening and head extension are linked, there is variability in the amount of head extension when opening wide and the relationship between head extension and mouth opening is negated when opening in a slumped posture. This has implications for the association of neck dysfunction, posture, and temporo-mandibular joint disorder which should be explored further.

Conditions

• Temporomandibular Joint
• Temporomandibular Joint Dysfunction

Interventions

Type	Name	Description
OTHER	Gold Fish exercises	Specific exercise for the flexibility of TMJ that will target the Jaw muscles. Frequency: 3 times/week for 4 weeks Intensity: moderate intensity (pain free) Time: 30-45 minutes Type: Gold Fish exercises for jaw flexibility, pain and maximum mouth opening.
OTHER	Cervico-thoracic postural correction training	Cervico-thoracic postural correction training for upper thoracic and neck muscles. Frequency: 3 times/week for 4 weeks Intensity: moderate intensity (pain free) Time: 30-45 minutes Type: Muscle energy technique to improve range of motion, pain and maximum mouth opening.
OTHER	Conventional PT treatment	Conventional PT including Hot Pack for 10mins, Active-Passive neck Stretching Exercise + jaw Isometric Exercises. * Frequency: hold followed by 5secs rest. 2-3times for 3 times/week for 4 weeks, Intensity: moderate-high intensity (depending on pain tolerance) Time: 30-45 mins for Active-Passive neck Stretching. * Frequency: 3secs hold, 6 times repetitions for Isometric Exercises. Type: conventional treatment for pain, ROM, MMO.

Timeline

• Start date: 2023-08-03
• Primary completion: 2023-12-01
• Completion: 2023-12-28
• First posted: 2024-01-29
• Last updated: 2024-01-29

Locations

1 site across 1 country: Pakistan