Cai B
Department of Rehabilitation Medicine, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2017 Mar 9;52(3):166-170. doi: 10.3760/cma.j.issn.1002-0098.2017.03.008.
Temporomandibular joint (TMJ) anterior disc displacement without reduction (ADDwoR) is a common type of temporomandibular joint disorders. Most patients experience limited mouth opening and joint pain at the same time. The standpoint of physical therapy is the function of the joint instead of the displaced disc. The treatment aims to make symptoms disappeared and joint function regained through 3M techniques, including modality, manual and movement. For ADDwoR patients with limited mouth opening within 2 month, manual therapy may reposition disc and the following splint and movement therapy can maintain disc-condyle relationship. Even so, restoring anatomical relationship is not the end of physical therapy. Enhanced health education and multidisciplinary cooperation are important for successful management of the ADDwoR patients.
颞下颌关节不可复性盘前移位（ADDwoR）是颞下颌关节紊乱病的一种常见类型。大多数患者同时存在张口受限和关节疼痛的症状。物理治疗的观点是关注关节功能而非移位的关节盘。治疗旨在通过3M技术（包括物理治疗、手法治疗和运动治疗）使症状消失并恢复关节功能。对于病程在2个月以内且伴有张口受限的ADDwoR患者，手法治疗可使关节盘复位，随后的咬合板治疗和运动治疗能够维持盘-髁关系。即便如此，恢复解剖关系并非物理治疗的终点。加强健康教育以及多学科合作对于成功管理ADDwoR患者至关重要。
