J Oral Facial Pain Headache. 2017;31(1):46-54. doi: 10.11607/ofph.1623.
To investigate patients' experiences of therapeutic jaw exercises for treating masticatory myofascial pain.
A total of 10 patients were selected for the interview study. All patients had received treatment with jaw exercises at a specialist clinic. Semi-structured interviews were conducted in a nonclinical environment according to an interview guide with 10 domains. The interviews were transcribed and translated into English. Systematic text condensation (STC) was used to arrange and analyze the text material.
In the systematic process of analyzing the qualitative data, four main themes were identified: "Patient Adherence," "Symptoms," "Treatment Effect," and "Participation." Most informants were initially skeptical of the jaw exercises due to their simplicity. Later on, the simplicity of the exercises and the fact that they did not need more advanced treatment were valued most by a majority of patients. Some informants suspected serious disease behind their symptoms. Treatment effects on pain and physical impairment were reported. To do the jaw exercises in conjunction with an already established routine seemed important to enhance adherence. Trust in the caregiver and being able to remedy their pain by themselves were also important to the informants.
Jaw exercises are a useful treatment valued by patients due to their simplicity and effectiveness. However, before the treatment, patients should be informed about the cause of the symptoms, and any skepticism should be addressed. Results from this qualitative study cannot be generalized, but the study design and the selected population allow the results to be transferable to similar contexts.
调查患者对治疗咀嚼肌筋膜疼痛的治疗性颌运动的体验。
共选择 10 名患者进行访谈研究。所有患者均在专科诊所接受过颌运动治疗。根据包含 10 个领域的访谈指南，在非临床环境中进行半结构化访谈。访谈内容被转录并翻译成英文。使用系统文本压缩（STC）对文本材料进行整理和分析。
在对定性数据进行系统分析的过程中，确定了四个主要主题：“患者依从性”、“症状”、“治疗效果”和“参与”。大多数受访者最初由于颌运动的简单性而对其持怀疑态度。后来，大多数患者最看重运动的简单性以及不需要更高级的治疗。一些受访者怀疑自己的症状背后存在严重的疾病。报告了对疼痛和身体损伤的治疗效果。与已经建立的常规治疗相结合进行颌运动似乎对增强依从性很重要。对治疗师的信任以及能够自行缓解疼痛对患者也很重要。
颌运动是一种简单有效的治疗方法，受到患者的重视。然而，在治疗之前，应该告知患者有关症状的原因，并解决任何怀疑。本定性研究的结果不能推广，但研究设计和选择的人群允许结果在类似情况下具有可转移性。
