{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T18:26:48Z","timestamp":1786991208865,"version":"build-2736575974"},"reference-count":49,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T00:00:00Z","timestamp":1780876800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T00:00:00Z","timestamp":1780876800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2026,9]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Temporomandibular disorders (TMD), particularly the myofascial subtype, are common and impair quality of life. Although conservative treatments are effective, limited access and adherence issues highlight the need for alternative approaches such as telerehabilitation.<\/jats:p>\n <\/jats:sec>\n \n Objectives<\/jats:title>\n To evaluate the effects of a supervised telerehabilitation program, comparing its physical and psychosocial outcomes with those of a standard home\u2010based exercise program in individuals with myofascial TMD.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n In this randomized, single\u2010blind trial, 50 individuals with myofascial TMD were assigned to a telerehabilitation (TeleR,\n n<\/jats:italic>\n \u2009=\u200925) or a home\u2010based exercise group (HomeEx,\n n<\/jats:italic>\n \u2009=\u200925), both following the same 6\u2010week standardized exercise protocol. Outcomes included pain intensity (NPRS, primary), palpation pain, cervical\u2010mandibular range of motion (ROM), TMD severity (FAI), oral habits (OBC), oral health\u2010related quality of life (OHIP\u201014) and neck disability (NDI); analyses used non\u2010parametric tests and GEE with FDR correction.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Significant improvements were found across all outcomes within both groups (\n p<\/jats:italic>\n \u2009<\u20090.05,\n r<\/jats:italic>\n \u2009=\u20090.72\u20130.88). TeleR showed greater reductions in pain intensity (\n p<\/jats:italic>\n \u2009<\u20090.001), cervical and mandibular ROM except for lateral excursion, and in TMD severity, OBC, OHIP\u201014 and NDI scores (\n p<\/jats:italic>\n \u2009=\u20090.001\u20130.004). Palpation pain decreased in all muscles in both groups (\n p<\/jats:italic>\n \u2009<\u20090.001), with greater improvements in the masseter muscles in TeleR (OR\u2009=\u20091.69\u20131.82;\n p<\/jats:italic>\n \u2009<\u20090.001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Both telerehabilitation and home\u2010based exercise programs effectively improve physical and psychosocial outcomes in myofascial TMD patients in the short term. Telerehabilitation is more effective in reducing pain scores and increasing maximum mouth opening. Long\u2010term clinical studies are needed to confirm the efficacy of telerehabilitation.<\/jats:p>\n <\/jats:sec>\n \n Trial Registration<\/jats:title>\n \n Registered at\n ClinicalTrials.gov<\/jats:ext-link>\n under the identification number NCT06526845\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/joor.70232","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T05:00:48Z","timestamp":1780981248000},"page":"1733-1745","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness of Telerehabilitation in Individuals With Myofascial Pain and Temporomandibular Joint Dysfunction: A Randomized Controlled Trial"],"prefix":"10.1111","volume":"53","author":[{"given":"Naile","family":"Fazl\u0131o\u011flu","sequence":"first","affiliation":[{"name":"Physiotherapy and Rehabilitation MSc Program, Institute of Postgraduate Education Biruni University Istanbul T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4236-6679","authenticated-orcid":false,"given":"Beg\u00fcm","family":"Kara Kaya","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation (English), Faculty of Health Sciences Biruni University Istanbul T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N\u00fckhet","family":"K\u00fct\u00fck","sequence":"additional","affiliation":[{"name":"Department of Oral Maxillofacial Surgery, Faculty of Dentistry Bezmialem University Istanbul T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9878-256X","authenticated-orcid":false,"given":"Buket","family":"Ak\u0131nc\u0131","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation (English), Faculty of Health Sciences Biruni University Istanbul T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,8]]},"reference":[{"key":"e_1_2_11_2_1","first-page":"25","article-title":"Incidence of Temporomandibular Disorders Among Dental Students","volume":"15","author":"Ahmed M. 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