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2
Temporomandibular disorders. Part 1: anatomy and examination/diagnosis.颞下颌关节紊乱病。第1部分：解剖结构与检查/诊断
J Man Manip Ther. 2014 Feb;22(1):2-12. doi: 10.1179/2042618613Y.0000000060.
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Intra-oral myofascial therapy versus education and self-care in the treatment of chronic, myogenous temporomandibular disorder: a randomised, clinical trial.口腔内肌筋膜治疗与教育及自我护理在慢性肌源性颞下颌关节紊乱症治疗中的比较：一项随机临床试验
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J Manipulative Physiol Ther. 2012 Jan;35(1):26-37. doi: 10.1016/j.jmpt.2011.09.004. Epub 2011 Nov 10.
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Limited evidence that acupuncture is effective for treating temporomandibular disorders.关于针灸治疗颞下颌关节紊乱症有效的证据有限。
Evid Based Dent. 2011;12(3):89. doi: 10.1038/sj.ebd.6400816.
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Intra-oral myofascial therapy for chronic myogenous temporomandibular disorders: a randomized, controlled pilot study.慢性肌源性颞下颌关节紊乱病的口腔内肌筋膜治疗：一项随机对照试验性研究
J Man Manip Ther. 2010 Sep;18(3):139-46. doi: 10.1179/106698110X12640740712374.
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Research diagnostic criteria for temporomandibular disorders: a systematic review of axis I epidemiologic findings.颞下颌关节紊乱病的研究诊断标准：I 轴流行病学研究结果的系统评价
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A tutorial on pilot studies: the what, why and how.关于预试验的教程：是什么、为什么以及怎么做。
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Pretreatment organ function in patients with advanced head and neck cancer: clinical outcome measures and patients' views.晚期头颈癌患者的预处理器官功能：临床结局指标及患者观点
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振动疗法后颞下颌关节开口度和疼痛的即时变化：一项可行性初步研究。

Immediate changes in temporomandibular joint opening and pain following vibration therapy: a feasibility pilot study.

作者信息

Muir Brad, Brown Courtney, Brown Tara, Tatlow Dionne, Buhay Jeremy

机构信息

Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Canada. ; Associate Professor, Faculty of Clinical Education, Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Canada.

Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Canada. ; Sports Sciences Resident, Department of Graduate Studies, Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Canada.

出版信息

J Can Chiropr Assoc. 2014 Dec;58(4):467-80.

PMID:25550672
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4262808/
Abstract

OBJECTIVE

The purpose of this pilot study was to determine the scientific and process feasibility in an effort to direct future larger trials.

METHODS

Scientific Feasibility: Twelve subjects were randomly allocated to an intervention and a control group. The intervention protocol consisted of intraoral vibration therapy on the muscles of mastication bilaterally for a period of 1 minute per muscle. Process Feasibility: Several feasibility outcomes were examined including recruitment and retention rates and consent.

RESULTS

Scientific Feasibility: Large effect sizes were generated for both mouth opening and VAS in favour of the intervention group. Process Feasibility: a recruitment ratio of 2.3 respondents to 1 participant was determined, along with a retention to loss ratio of 13:1 and a consent to loss ratio of 12:0.

CONCLUSION

Scientific Feasibility: The scientific results should be interpreted with caution due to the small sample sizes employed. The study seems to support the scientific feasibility of a future larger single treatment trial. Process Feasibility: Recruitment and retention rates and ratios seem to support future studies. Utilizing the feasibility results of the current study to direct a future larger multiple treatment trial consistent with other comparable TMD studies however is limited.

摘要

目的

本初步研究的目的是确定科学和过程可行性，以便指导未来更大规模的试验。

方法

科学可行性：12名受试者被随机分配到干预组和对照组。干预方案包括对双侧咀嚼肌进行口腔内振动治疗，每块肌肉治疗1分钟。过程可行性：检查了几个可行性结果，包括招募率、留存率和同意率。

结果

科学可行性：张口度和视觉模拟评分（VAS）均产生了较大的效应量，支持干预组。过程可行性：确定的招募比例为2.3名受访者对应1名参与者，留存与流失比例为13:1，同意与流失比例为12:0。

结论

科学可行性：由于样本量较小，科学结果应谨慎解释。该研究似乎支持未来更大规模单一治疗试验的科学可行性。过程可行性：招募率、留存率和比例似乎支持未来的研究。然而，利用本研究的可行性结果来指导未来与其他类似颞下颌关节紊乱病（TMD）研究一致的更大规模多治疗试验是有限的。