远程医疗方法作为一种治疗减轻颞下颌疾病严重程度的有效性

Ricca Chairunnisa, Siti Dyah Fadilla
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引用次数: 1

摘要

背景:颞下颌紊乱(Temporomandibular disorder, TMD)是颌面部最常见的疼痛。成人/老年人TMD的总体患病率约为31%,儿童/青少年约为11%。TMD被认为是一种多因素疾病。TMD有多种治疗方法,其中一种是下颌运动疗法,这是最广泛使用的缓解症状和体征的初始治疗。目前,TMD患者的常规治疗一直难以控制患者的依从性。因此,这种治疗可以通过远程医疗在家中独立进行,作为可以通过智能手机访问的患者康复的替代工具。目的:了解下颌练习前后TMD的严重程度,以及通过智能手机应用程序进行下颌练习的远程医疗方法对牙科学生的影响。方法:本研究采用准实验方法,采用一组前测后测设计,采用Fonseca记忆指数(FAI)问卷对35名牙科学生进行两周颌部练习前后的严重程度进行测量,采用纳入和排除标准的有目的抽样。采用Wilcoxon sign -rank检验分析(p<0.05)。结果:下颌运动前轻度TMD 21例(60%),中度TMD 14例(40%),重度TMD无一例。下颌运动后,轻度TMD组9人(42.8%)的严重程度有所下降(p=0.007),中度TMD组11人(78.5%)的严重程度有所下降(p=0.003)。结论:牙科学生通过智能手机app进行下颌练习后,采用远程医疗方式降低TMD严重程度有积极效果。
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Effectiveness of telemedicine approach as a treatment to reduce severity of temporomandibular disorders
Background: Temporomandibular disorder (TMD) is the most common pain in the maxillofacial area. Overall prevalence of TMD was approximately 31% for adults/elderly and 11% for children/adolescents. TMD is considered a multifactorial disorder. There are various treatments for TMD, one of which is jaw exercises therapy which is the most widely used initial treatment to relieve signs and symptoms. Currently, conventional therapy for TMD patients has been difficult to control patient compliance. Hence, this therapy can be done at home independently through telemedicine as an alternative tool to rehabilitateate the patients that can be accessed via smartphone. Purpose: To determine the severity of TMD before and after jaw exercises and the effect of telemedicine approach using jaw exercises via smartphone apps on dental students. Methods: This study used a quasi-experimental method with a one-group pretest post-test design using Fonseca anamnestic index (FAI) questionnaire to measure the severity before and after two weeks of jaw exercises on 35 dental students using purposive sampling based on inclusion and exclusion criteria. Wilcoxon signed-rank test was used to analyze the data (p<0.05). Results: Before jaw exercises, 21 people (60%) had mild TMD, 14 people (40%) had moderate TMD, and none had severe TMD. After jaw exercises, the severity of 9 people (42.8%) in the mild TMD group has decreased (p=0.007), and the severity of 11 people (78.5%) in the moderate TMD group has decreased (p=0.003). Conclusion: There was positive effect that decreased the level of severity of TMD through telemedicine approach after jaw exercises via smartphone apps on dental students.
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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
44
审稿时长
16 weeks
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