Navrátil Leos, Navratil Vaclav, Hajkova Simona, Hlinakova Petra, Dostalova Tatjana, Vranová Jana
Cranio. 2014 Jan;32(1):24-30. doi: 10.1179/0886963413Z.0000000002.
Changing lifestyles, decreasing physical activity, which is increasing the number of degenerative joint diseases of various etiology, and certain dental procedures are increasing the number of patients complaining of pain in their temporomandibular joints. The aim of the study was to assess the benefits of comprehensive physiotherapy sessions in order to decrease the number of temporomandibular joint problems, thereby improving the patient's quality of life.
An examination by a dentist determined each patient's treatment plan, which consisted of a medical exam, physical therapy and education. Each form of treatment was applied 10 times at intervals of 7-14 days. The main goal of the therapeutic physical education was to redress the muscle imbalance in the mandibular joint. This was achieved by restoring balance between the masticatory muscles, along with releasing the spastic shrouds found in the masticatory muscles. The aim of education was to teach the patient exercises focused on the temporomandibular joint and masticatory muscles. The intensity of the exercises and their composition were individually adjusted and adapted to their current state. Physical therapy consisted of the application of pulsed magnetic therapy, laser therapy, and non-invasive positive thermotherapy.
The above procedure was conducted on a therapeutic group of 24 patients (3 men and 20 women). In the course of therapy, there were no complications, and all patients adhered to the prescribed regime. None reported any side effects. The mean treatment duration was 123 +/- 66 days. The outcome of the therapy was evaluated as described in the methodology, the degree of pain affecting the joint, and the opening ability of the mouth. In both parameters, there was a significant decline in patient pain.
In a study devoted to tactics of rehabilitation treatment for temporomandibular joint disorders, the need for comprehensive long-term therapy, involving education, and learning proper chewing habits was made apparent for recovery and pain reduction. A priority in physical therapy, and combinations of pulsed magnetic therapy and hyperthermia-positive peloids, are also beneficial.
生活方式的改变、身体活动的减少增加了各种病因的退行性关节疾病的数量，某些牙科手术也使颞下颌关节疼痛患者的数量增多。本研究的目的是评估综合物理治疗疗程的益处，以减少颞下颌关节问题的数量，从而提高患者的生活质量。
由牙医进行检查以确定每位患者的治疗方案，该方案包括医学检查、物理治疗和教育。每种治疗形式每隔7 - 14天进行10次。治疗性体育教育的主要目标是纠正下颌关节的肌肉失衡。这是通过恢复咀嚼肌之间的平衡以及放松咀嚼肌中发现的痉挛性肌束来实现的。教育的目的是教导患者进行针对颞下颌关节和咀嚼肌的锻炼。锻炼的强度及其组成会根据患者当前的状态进行个别调整和适配。物理治疗包括应用脉冲磁疗、激光治疗和非侵入性正温热疗法。
上述程序在24名患者（3名男性和20名女性）的治疗组中进行。在治疗过程中，没有出现并发症，所有患者都遵守了规定的疗程。没有人报告任何副作用。平均治疗持续时间为123±66天。按照方法中所述，对治疗结果进行评估，包括影响关节的疼痛程度和张口能力。在这两个参数中，患者的疼痛都有显著减轻。
在一项关于颞下颌关节紊乱康复治疗策略的研究中，显然需要进行包括教育和学习正确咀嚼习惯的综合长期治疗，以实现恢复和减轻疼痛。物理治疗中的优先事项，以及脉冲磁疗和温热阳性泥疗的联合应用也是有益的。
