Jagiellonian University Medical College, Faculty of Health Science, Institute of Physiotherapy, Department of Physiotherapy, Krakow, Poland.
Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland.
Cranio. 2024 Jan;42(1):25-32. doi: 10.1080/08869634.2021.1890453. Epub 2021 Feb 21.
Arthrogryposis multiplex congenita (AMC) is a rare congenital disorder characterized by the occurrence of polyarticular contractures. Temporomandibular disorders (TMD) affect 25% of patients with arthrogryposis.
In this case report, the authors describe rehabilitation of a child between 8 and 24 months of age with AMC accompanied by Pierre-Robin Sequence. Physiotherapy directed to the TMJ included manual therapy, food intake training, and sensory training.
Increase in the mobility of the TMJ and improvement in food intake, swallowing, speech, and breathing were achieved. Further research is necessary for investigating the effects of the proposed protocol of physiotherapy on a larger number of children with AMC and co-occurrence of TMD.
先天性多发性关节挛缩症（AMC）是一种罕见的先天性疾病，其特征是多关节出现挛缩。颞下颌关节紊乱（TMD）影响 25%的多发性关节挛缩症患者。
在本病例报告中，作者描述了对一名患有 AMC 伴 Pierre-Robin 序列的 8 至 24 个月大的儿童进行康复治疗的情况。针对 TMJ 的物理治疗包括手法治疗、进食训练和感觉训练。
TMJ 的活动度增加，并且在进食、吞咽、言语和呼吸方面得到改善。需要进一步研究以调查针对患有 TMD 的 AMC 患儿和共患 TMD 的患儿的物理治疗方案的效果。
