Effectiveness of Rehabilitation for Disk Displacement of the Temporomandibular Joint-A Cross-Sectional Study

被引:2
作者
Kulesa-Mrowiecka, Malgorzata [1 ]
Ciezarek, Patryk [2 ]
Pihut, Malgorzata [3 ]
机构
[1] Jagiellonian Univ Med Coll, Fac Hlth Sci, Dept Rehabil Internal Dis, PL-31126 Krakow, Poland
[2] Jagiellonian Univ Med Coll, Inst Physiotherapy, Fac Hlth Sci, PL-31126 Krakow, Poland
[3] Jagiellonian Univ Med Coll, Inst Dent, Fac Med, Prosthodont Dept, Krakow, Poland
关键词
temporomandibular disorders; disk displacement without reduction; masticatory exercises; dentistry; gnatology; stomatognathic physiotherapy; DIAGNOSTIC-CRITERIA; DISORDERS; MANAGEMENT; SYMPTOMS; PAIN; WOMEN; TMJ;
D O I
10.3390/jcm13030902
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
(1) Background: Dislocations of articular disk can occur as a result of parafunctions in the Temporo Mandibular Joint (TMJ), which limits the opening of the mandible and other movements. The aim of this study was to evaluate the effectiveness of rehabilitation in patients with disk displacement of the TMJ. A total of 327 subjects with Temporo Mandibular Disorders underwent stomathognatic physiotherapy. (2) Methods: Based on the results obtained by a manual functional analysis, 35 patients who were identified with articular disk locking (disk displacement without reduction) were included in the study. The study group (N = 35) was subjected to passive repositioning of the articular disk, reposition splints, and physiotherapy. The patient's TMJs were then examined before the therapy, immediately after the therapy, and during the follow-up visit 3-6 weeks after the therapy. The Diagnostic Criteria for the Most Common Intra-articular Temporomandibular Disorders was used to evaluate the effects of rehabilitation on the patients' range of motions and the Numeric Pain Rating Scale (NPRS). For the statistical analysis, Pearson's r correlation coefficient test and Wilcoxon signed-rank test were used. (3) Results: The results showed a significant improvement in the range of motion of the mandible movements. The level of improvement was dependent on the time from the incident until undergoing rehabilitation. (4) Conclusions: The stomatognathic physiotherapy applied increased the range of motion of the mandible and reduced pain levels to the expected range.
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页数:15
相关论文
共 38 条
[1]   Stress analysis in human temporomandibular joint affected by anterior disc displacement during prolonged clenching [J].
Abe, S. ;
Kawano, F. ;
Kohge, K. ;
Kawaoka, T. ;
Ueda, K. ;
Hattori-Hara, E. ;
Mori, H. ;
Kuroda, S. ;
Tanaka, E. .
JOURNAL OF ORAL REHABILITATION, 2013, 40 (04) :239-246
[2]  
Ahmad Mansur, 2016, Dent Clin North Am, V60, P105, DOI 10.1016/j.cden.2015.08.004
[3]   Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis [J].
Armijo-Olivo, Susan ;
Pitance, Laurent ;
Singh, Vandana ;
Neto, Francisco ;
Thie, Norman ;
Michelotti, Ambra .
PHYSICAL THERAPY, 2016, 96 (01) :9-25
[4]  
Bieniek-Sypien K., 2010, Protet. Stomatol. LX, V4, P252
[5]   Immediate Effect of the Resilient Splint Evaluated Using Surface Electromyography in Patients with TMD [J].
Botelho, Andre Luis ;
Silva, Bruno Caetano ;
Umeda Gentil, Flavio Henrique ;
Sforza, Chiarella ;
Moreira Rodrigues da Silva, Marco Antonio .
CRANIO-THE JOURNAL OF CRANIOMANDIBULAR & SLEEP PRACTICE, 2010, 28 (04) :266-273
[6]  
Czerwinska-Niezabitowska B., 2016, Diagnostics and Treatment in Craniomandibular Disfunctions in Holistic Approach, P73
[7]   Counselling and self-management therapies for temporomandibular disorders: a systematic review [J].
de Freitas, R. F. C. P. ;
Ferreira, M. A. F. ;
Barbosa, G. A. S. ;
Calderon, P. S. .
JOURNAL OF ORAL REHABILITATION, 2013, 40 (11) :864-874
[8]  
Gonçalves DAD, 2010, J OROFAC PAIN, V24, P270
[9]   Joint hypermobility and disk displacement confirmed by magnetic resonance imaging: A study of women with temporomandibular disorders [J].
del Rosario Saez-Yuguero, Maria ;
Linares-Tovar, Eva ;
Luis Calvo-Guirado, Jose ;
Bermejo-Fenoll, Ambrosio ;
Javier Rodriguez-Lozano, Francisco .
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTOLOGY, 2009, 107 (06) :E54-E57
[10]  
El-Zawahry Mohamed M, 2015, Open Access Maced J Med Sci, V3, P455, DOI 10.3889/oamjms.2015.074