按摩疗法与牙合垫使用对磨牙症患者生活质量和疼痛的影响：一项随机对照试验
Effects of Massage Therapy and Occlusal Splint Usage on Quality of Life and Pain in Individuals with Sleep Bruxism: A Randomized Controlled Trial.
作者信息
Gomes Cid Andre Fidelis de Paula, El-Hage Yasmin, Amaral Ana Paula, Herpich Carolina Marciela, Politti Fabiano, Kalil-Bussadori Sandra, Gonzalez Tabajara de Oliveira, Biasotto-Gonzalez Daniela Aparecida
机构信息
Nove de Julho University.
出版信息
J Jpn Phys Ther Assoc. 2015;18(1):1-6. doi: 10.1298/jjpta.Vol18_001.
Abstract
PURPOSE
The aim of the present study was to investigate the effects of massage therapy on the masticatory muscles and occlusal splint usage on quality of life and pain in individuals with sleep bruxism.
METHOD
A randomized, controlled, blinded, clinical trial was conducted involving 78 volunteers aged 18 to 40 years with sleep bruxism. Quality of life and pain assessments were performed.
RESULTS
Significant differences (p < 0.05) were found on the physical functioning, general health state, vitality, role emotional and mental health subscales. A large effect size was found for all treatment protocols with regard to pain. The largest effect was found in the combined treatment group.
CONCLUSIONS
The findings of the present study reveal that the occlusal splint usage alone led to improvements in components of quality of life among individuals with sleep bruxism. Moreover, both treatments (occlusal splint usage and massage therapy on the masticatory muscles) led to a reduction in pain.
摘要
目的
本研究旨在调查按摩疗法对磨牙症患者咀嚼肌的影响以及使用咬合板对其生活质量和疼痛的影响。
方法
对78名年龄在18至40岁的磨牙症志愿者进行了一项随机、对照、双盲临床试验。进行了生活质量和疼痛评估。
结果
在身体功能、总体健康状况、活力、角色情感和心理健康分量表上发现了显著差异（p < 0.05）。所有治疗方案在疼痛方面均发现有较大的效应量。联合治疗组的效果最为显著。
结论
本研究结果表明，仅使用咬合板就能改善磨牙症患者的生活质量。此外，两种治疗方法（使用咬合板和对咀嚼肌进行按摩疗法）均能减轻疼痛。
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2
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3
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J Oral Rehabil. 2013 Dec;40(12):892-9. doi: 10.1111/joor.12110. Epub 2013 Nov 7.
4
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5
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Trials. 2013 Oct 1;14:316. doi: 10.1186/1745-6215-14-316.
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7
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9
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10
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