关节松动术联合运动疗法对颞下颌关节慢性不可复性盘前移位的疗效观察

doi:10.3969/j.issn.1000-8535.2015.03.006

广州医药 ›› 2015, Vol. 46 ›› Issue (3): 22-24.DOI: 10.3969/j.issn.1000-8535.2015.03.006

关节松动术联合运动疗法对颞下颌关节慢性不可复性盘前移位的疗效观察

张顺喜, 陈钰杰, 张瑾, 彭源, 吕渭莉, 兰月

广州市第一人民医院(广州 510180)

收稿日期:2014-11-30 出版日期:2015-05-20 发布日期:2021-11-30
基金资助:
广州市卫生局一般引导项目基金资助(20121A011012)

Effectiveness of joint mobilization combined with therapeutic exercise in patients with chronic anterior disc displacement without reduction of temporomandibular joints

Zhang Shunxi, Chen Yujie, Zhang Jin, et al

Guangzhou First People's Hospital,Guangzhou 510180,China

Received:2014-11-30 Online:2015-05-20 Published:2021-11-30

摘要/Abstract

摘要： 目的评估关节松动联合运动疗法对颞下颌关节慢性不可复性盘前移位患者的疗效。方法采用随机对照方法,将46例慢性不可复性盘前移位患者随机分为联合治疗组(n=24)及对照组(n=22), 对照组仅接受传统治疗(包括超短波、超声波、软组织按摩及健康教育),治疗组在传统治疗的基础上应用关节松动联合运动疗法。在治疗前和治疗后2周采用最大张口度(maximal interincisal opening,MIO)、目测类比法(visual analog scale,VAS)、口腔健康影响程度量表(health impact profile-14,HIP-14)评价疗效。结果治疗前两组患者一般情况类似。治疗后两组颞下颌关节MIO、VAS、HIP-14得分较治疗前改善(P<0.05),组间比较,治疗组在MIO、VAS、HIP-14评分比对照组改善(P<0.05)。结论关节松动联合运动疗法治疗颞下颌关节慢性不可复性盘前移位疗效明显,值得推广。

关键词: 颞下颌关节紊乱病, 物理治疗, 运动疗法, 手法治疗

Abstract: Objective To evaluate the effectiveness of joint mobilization combined with therapeutic exercise in patients with chronic anterior disc displacement without reduction of temporomandibular joints. Methods 46 patients with chronic anterior disc displacement without reduction were randomly divided into two groups. The treatment group of 24 cases received joint mobilization combined with therapeutic exercise and conventional therapy (ultrashort-wave diathermy, ultrasound therapy, soft tissue massage, health education), 22 cases in the control group received conventional treatment.The treatment was administered for 2 weeks. The baseline and endpoint outcome assessment measures were maximal interincisal opening (MIO),visual analogue scale(VAS)score and oral health impact profile (HIP-14). Results After the treatment, significant improvements were observed in the two groups of all the outcome measurements (P<0.05).Maximal interincisal opening, visual analogue scale and oral health impact profile were improved significantly in the treatment group than in the control group (P<0.05). Conclusion Joint mobilization combined with therapeutic exercise can improve the symptoms of chronic anterior disc displacement without reduction.

Key words: Temporomandibular disorders, Physical therapy, Exercise therapy, Manual therapy

张顺喜, 陈钰杰, 张瑾, 彭源, 吕渭莉, 兰月. 关节松动术联合运动疗法对颞下颌关节慢性不可复性盘前移位的疗效观察[J]. 广州医药, 2015, 46(3): 22-24.

Zhang Shunxi, Chen Yujie, Zhang Jin, et al. Effectiveness of joint mobilization combined with therapeutic exercise in patients with chronic anterior disc displacement without reduction of temporomandibular joints[J]. Guangzhou Medical Journal, 2015, 46(3): 22-24.

参考文献

[1] 邹冰爽, 马绪臣. 正畸治疗中颞下颌关节问题的应对策略[J]. 中华口腔医学杂志, 2012,47(1):22-25.
[2] 马绪臣, 张震康. 颞下颌关节紊乱病双轴诊断的临床意义和规范治疗的必要性[J]. 中华口腔医学杂志, 2005(5):6-8.
[3] 傅开元, 张豪, 马绪臣, 等. 手法复位辅助[邪]垫治疗急性不可复性盘前移位的初步报告[J]. 中华口腔医学杂志, 2002,37(1):36-38.
[4] 徐丽丽, 蔡斌, 方仲毅, 等. 个体化综合物理疗法治疗颞下颌关节紊乱病的疗效观察[J]. 中华物理医学与康复杂志, 2014,36(5):329-332.
[5] HW M. Spinal manual therapy:an introduction to soft tissue mobilization,spinal manipulation,therapeutic and home exercises[M]. New Jersey: SLACK Incorporated, 2010:111-136.
[6] 辛蔚妮, 凌均棨. 口腔健康影响程度量表的验证研究[J]. 中华口腔医学杂志, 2006,41(4):242-245.
[7] 马绪臣, 张震康. 颞下颌关节紊乱病治疗理念的进步及对规范化治疗的思考[J]. 中华口腔医学杂志, 2012,47(1):2-5.
[8] 傅开元, 张寒冰, 赵燕平, 等. 急性和慢性不可复性盘前移位临床对比研究[J]. 中华口腔医学杂志, 2004,39(6):471-474.
[9] 储嘉琪, 张银凯, 胡勤刚, 等. 3次疗法加被动张口训练治疗慢性不可复性关节盘前移位[J]. 口腔医学研究, 2006,22(5):535-537.
[10] Tuncer AB, Ergun N, Tuncer AH, et al. Effectiveness of manual therapy and home physical therapy in patients with temporomandibular disorders: A randomized controlled trial[J]. J Bodyw Mov Ther, 2013,17(3):302-308.
[11] Nicolakis P, Erdogmus B, Kopf A, et al. Effectiveness of exercise therapy in patients with internal derangement of the temporomandibular joint[J]. J Oral Rehabil, 2001,28(12):1158-1164.
[12] 张震康, 马绪臣. 颞下颌关节紊乱病保守治疗-手术治疗-保守治疗的循环历程[J]. 中华口腔医学杂志, 2005,40(5):365-367.

关节松动术联合运动疗法对颞下颌关节慢性不可复性盘前移位的疗效观察

Effectiveness of joint mobilization combined with therapeutic exercise in patients with chronic anterior disc displacement without reduction of temporomandibular joints

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