物理治疗治疗下颌骨联合骨折后颞下颌关节功能障碍1例

Q4 Medicine pzshkhy blyny bn syn Pub Date : 2019-09-15 DOI:10.29252/AJCM.26.2.125
M. Asadi, Gholamreza Hajvalie
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引用次数: 0

摘要

背景:下颌骨折后颞下颌关节(TMJ)功能障碍可导致下颌活动受限,尤其是月张开、疼痛和肌肉萎缩。在这方面,目前的研究旨在确定手动松动术和其他物理治疗方式对下颌联合骨折患者TMJ功能改善的影响。病例介绍:一名16岁女孩因严重颌骨疼痛和口腔开放障碍被转诊至哈马丹医学科学大学附属贝萨特医院的物理治疗诊所。该患者因下颌骨交感神经骨折接受了开放性手术治疗。使用视觉模拟量表测量疼痛强度,并通过使用以毫米为单位的牙尺测量上颌和下颌中央切迹边缘的距离来获得最大开口。此后,每隔一天对两个TM关节进行五次物理治疗。理疗课程包括经皮神经电刺激(TENS)、超声波、热敷和Maitland手动动员技术。患者在完成5个疗程的物理治疗后,疼痛明显减轻,最大口腔张开度得到改善。结论:物理治疗包括物理方式和手动松动技术,可能是治疗下颌联合骨折后颞下颌关节功能障碍的有效方法,从而更快地改善该关节的功能。
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A Case Report of Effect of Physical Therapy on Temporomandibular Joint Dysfunction Following Mandibular Symphyseal Fracture
Background: Temporomandibular joint (TMJ) dysfunction following Mandibular fractures can lead to limitation of jaw movement especially month opening, pain, and muscular atrophy. In this regard, the current study aimed to determine the effect of manual mobilization along with other physiotherapy modalities on the improved function of TMJ in a patient with Mandibular symphyseal fracture. Case Presentation: A 16-year-old girl with a complaint of severe jaw pain and disability of mouth opening was referred to physical therapy clinic of Besat Hospital affiliated to Hamadan University of Medical Sciences. The patient underwent an open surgical treatment due to mandibular symphyseal fracture. A visual analog scale was used for the measurement of pain intensity and the maximal mouth opening was obtained by measuring the distance of the maxillary and mandibular central incisal edges using a dental ruler scaled in millimeters. Thereafter, physical therapy treatment was administered to both TM joints for five sessions every other day. The physiotherapy sessions included Transcutaneous Electrical Nerve Stimulation (TENS), ultrasound, hot pack, and Maitland manual mobilization techniques. The patient demonstrated significant reduction in pain and improved maximal mouth opening upon the completion of 5-session physical therapy treatment. Conclusion: Physical therapy treatment which includes physical modalities along with manual mobilization techniques may be an effective method in the management of TMJ dysfunctions following mandibular symphyseal fracture leading to faster improvement in the function of this joint.
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来源期刊
CiteScore
0.30
自引率
0.00%
发文量
16
审稿时长
8 weeks
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