Effectiveness of Rocabado exercises in patients with rheumatoid arthritis in remission with temporomandibular joint involvement: A randomized-controlled study.

IF 1.1 4区 医学 Q3 REHABILITATION Turkish Journal of Physical Medicine and Rehabilitation Pub Date : 2024-07-26 eCollection Date: 2024-09-01 DOI:10.5606/tftrd.2024.13517
Manolya Ilhanlı, Ilker Ilhanlı, Simay Aksakallı
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Abstract

Objectives: This study aims to investigate the effectiveness of Rocabado exercises in patients with rheumatoid arthritis (RA) in remission with temporomandibular joint (TMJ) involvement.

Patients and methods: Between May 2023 and July 2023, a total of 42 patients (4 males, 38 females; mean age: 47.8±13.9 years; range, 21 to 73 years) were included in this single-center, single-blind, randomized-controlled study. Only the RA patients in remission for at least three months, with TMJ complaints and who had TMJ involvement detected by magnetic resonance imaging (MRI) were included. The patients were randomized into the Rocabado exercise group (n=21) and standard TMJ exercise group (n=21). The home-based exercise programs for both groups continued for six weeks. A Visual Analog Scale (VAS) was used to evaluate pain. The TMJ examination findings were recorded. The maximum interincisal distances were measured. To evaluate the quality of life, the patients were asked to fill the Turkish Oral Health Impact Profile-14 (OHIP-14).

Results: Demographic and baseline characteristics were similar between the groups. Standard TMJ exercises group showed an improvement only for OHIP-14 after treatment. Rocabado exercises group showed a statistically significant improvement for interincisal distance, OHIP-14, VAS pain, number of patients with limited mouth opening, TMJ pain with palpation, and pterygoid pain with palpation after treatment.

Conclusion: Our study results indicate that Rocabado exercises may be effective in RA patients with TMJ involvement in relieving pain and improving the quality of life due to oral health.

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Rocabado 运动对颞下颌关节受累的类风湿关节炎缓解期患者的疗效:随机对照研究。
研究目的本研究旨在探讨Rocabado运动对颞下颌关节(TMJ)受累的类风湿性关节炎(RA)缓解期患者的有效性:在 2023 年 5 月至 2023 年 7 月期间,共有 42 名患者(4 名男性,38 名女性;平均年龄:47.8±13.9 岁;范围:21 至 73 岁)参与了这项单中心、单盲、随机对照研究。只有缓解期至少三个月、有颞下颌关节主诉且磁共振成像(MRI)检测到颞下颌关节受累的 RA 患者才被纳入研究。患者被随机分为 Rocabado 锻炼组(21 人)和标准颞下颌关节锻炼组(21 人)。两组的家庭锻炼计划均持续六周。采用视觉模拟量表(VAS)评估疼痛。记录颞下颌关节检查结果。测量最大咬合间距。为评估生活质量,要求患者填写土耳其口腔健康影响档案-14(OHIP-14):结果:两组患者的人口统计学特征和基线特征相似。标准颞下颌关节锻炼组在治疗后仅在 OHIP-14 方面有所改善。结论:我们的研究结果表明,Rocabado颞下颌关节锻炼能有效改善颞下颌关节的疼痛:我们的研究结果表明,Rocabado 锻炼对颞下颌关节受累的 RA 患者可能有效,可缓解疼痛并改善口腔健康导致的生活质量。
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来源期刊
Turkish Journal of Physical Medicine and Rehabilitation
Turkish Journal of Physical Medicine and Rehabilitation Health Professions-Physical Therapy, Sports Therapy and Rehabilitation
CiteScore
2.20
自引率
0.00%
发文量
0
期刊介绍: The Turkish Journal of Physical Medicine and Rehabilitation (Formerly published as Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi) is the official journal of the Turkish Society of Physical Medicine and Rehabilitation. The journal is an international open-access, double-blind peer-reviewed periodical journal bringing the latest developments in all aspects of physical medicine and rehabilitation, and related fields. The journal publishes original articles, review articles, editorials, case reports (limited), letters to the editors. The target readership includes academic members, specialists, residents working in the fields of Physical Medicine and Rehabilitation. The language of the journal is English and it is published quarterly (in March, June, September, and December).
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