Ucar Mehmet, Sarp Ümit, Koca İrfan, Eroğlu Selma, Yetisgin Alparslan, Tutoglu Ahmet, Boyacı Ahmet
Department of Physical Medicine and Rehabilitation, Şanlıurfa Education and Research Hospital, Turkey ; Department of Physical Medicine and Rehabilitation, Bozok University Medical School, Turkey.
Department of Physical Medicine and Rehabilitation, Yozgat State Hospital, Turkey.
J Phys Ther Sci. 2014 Dec;26(12):1847-9. doi: 10.1589/jpts.26.1847. Epub 2014 Dec 25.
[Purpose] This study compared the effectiveness of home exercise alone versus home exercise combined with ultrasound for patients with temporomandibular joint disorders. [Subjects and Methods] This study enrolled 23 female and 15 male patients who were divided randomly into two groups. The home exercise group performed a home exercise program consisting of an exercise program and patient education, and the home exercise combined with ultrasound group received ultrasound therapy in addition to the home exercise program. Pain intensity was evaluated using a visual analogue scale. Pain free maximum mouth opening was evaluated at baseline and 2 weeks after the treatment. [Results] There was no difference between the two groups in baseline values. After the treatment, the visual analogue scale decreased and pain free maximum mouth opening scores improved significantly in each group. Additionally, both values were higher in the home exercise combined with ultrasound group than in the home exercise group. [Conclusion] The combination of home exercise combined with ultrasound appears to be more effective at providing pain relief and increasing mouth opening than does home exercise alone for patients with temporomandibular joint disorders.
[目的] 本研究比较了单纯家庭锻炼与家庭锻炼结合超声治疗对颞下颌关节紊乱症患者的效果。[对象与方法] 本研究纳入了23名女性和15名男性患者，随机分为两组。家庭锻炼组进行由锻炼计划和患者教育组成的家庭锻炼计划，家庭锻炼结合超声组除家庭锻炼计划外还接受超声治疗。使用视觉模拟量表评估疼痛强度。在基线和治疗后2周评估无痛最大开口度。[结果] 两组基线值无差异。治疗后，每组的视觉模拟量表评分降低，无痛最大开口度评分显著改善。此外，家庭锻炼结合超声组的两个值均高于家庭锻炼组。[结论] 对于颞下颌关节紊乱症患者，家庭锻炼结合超声似乎比单纯家庭锻炼在缓解疼痛和增加开口度方面更有效。
