Devocht James W, Long Cynthia R, Zeitler Deborah L, Schaeffer Walter
Palmer Center for Chiropractic Research, 741 Brady Street, Davenport, Iowa 52803, USA.
J Manipulative Physiol Ther. 2003 Sep;26(7):421-5. doi: 10.1016/S0161-4754(03)00096-4.
To determine if there was a basis for the treatment of temporomandibular disease (TMD) using the chiropractic protocol developed by Activator Methods, International.
Private, solo practice of an Activator advanced proficiency rated chiropractor with 15 years experience.
Prospective case series.
Nine adult volunteers with articular TMD recruited from the practice of the treating clinician. Main outcome measures Change from baseline to follow-up of Visual Analog Scale (VAS) for temporomandibular joint (TMJ) pain and maximum active mouth opening without pain.
Full spine and TMJ adjusting in accordance with the advanced protocol of Activator Methods, International. Participants were typically seen 3 times per week for 2 weeks and according to individual progress thereafter for 6 more weeks.
Eight participants completed outcome assessments. The median VAS decrease was 45 mm (range 21-71); all experienced improvement. The median increase of mouth opening was 9 mm (range 1-15); all showed improvement.
The results of this prospective case series indicated that the TMD symptoms of these participants improved following a course of treatment using the Activator Methods, International protocol. Consequently, further investigation of this type of chiropractic treatment for patients with the articular type of TMD is warranted.
确定是否有依据采用国际激活器方法公司制定的整脊疗法方案来治疗颞下颌疾病（TMD）。
一名拥有15年经验、经激活器高级熟练程度评级的整脊治疗师的私人单人诊所。
前瞻性病例系列。
从主治医生的诊所招募的9名患有关节性TMD的成年志愿者。主要结局指标：从基线到随访时颞下颌关节（TMJ）疼痛的视觉模拟量表（VAS）变化以及无痛情况下的最大主动开口度。
按照国际激活器方法公司的高级方案对整个脊柱和TMJ进行调整。参与者通常每周接受3次治疗，持续2周，之后根据个人进展再接受6周治疗。
8名参与者完成了结局评估。VAS中位数下降45毫米（范围21 - 71）；所有人都有改善。开口度中位数增加9毫米（范围1 - 15）；所有人都有改善。
这个前瞻性病例系列的结果表明，这些参与者在采用国际激活器方法公司方案进行一个疗程的治疗后，TMD症状有所改善。因此，有必要对这种针对关节型TMD患者的整脊治疗进行进一步研究。
