Trott P H, Goss A N
Int J Oral Surg. 1978 Aug;7(4):360-5. doi: 10.1016/s0300-9785(78)80109-4.
Thirty-four patients with the Myofascial Pain Dysfunction (M.P.D.) syndrome of the masticatory system were investigated and treated using physiotherapy techniques. Resisted static contraction of the temporomandibular joints, passive movement tests of the muscles and electromyography indicated that the joint function was abnormal in all cases with minimal muscle involvement. Cervical spine tests indicated that pain referral from the cervical spine was involved in 19 of 34 patients (56%). Physiotherapy treatment armed at restoring a normal painless range of movement to the temporomandibular joint was successful in six of 10 patients (60%). Generalized relaxation therapy with biofeedback was successful in 19 of 24 patients (80%). It was found that with the five of 24 patients (20%) in whom generalized relaxation failed, there were significant psychiatric factors.
对34例咀嚼系统肌筋膜疼痛功能障碍（M.P.D.）综合征患者采用物理治疗技术进行了调查和治疗。颞下颌关节的抗阻静态收缩、肌肉的被动运动测试和肌电图显示，所有病例的关节功能均异常，肌肉受累程度最小。颈椎检查表明，34例患者中有19例（56%）存在颈椎疼痛牵涉痛。旨在恢复颞下颌关节正常无痛活动范围的物理治疗在10例患者中有6例（60%）取得成功。采用生物反馈的全身放松疗法在24例患者中有19例（80%）取得成功。结果发现，在24例全身放松疗法失败的患者中有5例（20%）存在明显的精神因素。
