Lifestyle Counseling vs. Clinical Pilates in Women With Temporomandibular Disorders

The goal of this clinical trial is to evaluate the effectiveness of lifestyle counseling alone compared to lifestyle counseling combined with Clinical Pilates in women with temporomandibular disorders (TMD). The study also aims to examine the effects of these interventions on pain, jaw function, posture, oral behaviors, psychological status, sleep quality, and quality of life. The main questions this study aims to answer are: Does adding Clinical Pilates to lifestyle counseling reduce pain levels in women with TMD more than lifestyle counseling alone? Does the combined intervention improve jaw function, head posture, and oral behaviors? What are the effects of these interventions on anxiety, sleep quality, and quality of life? Researchers will compare lifestyle counseling alone with lifestyle counseling combined with a supervised Clinical Pilates program to determine whether the addition of Clinical Pilates provides greater clinical and psychosocial benefits. Participants will be randomly assigned to one of two groups: * Receive lifestyle counseling only (control group), or * Participate in a supervised Clinical Pilates program twice weekly for 8 weeks in addition to lifestyle counseling (intervention group) Undergo assessments at baseline (before any intervention) and after completion of the interventions. Outcome measures will include assessments of pain, jaw function, posture, oral behaviors, psychological status, sleep quality, and quality of life.

Inclusion Criteria: * Women aged 18-45 * Diagnosed with TMD (according to DC/TMD diagnostic criteria) * Experiencing TMD symptoms for the past 3 months * Have not previously received Pilates or lifestyle counseling * Without any condition preventing exercise * Diagnosed with muscle-related TMD Exclusion Criteria: * Rheumatological diseases * Neurological disorders * Pregnancy * History of head or neck trauma * Diagnosed with joint-related TMD (with or without reduction)