Michelotti A, de Wijer A, Steenks M, Farella M
Section of Orthodontics and Gnathology, Department of Dental, Oral and Maxillo-Facial Sciences, University of Naples Federico II, Via Pansini 5, I-80131 Naples, Italy.
J Oral Rehabil. 2005 Nov;32(11):779-85. doi: 10.1111/j.1365-2842.2005.01513.x.
There is a consensus on treatment strategies for temporomandibular disorders (TMDs) being reversible. Among reversible therapies, physiotherapy is often chosen for the treatment of TMD pain and dysfunction because it is simple and non-invasive, it has a low cost as compared with other treatments, it allows an easy self-management approach, it allows a good doctor-patient communication, and it can be managed by the general practitioner. Home-exercises regime protocols are reviewed in this article in the context of the biopsychosocial approach. The actual evidence for the efficacy of home physical exercises is weak because of the very limited number of randomized clinical trials (RCTs) available in literature. Therefore, there is a need for further well-designed studies and RCTs to investigate the therapeutic efficacy. Recent reports and clinical experience, however, suggest that this approach can be promising, particularly if it is tailored towards the individual patient. The favourable cost benefit ratio over other treatment modalities seems to indicate that physiotherapy can be regarded as a first choice approach in selected TMD patients.
对于颞下颌关节紊乱病（TMDs）的治疗策略具有可逆性这一点已达成共识。在可逆性治疗方法中，物理治疗常被选用于治疗TMD疼痛和功能障碍，因为它简单且无创，与其他治疗方法相比成本较低，便于自我管理，有利于医患沟通，并且全科医生即可实施。本文在生物心理社会方法的背景下对家庭锻炼方案进行综述。由于文献中可用的随机临床试验（RCT）数量非常有限，家庭体育锻炼疗效的实际证据不足。因此，需要进一步设计良好的研究和RCT来研究其治疗效果。然而，最近的报告和临床经验表明，这种方法可能很有前景，特别是如果针对个体患者进行量身定制。与其他治疗方式相比，其良好的成本效益比似乎表明物理治疗可被视为部分TMD患者的首选方法。
