{"title":"颞下颌关节矫正治疗改善人体局部颞下颌关节紊乱的疼痛","authors":"Bo-ra Park, Jeong-An Gim, Kyung-Wan Baek","doi":"10.1055/a-1840-9458","DOIUrl":null,"url":null,"abstract":"\n Background and Aim Patients with temporomandibular disorder often\n experience pain in various parts of the body. However, the degree of improvement\n of patients’ pain through temporomandibular joint correction has not\n been identified in an independent study. This study aimed to identify the\n symptoms most frequently reported by patients with temporomandibular disorder\n and determine the degree of pain improvement and structural changes through\n temporomandibular joint correction.\n Methodology Patients who complained of temporomandibular disorder and\n visited a dental clinic and agreed to participate were included in the study\n (n=85). The patients were divided into a nontreatment group\n (Control, n=35) and treatment group (Treatment,\n n=50) of the temporomandibular joint, and the treatment group\n received more than 10 correction treatments. All reported locations of pain were\n recorded preintervention and postintervention of temporomandibular joint\n correction treatment, and the degree of pain, which measured using a visual\n analog scale, was also recorded. Simultaneously, X-ray imaging was performed to\n confirm the structural difference between the pre-temporomandibular joint and\n post-temporomandibular joint correction treatment.\n Result Most of the patients with temporomandibular disorder complained of\n temporomandibular joint pain (n=66/85), but the majority\n complained of neck pain (n=61/85) and shoulder pain\n (n=60/85). In addition, there were many cases of\n headache (n=26/85), back pain (n=25/85),\n and lockjaw (n=22/85). In rare cases, complaints of\n facial pain (n=2/85), tinnitus\n (n=2/85), hip joint pain (n=4/85),\n knee pain (n=5/85), xeroma\n (n=1/85), and ear pain (n=1/85)\n have been reported. After temporomandibular joint correction treatment, the\n treatment group had significantly lower visual analog scale scores than\n pretreatment for TMJ pain, headache, shoulder pain, neck pain, back pain, and\n lockjaw (p<.0001). Furthermore, it was confirmed that the balance\n of the cranial bone and mandibular condyle symmetry in the X-ray image was\n significantly improved in the TMJ correction treatment group (pretreatment vs.\n posttreatment, p<.001). In the control group, no significant\n differences were observed pre-and post-intervention in all symptoms and X-ray\n images.\n Conclusion Temporomandibular disorders can cause pain in other parts of\n the body with an unknown cause. Therefore, these results show that if the pain\n in other parts of the body cannot be fundamentally resolved, temporomandibular\n joint correction treatment through the diagnosis of temporomandibular disorder\n may need to be performed in dental clinics.","PeriodicalId":54611,"journal":{"name":"Physikalische Medizin Rehabilitationsmedizin Kurortmedizin","volume":" ","pages":""},"PeriodicalIF":0.5000,"publicationDate":"2022-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Improvement of the Pain of Temporomandibular Disorder in Parts of the\\n Human Body through Temporomandibular Joint Correction Treatment\",\"authors\":\"Bo-ra Park, Jeong-An Gim, Kyung-Wan Baek\",\"doi\":\"10.1055/a-1840-9458\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"\\n Background and Aim Patients with temporomandibular disorder often\\n experience pain in various parts of the body. However, the degree of improvement\\n of patients’ pain through temporomandibular joint correction has not\\n been identified in an independent study. This study aimed to identify the\\n symptoms most frequently reported by patients with temporomandibular disorder\\n and determine the degree of pain improvement and structural changes through\\n temporomandibular joint correction.\\n Methodology Patients who complained of temporomandibular disorder and\\n visited a dental clinic and agreed to participate were included in the study\\n (n=85). The patients were divided into a nontreatment group\\n (Control, n=35) and treatment group (Treatment,\\n n=50) of the temporomandibular joint, and the treatment group\\n received more than 10 correction treatments. All reported locations of pain were\\n recorded preintervention and postintervention of temporomandibular joint\\n correction treatment, and the degree of pain, which measured using a visual\\n analog scale, was also recorded. Simultaneously, X-ray imaging was performed to\\n confirm the structural difference between the pre-temporomandibular joint and\\n post-temporomandibular joint correction treatment.