Division of Physiotheraphy and Rehabilitation, Faculty of Health Sciences, Istanbul Aydin University, İstanbul, Turkey.
Division of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul University-Cerrahpasa, Istanbul, Turkey.
J Oral Rehabil. 2021 May;48(5):531-541. doi: 10.1111/joor.13145. Epub 2021 Jan 21.
Interventions addressing pain and impaired functionality in individuals with temporomandibular disorders (TMDs) are needed.
To compare the effects of 4 weeks of exercise combined with ischaemic compression and exercise alone in patients with TMDs.
Fifty patients who were diagnosed with TMDs were randomised into Group 1 (exercise combined with ischaemic compression technique) (n = 25) or Group 2 (exercise alone) (n = 25). Both groups performed 4 weeks of Rocabado's exercise and 3 weeks of postural exercise, while Group 1 received ischaemic compression to the masseter muscle for a total of 3 sessions in addition to exercise. A ruler was used to assess range of motion (ROM) (painless mouth opening (PMO), maximum mouth opening, maximum assisted mouth opening (MAMO), left lateral movement and right lateral movement), the visual analogue scale and graded chronic pain scale were used to assess pain, an algometer was used to determine the pain pressure threshold (PPT), and the 8-item jaw functional limitation scale was used to assess, functionality. The assessments were performed at baseline, at week 1 and at week 4.
The participants in Group 1 exhibited larger PMO (F = 5.26, P = .02) and MAMO values (F = 6.71, P = .01) than did the patients in Group 2 at week 1. The effect size was small for MAMO (ES = 0.27) and moderate for PMO (ES = 0.51). However, there were no significant differences in any other outcomes between groups at week 1 or 4.
In summary, this randomised controlled trial indicates that exercise combined with ICT and exercise alone have similar effects on ROM, pain, the PPT and functionality in patients with TMDs.
需要针对颞下颌关节紊乱（TMD）患者的疼痛和功能障碍进行干预。
比较 4 周运动结合缺血性压迫与单纯运动治疗 TMD 患者的效果。
50 名 TMD 患者随机分为 1 组（运动结合缺血性压迫技术）（n=25）或 2 组（单纯运动）（n=25）。两组均进行 4 周的 Rocabado 运动和 3 周的姿势运动，而 1 组除运动外还接受了总计 3 次的咬肌缺血性压迫。使用尺子评估张口度（无痛张口度（PMO）、最大张口度、最大辅助张口度（MAMO）、左侧运动和右侧运动）、视觉模拟量表和分级慢性疼痛量表评估疼痛、压痛计评估疼痛压力阈值（PPT）、8 项下颌功能受限量表评估功能。评估在基线、第 1 周和第 4 周进行。
第 1 组的 PMO（F=5.26，P=.02）和 MAMO 值（F=6.71，P=.01）在第 1 周时均大于第 2 组。MAMO 的效应大小较小（ES=0.27），PMO 的效应大小中等（ES=0.51）。然而，在第 1 周或第 4 周时，两组在任何其他结果上均无显著差异。
总之，这项随机对照试验表明，运动结合 ICT 和单纯运动对 TMD 患者的张口度、疼痛、PPT 和功能具有相似的效果。
