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; 1. 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, 2. 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, 3. 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, 4. 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.