用于口腔黏膜下纤维化患者齿间张口的新型物理治疗设备:试点研究

Ashish S. Bodhade, Alka M. Dive, A. Raut
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摘要

据估计,0.2%-0.5% 的印度人患有口腔黏膜下纤维化。古吉拉特邦、比哈尔邦、中央邦和马哈拉施特拉邦受这种疾病的影响最为严重。抗氧化剂、有效的理疗运动和局部皮质类固醇注射是治疗口腔黏膜下纤维化(OSMF)的方法之一。冰淇淋棒、锥形螺钉和海斯特开颚器等传统理疗技术尽管被广泛使用,但很少有研究对其有效性和患者依从性进行评估。十名患者参加了试点研究。这些患者参与了该装置的试点测试,以评估其机械特性及其改善颚间张口、舒适度(疼痛和控制)和愉悦感的能力。定量数据显示,OSMF 患者的平均张口度得到了显著改善(P < 0.0006)。使用 1 个月后,患者的张口度相差 1.8 毫米。这意味着该装置对这些患者的效果很好。根据反馈,大多数患者表示该装置舒适、易于使用,并对装置的使用表示满意。除了药物治疗外,这项试点研究还需要进行更多的样本调查和随机对照试验。考虑到这种管理OSMF的方法似乎是有效的,我们将继续进行这项研究。
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New physiotherapy device for interincisal mouth opening in oral submucous fibrosis patients: A pilot study
It is estimated that 0.2–0.5% of Indians suffer from oral submucous fibrosis. The states of Gujarat, Bihar, Madhya Pradesh, and Maharashtra are the most severely impacted by this illness. Antioxidants, effective physiotherapy exercises, and topical corticosteroid injections are among the treatment options available for oral submucous fibrosis (OSMF). Despite being widely used, there are few studies assessing the effectiveness and patient compliance of the conventionally used technique for physiotherapy in patients with OSMF, such as ice cream sticks, tapered screws, and Heister jaw opener. A device for physical rehabilitation that may be used at home was made using 3D printing technology. Ten patients participated in a pilot study that was carried out. These patients participated in the device’s pilot testing to assess the mechanical features and its ability to improve interincisal mouth opening, comfort (pain and control), and enjoyment. Comfort [Pain, comfort, control] with device use, ease of use [Portability] and satisfaction with device use. A statistically significant (P < 0.0006) improvement in the mean mouth opening of OSMF patients was shown by quantitative data. After 1 month of use, there was a 1.8 mm difference in mouth opening. This implies that the device worked well for these people. Based on feedback, the majority of patients reported that the device was comfortable, easy to use, and showed satisfaction with the device use. It was found that people with OSMF can open their mouth more with the use of a new physiotherapy device. In addition to pharmacological therapy, this pilot study needs more investigation with a bigger sample size and a randomized control trial. Considering that this method of managing OSMF seems to be effective.
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