Protocol for a Randomized Clinical Trial of Oculomotor Exercises Added to Treatment for Temporomandibular Disorders

Abstract

Objective: To evaluate the effect of adding oculomotor exercises to the treatment of Temporomandibular Disorder (TMD) on pain intensity, range of mandibular movement, TMD severity, and ocular convergence insufficiency (CI), immediately, 3 months, and 6 months after treatment. Study Design: Controlled and randomized clinical trial included blinded evaluators and participants. Methodology: Individuals aged 18–45 years diagnosed with TMD and convergence insufficiency. Intervention: Two groups: the experimental group (EG) and the control group (CG) groups will receive 12 treatment sessions. Main outcome measures: pain intensity, range of mandibular movement, convergence insufficiency, and severity of TMD during follow-up immediately after treatment, 3 and 6 months. Analysis: The statistical analysis will use linear mixed models based on the intention to treat. The significance level will be set at 5%. Results: This is a preliminary protocol; results will be available once the study is completed. It is expected relevant patient clinical improvement results. Conclusion: It will be possible to determine the effects of adding oculomotor exercises in the treatment of TMD. Implications for Practice: If successful, the protocol could be integrated into clinical practice as an adjunct to conventional therapy for TMD, expanding the therapeutic options available to healthcare professionals and patients.