Craniovertebral and Craniomandibular Changes in Patients with Temporomandibular Joint Disorders after Physiotherapy Combined with Occlusal Splint Therapy: A Prospective Case Control Study

被引:15
作者
Derwich, Marcin [1 ]
Gottesman, Lawrence
Urbanska, Karolina
Pawlowska, Elzbieta [2 ]
机构
[1] Specialist Orthodont Private Practice Grudziadz, ORTODENT, PL-86300 Grudziadz, Poland
[2] Med Univ Lodz, Dept Orthodont, PL-90419 Lodz, Poland
来源
MEDICINA-LITHUANIA | 2022年 / 58卷 / 05期
关键词
temporomandibular joint disorders; occlusal splints; physiotherapy; cervical vertebrae; cervical functional spaces; RDC/TMD CONSORTIUM NETWORK; DIAGNOSTIC-CRITERIA; MANUAL THERAPY; PAIN; RECOMMENDATIONS; SYMPTOMS; DC/TMD; MOTION; RANGE; SIGNS;
D O I
10.3390/medicina58050684
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background and Objectives: The aim of the study was to assess the craniovertebral and craniomandibular changes in patients diagnosed with temporomandibular joint disorders (TMD) after physiotherapy combined with occlusal splint therapy. Materials and Methods: There were forty patients (32 females, 80%), diagnosed with TMD, included into the study group. After the initial series of physiotherapy, patients received maxillary occlusal splints to be worn day and night. Participants continued physiotherapy simultaneously with occlusal splint therapy for 6 months. Lateral cephalograms taken in natural head position before and after the end of the therapy were used for measurements. The control group consisted of 15 healthy participants (12 females, 80%), who had taken lateral cephalograms twice, and did not receive any type of occlusal treatment nor physiotherapy in the meantime. Results: Occlusal splint therapy and physiotherapy combined together significantly affected: the vertical position of the mandible (significant increase, p < 0.0001), the sagittal position of mandible (significant decrease, p = 0.0065), as well as the width of the functional space between C1 and C2 (significant decrease, p = 0.0042). Moreover, the cervical lordosis was restored after the end of the treatment (p < 0.0001). Conclusions: Cooperation of physiotherapists with dental practitioners is necessary in the treatment of patients with TMD, including temporomandibular joint osteoarthritis.
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页数:15
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