\\n Result Most of the patients with temporomandibular disorder complained of\\n temporomandibular joint pain (n=66/85), but the majority\\n complained of neck pain (n=61/85) and shoulder pain\\n (n=60/85). In addition, there were many cases of\\n headache (n=26/85), back pain (n=25/85),\\n and lockjaw (n=22/85). In rare cases, complaints of\\n facial pain (n=2/85), tinnitus\\n (n=2/85), hip joint pain (n=4/85),\\n knee pain (n=5/85), xeroma\\n (n=1/85), and ear pain (n=1/85)\\n have been reported. After temporomandibular joint correction treatment, the\\n treatment group had significantly lower visual analog scale scores than\\n pretreatment for TMJ pain, headache, shoulder pain, neck pain, back pain, and\\n lockjaw (p<.0001). Furthermore, it was confirmed that the balance\\n of the cranial bone and mandibular condyle symmetry in the X-ray image was\\n significantly improved in the TMJ correction treatment group (pretreatment vs.\\n posttreatment, p<.001). In the control group, no significant\\n differences were observed pre-and post-intervention in all symptoms and X-ray\\n images.\\n Conclusion Temporomandibular disorders can cause pain in other parts of\\n the body with an unknown cause. Therefore, these results show that if the pain\\n in other parts of the body cannot be fundamentally resolved, temporomandibular\\n joint correction treatment through the diagnosis of temporomandibular disorder\\n may need to be performed in dental clinics.\",\"PeriodicalId\":54611,\"journal\":{\"name\":\"Physikalische Medizin Rehabilitationsmedizin Kurortmedizin\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":0.5000,\"publicationDate\":\"2022-06-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Physikalische Medizin Rehabilitationsmedizin Kurortmedizin\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1055/a-1840-9458\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physikalische Medizin Rehabilitationsmedizin Kurortmedizin","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1055/a-1840-9458","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"REHABILITATION","Score":null,"Total":0}
Improvement of the Pain of Temporomandibular Disorder in Parts of the
Human Body through Temporomandibular Joint Correction Treatment
Background and Aim Patients with temporomandibular disorder often
experience pain in various parts of the body. However, the degree of improvement
of patients’ pain through temporomandibular joint correction has not
been identified in an independent study. This study aimed to identify the
symptoms most frequently reported by patients with temporomandibular disorder
and determine the degree of pain improvement and structural changes through
temporomandibular joint correction.
Methodology Patients who complained of temporomandibular disorder and
visited a dental clinic and agreed to participate were included in the study
(n=85). The patients were divided into a nontreatment group
(Control, n=35) and treatment group (Treatment,
n=50) of the temporomandibular joint, and the treatment group
received more than 10 correction treatments. All reported locations of pain were
recorded preintervention and postintervention of temporomandibular joint
correction treatment, and the degree of pain, which measured using a visual
analog scale, was also recorded. Simultaneously, X-ray imaging was performed to
confirm the structural difference between the pre-temporomandibular joint and
post-temporomandibular joint correction treatment.
Result Most of the patients with temporomandibular disorder complained of
temporomandibular joint pain (n=66/85), but the majority
complained of neck pain (n=61/85) and shoulder pain
(n=60/85). In addition, there were many cases of
headache (n=26/85), back pain (n=25/85),
and lockjaw (n=22/85). In rare cases, complaints of
facial pain (n=2/85), tinnitus
(n=2/85), hip joint pain (n=4/85),
knee pain (n=5/85), xeroma
(n=1/85), and ear pain (n=1/85)
have been reported. After temporomandibular joint correction treatment, the
treatment group had significantly lower visual analog scale scores than
pretreatment for TMJ pain, headache, shoulder pain, neck pain, back pain, and
lockjaw (p<.0001). Furthermore, it was confirmed that the balance
of the cranial bone and mandibular condyle symmetry in the X-ray image was
significantly improved in the TMJ correction treatment group (pretreatment vs.
posttreatment, p<.001). In the control group, no significant
differences were observed pre-and post-intervention in all symptoms and X-ray
images.
Conclusion Temporomandibular disorders can cause pain in other parts of
the body with an unknown cause. Therefore, these results show that if the pain
in other parts of the body cannot be fundamentally resolved, temporomandibular
joint correction treatment through the diagnosis of temporomandibular disorder
may need to be performed in dental clinics.
期刊介绍:
The Journal of Physical and Rehabilitation Medicine offers you the most up-to-date information about physical medicine in clinic and practice, as well as interdisciplinary information about rehabilitation medicine and spa medicine.
Publishing 6 issues a year, the journal includes selected original research articles and reviews as well as guidelines and summaries of the latest research findings. The journal also publishes society news and editorial material. “Online first” publication ensures rapid dissemination of knowledge.