Temporomandibular joint disorders (TMD) are common conditions that may cause jaw pain, limited jaw movement, and reduced quality of life. Individuals with TMD can also experience neck-related problems, balance impairments, emotional changes, and sleep disturbances. This interventional study aims to investigate the effects of a combined physiotherapy and rehabilitation program in individuals with temporomandibular joint dysfunction. The intervention consists of conventional manual therapy techniques applied to the temporomandibular joint and cervical region, combined with specific manual therapy techniques targeting the limbic system, along with therapeutic exercise applications. The study will evaluate the effects of this combined treatment approach on pain, jaw range of motion, joint position sense, balance, emotional status, patient satisfaction, and quality of life and sleep in individuals with TMD.
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Pain Intensity at Rest (Visual Analog Scale)
Timeframe: Baseline and after 6 weeks
Pressure Pain Threshold (Algometry)
Timeframe: Baseline and after 6 weeks
Cervical Joint Position Sense
Timeframe: Baseline and after 6 weeks
Temporomandibular Joint Range of Motion
Timeframe: Baseline and after 6 weeks
Cervical Joint Range of Motion
Timeframe: Baseline and after 6 weeks
Static Balance (Flamingo Balance Test)
Timeframe: Baseline and after 6 weeks
Dynamic Balance (Y Balance Test)
Timeframe: Baseline and after 6 weeks
Pain Intensity During Chewing (Visual Analog Scale)
Timeframe: Baseline and after 6 weeks
Pain Intensity During Biting (Visual Analog Scale)
Timeframe: Baseline and after 6 weeks
Pain Intensity During Night-Time (Visual Analog Scale)
Timeframe: Baseline and after 6 weeks
Pain Intensity During Yawning
Timeframe: Baseline and after 6 weeks
Pain Intensity During Eating (Visual Analog Scale)
Timeframe: Baseline and after 6 weeks
Temporomandibular Joint Dysfunction Severity (Fonseca Anamnestic Questionnaire)
Timeframe: Baseline and after 6 weeks
Mandibular Functional Impairment (Mandibular Function Impairment Questionnaire)
Timeframe: Baseline and after 6 weeks