Coskun Benlidayi Ilke, Salimov Fariz, Kurkcu Mehmet, Guzel Rengin
Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Cukurova University, Adana, Turkey.
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Cukurova University, Adana, Turkey.
J Back Musculoskelet Rehabil. 2016 Apr 27;29(2):373-380. doi: 10.3233/BMR-160683.
Data regarding the effectiveness of Kinesio Taping in temporomandibular disorders (TMD) is scarce.
To determine the efficacy of Kinesio Taping (KT) in patients with TMD.
Patients with TMDs were randomized into experimental and control groups. The experimental group (n= 14) received KT in combination with counseling and jaw exercise, whilst controls (n= 14) were given the regimen of counseling and exercise alone. Jaw movements, Visual analogue scale (VAS) scores and self-reported measures (functional limitation and masticatory efficiency) were evaluated at baseline, first and sixth weeks of the treatment. Biobehavioral questionnaire was filled out at baseline and at sixth week.
Active mouth opening improved more in the experimental group than controls (p= 0.003). In the experimental group, VAS for temporomandibular joint, masticatory efficiency and functional limitation improved significantly at the sixth week when compared to baseline (p= 0.011, p= 0.001 and p= 0.001, respectively), but not in controls. Subjective treatment efficacy was higher in the experimental group than that of controls (p= 0.000). Pain, depression and disability scores reduced significantly in the experimental group (p= 0.001, p= 0.006 and p= 0.01, respectively), but not in controls.
In conclusion, KT in combination with counseling and exercise is more effective than counseling and exercise alone in TMDs.
关于肌内效贴布在颞下颌关节紊乱病(TMD)中的有效性的数据较少。
确定肌内效贴布(KT)对TMD患者的疗效。
将TMD患者随机分为实验组和对照组。实验组(n = 14)接受KT治疗并辅以咨询和下颌运动锻炼,而对照组(n = 14)仅接受咨询和锻炼方案。在治疗的基线、第一周和第六周评估下颌运动、视觉模拟量表(VAS)评分以及自我报告指标(功能受限和咀嚼效率)。在基线和第六周填写生物行为问卷。
实验组的主动开口度改善程度大于对照组(p = 0.003)。与基线相比,实验组在第六周时颞下颌关节的VAS、咀嚼效率和功能受限均有显著改善(分别为p = 0.011、p = 0.001和p = 0.001),而对照组则无改善。实验组的主观治疗效果高于对照组(p = 0.000)。实验组的疼痛、抑郁和残疾评分显著降低(分别为p = 0.001、p = 0.006和p = 0.01),而对照组则无降低。
总之,在TMD患者中,KT联合咨询和锻炼比单纯的咨询和锻炼更有效。