Service Evaluation of a New Physiotherapy Management Service for Patients with Chronic Temporomandibular Dysfunction  

作　　者：Emma Salt Lucy Sawer Andrew Dickenson Emma Salt;Lucy Sawer;Andrew Dickenson(University Hospitals of Derby and Burton NHS Foundation Trust, Derbyshire, UK;Honorary Research Physiotherapist at Keele University, Staffordshire, UK;FMBSS BChD FRCS FDSRCS FRCSEd FDTFEd FAcadMed Post Graduate Dental Dean, Health Education, England, UK)

机构地区：[1]University Hospitals of Derby and Burton NHS Foundation Trust, Derbyshire, UK [2]Honorary Research Physiotherapist at Keele University, Staffordshire, UK [3]FMBSS BChD FRCS FDSRCS FRCSEd FDTFEd FAcadMed Post Graduate Dental Dean, Health Education, England, UK

出　　处：《Open Journal of Therapy and Rehabilitation》2022年第2期78-87,共10页康复医学（英文）

摘　　要：Aims: This service evaluation explored and reported findings from a new multi-disciplinary service where physiotherapists were incorporated into an orofacial team who managed patients with chronic Temporomandibular Dysfunction (TMD). Methods: We collected data before the physiotherapists’ involvement and on discharge from physiotherapy management. Outcomes were patient-reported pain (numerical rating scale (NRS 0 to 10)), patient specific functional score (PSFS), health-related quality of life (EQ-5D) and range of mandibular depression (mm). Exploratory analyses compared baseline to follow-up scores on discharge from physiotherapy. Results: 79 patients (mean age 40 (SD 18);female 87%) received physiotherapy. At discharge, there was a mean reduction in pain: 2.8 (95% CI 2.0 to 3.6), improvement in function: ﹣4.0 (95% CI ﹣4.7 to ﹣3.3), improvement in health: ﹣0.139 (95% CI ﹣0.196 to ﹣0.082) and increase in mandible depression: ﹣6.6. (95% CI ﹣9.1 to ﹣4.1). Conclusions: The results provide early, exploratory evidence that patients with chronic temporomandibular dysfunction treated by physiotherapists achieve clinically important changes in pain, function and health in the short term.Aims: This service evaluation explored and reported findings from a new multi-disciplinary service where physiotherapists were incorporated into an orofacial team who managed patients with chronic Temporomandibular Dysfunction (TMD). Methods: We collected data before the physiotherapists’ involvement and on discharge from physiotherapy management. Outcomes were patient-reported pain (numerical rating scale (NRS 0 to 10)), patient specific functional score (PSFS), health-related quality of life (EQ-5D) and range of mandibular depression (mm). Exploratory analyses compared baseline to follow-up scores on discharge from physiotherapy. Results: 79 patients (mean age 40 (SD 18);female 87%) received physiotherapy. At discharge, there was a mean reduction in pain: 2.8 (95% CI 2.0 to 3.6), improvement in function: ﹣4.0 (95% CI ﹣4.7 to ﹣3.3), improvement in health: ﹣0.139 (95% CI ﹣0.196 to ﹣0.082) and increase in mandible depression: ﹣6.6. (95% CI ﹣9.1 to ﹣4.1). Conclusions: The results provide early, exploratory evidence that patients with chronic temporomandibular dysfunction treated by physiotherapists achieve clinically important changes in pain, function and health in the short term.

关 键 词：TEMPOROMANDIBULAR PAIN OROFACIAL PHYSIOTHERAPY 

分 类 号：R73[医药卫生—肿瘤]