Effects of Manual Therapy and Cognitive Exercise on TMD-related Headaches

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study investigates the effects of Manual Therapy and a Cognitive Exercise Therapy Approach on patients suffering from headaches related to Temporomandibular Disorders (TMD). A total of 60 participants will be randomly assigned to one of three groups: one receiving patient education and exercise, another receiving manual therapy in addition to education and exercise, and the third receiving the BETY cognitive exercise approach alongside education and exercise. Each intervention will last for 8 weeks, with follow-up exercises and reminders provided to ensure adherence. The goal is to assess the efficacy of these treatments in alleviating headache symptoms and improving quality of life.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Ages between 18 and 60 years old
* Getting a diagnosis of TMD-related headache
* Not having received FTR and manual therapy in the last 3 months
* Having pain ≥ 50 or more according to the headache impact test (HIT 6)
* Patients who have not received medical treatment in the last 3 months and will not receive medical treatment during the treatment
* Patients who describe pain in the jaw, face, temporal region or ear for at least 6 months and who have pain in the chewing muscles with palpation

Exclusion Criteria:

* Ages under 18 and over 60 years old
* Patients with disc displacement and/or attachment degeneration
* Patients with dental infection
* Patients who have undergone facial and ear surgery in the last six months
* Patients undergoing orthodontic treatment
* Patients using regular analgesics or anti-inflammatory drugs
* Patients with a history of trauma (whiplash injury, condylar trauma, fracture),
* Patients who have undergone any surgery related to the cervical and/or TMJ
* Patients with facial paralysis
* Patients with missing teeth in the upper jaw
* Patients with cognitive deficits
* Participation rate lower than 80% of the program schedule

Where it's running

• Abdulkadir Konukoğlu Sağlıklı Hayat Merkezi
  Gaziantep, Turkey Recruiting

Study contacts

• Study coordinator: Aysenur TUNCER, PT, PhD
• Email: aysenur.tuncer@hku.edu.tr
• Phone: +90-342 2118080

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.