CAJ | 학술논문

目的对颞下颌关节紊乱病(temporomandibular disorders,TMD)患者分别进行物理因子与手法结合运动疗法治疗,观察其疗效.方法 2013年12月- 2015年2月本科收治的颞下颌关节紊乱病患者60例,随机分为两组,对照组(30例)采用经皮神经电刺激(transcuataneous electrical nerve stimulation,TENS)和超短波治疗,治疗组(30例)采用软组织松动术、关节松动术结合运动疗法治疗.经过2周治疗,对两组最大张口度(maximum active mouth opening,MMO)和目测类比法(visual analogue scale,VAS)疼痛评分进行比较.结果经过2周治疗,两组治疗前后MMO以及VAS疼痛评分均有改善,治疗组的MMO(36.86±4.76) mm明显优于对照组(34.10±4.27) mm (P<0.05).VAS疼痛评分治疗组(1.30±0.99)与对照组(1.40±0.81)差异无统计学意义(P>0.05).结论 TENS和超短波治疗与软组织松动术、关节松动术结合运动疗法均可以改善颞下颌关节紊乱病患者的疼痛和张口受限,而手法结合运动疗法对于后者改善更为显著.
목적 대섭하합관절문란병(temporomandibular disorders,TMD)환자분별진행물리인자여수법결합운동요법치료,관찰기료효.방법 2013년12월- 2015년2월본과수치적섭하합관절문란병환자60례,수궤분위량조,대조조(30례)채용경피신경전자격(transcuataneous electrical nerve stimulation,TENS)화초단파치료,치료조(30례)채용연조직송동술、관절송동술결합운동요법치료.경과2주치료,대량조최대장구도(maximum active mouth opening,MMO)화목측류비법(visual analogue scale,VAS)동통평분진행비교.결과 경과2주치료,량조치료전후MMO이급VAS동통평분균유개선,치료조적MMO(36.86±4.76) mm명현우우대조조(34.10±4.27) mm (P<0.05).VAS동통평분치료조(1.30±0.99)여대조조(1.40±0.81)차이무통계학의의(P>0.05).결론 TENS화초단파치료여연조직송동술、관절송동술결합운동요법균가이개선섭하합관절문란병환자적동통화장구수한,이수법결합운동요법대우후자개선경위현저.
Objective To observe the therapeutic effect of manipulation combined with exercise therapy treatment for patients with temporomandibular disorders (TMD).Methods Sixty patients with TMD treated in our hospital from December 2013 to February 2015 were enrolled and they were randomly divided into control group (n=30) and treatment group (n=30), the control group were treated with transcutaneous electrical nerve stimulation (TENS) and ultrashort wave, while the treatment group were treated with soft tissue mobilization, joint mobilization combined with exercise therapy. After 2 weeks of treatment, the maximum mouth opening (MMO) and visual analogue scale (VAS) score of two groups were compared. Results After 2 weeks of treatment, the MNO and VAS score of patients in two groups were improved, the MMO in treatmentgroup were significantly higher than control group [(36.86±4.76) mmvs (34.10±4.27) mm,P<0.05], the VAS score in treatment group were not significantly higher than control group [(1.30±0.99)vs (1.40±0.81),P>0.05]. Conclusion TENS and ultrashort wave therapy, physiotherapy and manipulation combined with exercise therapy can alleviate pain and improve the limitation of mouth opening in patients with temporomandibular disorders, while manipulation combined with exercise therapy for the catter shows more significant clinical effects.