低强度激光疗法治疗颞下颌关节紊乱症的有效性
Effectiveness of low-level laser therapy in temporomandibular disorder.
作者信息
Kulekcioglu Sevinc, Sivrioglu Koncuy, Ozcan Orhan, Parlak Mufit
机构信息
Department of Physical Medicine and Rehabilitation, Uludag University School of Medicine, Bursa, Turkey.
出版信息
Scand J Rheumatol. 2003;32(2):114-8. doi: 10.1080/03009740310000139.
OBJECTIVE
To investigate the effectiveness of low-level laser therapy in the treatment of temporomandibular disorder and to compare treatment effects in myogenic and arthrogenic cases.
METHODS
Thirty-five patients were evaluated by magnetic resonance imaging and randomly allocated to active treatment (n=20) and placebo treatment (n= 15) groups. In addition to a daily exercise program, all patients were treated with fifteen sessions of low-level laser therapy. Pain, joint motion, number of joint sounds and tender points were assessed.
RESULTS
Significant reduction in pain was observed in both active and placebo treatment groups. Active and passive maximum mouth opening, lateral motion, number of tender points were significantly improved only in the active treatment group. Treatment effects in myogenic and arthrogenic cases were similar.
CONCLUSION
Low-level laser therapy can be considered as an alternative physical modality in the management of temporomandibular disorder.
目的
探讨低强度激光疗法治疗颞下颌关节紊乱病的有效性，并比较其在肌源性和关节源性病例中的治疗效果。
方法
对35例患者进行磁共振成像评估，并随机分为积极治疗组（n = 20）和安慰剂治疗组（n = 15）。除每日锻炼计划外，所有患者均接受15次低强度激光治疗。评估疼痛、关节活动度、关节弹响次数和压痛点。
结果
积极治疗组和安慰剂治疗组的疼痛均显著减轻。仅积极治疗组的主动和被动最大张口度、侧方运动、压痛点数量有显著改善。肌源性和关节源性病例的治疗效果相似。
结论
低强度激光疗法可被视为颞下颌关节紊乱病管理中的一种替代物理治疗方法。
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