Oh Duck-Won, Kang Tae-Woo, Kim Sun-Ju
Department of Physical Therapy, College of Health Science, Cheongju University, Republic of Korea.
J Phys Ther Sci. 2013 Oct;25(10):1325-9. doi: 10.1589/jpts.25.1325. Epub 2013 Nov 20.
[Purpose] This study investigated the effects of stomatognathic alignment exercise on temporomandibular joint function and swallowing function of stroke patients presenting limited mouth opening. [Subjects] Fourteen subjects with post-stroke hemiparesis presenting limited mouth opening were randomly assigned to either the experimental group or the control group, with 7 subjects in each group. [Methods] Subjects in the experimental group participated in a stomatognathic alignment exercise program that consisted of mobility exercises of the TMJ and neck and postural correction. Main outcome measures were neck mobility, the active maximum range of mouth opening, the craniomandibular index (CMI), and the Mann assessment of swallowing ability (MASA) score. [Results] The changes in the values of the range of mouth opening, CMI, MASA, and all the parameters of neck mobility were significantly different between the groups. Furthermore, post-test values appeared to be significantly different for the range of mouth opening, the craniomandibular index, and the MASA scores between the groups (p>0.05). [Conclusion] Stomatognathic alignment exercise may improve TMJ function and swallowing function of patients with post-stroke hemiparesis.
[目的]本研究调查了口颌排列训练对存在张口受限的中风患者颞下颌关节功能和吞咽功能的影响。[对象]14例中风后偏瘫且存在张口受限的患者被随机分为实验组和对照组，每组7例。[方法]实验组患者参加了一项口颌排列训练计划，该计划包括颞下颌关节和颈部的活动度训练以及姿势矫正。主要观察指标为颈部活动度、主动最大张口度、颅下颌指数（CMI）以及吞咽能力的曼恩评估（MASA）评分。[结果]两组之间张口度、CMI、MASA以及颈部活动度所有参数值的变化存在显著差异。此外，两组之间的张口度、颅下颌指数和MASA评分的测试后值似乎也存在显著差异（p>0.05）。[结论]口颌排列训练可能改善中风后偏瘫患者的颞下颌关节功能和吞咽功能。
