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

作　　者：张顺喜[1] 陈钰杰[1] 张瑾[1] 彭源[1] 吕渭莉[1] 兰月[1] 

机构地区：[1]广州市第一人民医院,广州510180

出　　处：《广州医药》2015年第3期22-25,共4页Guangzhou Medical Journal

基　　金：广州市卫生局一般引导项目基金资助(20121A011012)

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。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 an- terior 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 （uhrashort-wave diathermy, ultrasound therapy, soft tissue massage, health education ）, 22 cases in the control group received conventional treatment. The treatment was adminis- tered for 2 weeks. The baseline and endpoint outcome assessment measures were maximal interineisal opening （ MIO ）, visual analogue scale （VAS） score and oral health impact profile （HIP-14）. Results After the treatment, significant improve-ments were observed in the two groups of all the outcome measurements （P 〈 0. 05 ）. Maximal interincisal opening, visual ana- logue 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.

关 键 词：颞下颌关节紊乱病 物理治疗 运动疗法 手法治疗 

分 类 号：R782.6[医药卫生—口腔医学]