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

IF 0.5 4区 医学 Q4 REHABILITATION Physikalische Medizin Rehabilitationsmedizin Kurortmedizin Pub Date : 2022-06-17 DOI:10.1055/a-1840-9458
Bo-ra Park, Jeong-An Gim, Kyung-Wan Baek
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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. 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引用次数: 0

摘要

背景与目的颞下颌关节紊乱病患者经常感到身体各部位疼痛。然而,通过颞下颌关节矫正术改善患者疼痛的程度尚未在一项独立研究中确定。本研究旨在确定颞下颌关节紊乱病患者最常报告的症状,并确定通过颞下颌关节矫正术的疼痛改善程度和结构变化。方法将主诉颞下颌关节紊乱并到牙科诊所就诊并同意参与的患者纳入研究(n=85)。将患者分为颞下颌关节非治疗组(对照组,n=35)和治疗组(治疗组,n=50),治疗组接受了10多次矫正治疗。在颞下颌关节矫正治疗干预前后记录所有报告的疼痛位置,并记录使用视觉模拟量表测量的疼痛程度。同时,进行X射线成像,以确认颞下颌关节矫正前和颞下颌关节后治疗的结构差异。结果颞下颌关节紊乱病患者以颞下颌关节疼痛为主(66/85),以颈部疼痛为主(61/85),肩部疼痛为主(60/85)。此外,还有许多头痛(n=26/85)、背痛(n=25/85)和下颌闭锁(n=22/85)的病例。在极少数情况下,报告了面部疼痛(n=2/85)、耳鸣(n=2/85%)、髋关节疼痛(n=4/85)、膝盖疼痛(n=5/85)、干燥瘤(n=1/85)和耳朵疼痛(n=1/85%)。颞下颌关节矫正治疗后,治疗组TMJ疼痛、头痛、肩部疼痛、颈部疼痛、背部疼痛和闭锁的视觉模拟量表评分显著低于治疗前(p<0.001)。此外,经证实,TMJ矫正治疗组的X射线图像中颅骨和下颌髁对称性的平衡显著改善(治疗前与治疗后,p<.001)。在对照组中,干预前后所有症状和X射线图像均未观察到显著差异。结论颞下颌关节紊乱可引起身体其他部位疼痛,但原因不明。因此,这些结果表明,如果不能从根本上解决身体其他部位的疼痛,可能需要在牙科诊所通过诊断颞下颌关节紊乱进行颞下颌关节矫正治疗。
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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.
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来源期刊
CiteScore
1.10
自引率
25.00%
发文量
70
审稿时长
3 months
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.
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