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经数字化评估的咬合学和整骨疗法治疗前后:一例埃勒斯-当洛斯综合征患者的病例报告。

Gnathological and osteopathic treatments with digital evalua- tions before and after therapies: a case report of a patient with ehlers-danlos syndrome.

机构信息

DDS, Ph.D, Department of Oral and Maxillo-facial Sciences, "Sapienza" University of Rome, Rome, Italy.

BPhysio, DO, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy.

出版信息

Clin Ter. 2021 May 5;172(3):179-185. doi: 10.7417/CT.2021.2309.

DOI:10.7417/CT.2021.2309
PMID:33956032
Abstract

BACKGROUND

Ehlers-Danlos syndromes (EDS) are inherited connective tissue disorders, requiring specific care along with a multidisciplinary approach by an expert medical staff, as for both the diagnosis and the treatment management. Chronic generalized pain and musculoskeletal dysfunctions due to joint hypermobility are common traits. Temporomandibular disorders (TMDs) are among the most frequent complaints. The authors report the diagnostic and therapeutic management of an EDS subject.

CASE PRESENTATION

A 33-year old woman with Ehlers-Danlos syndrome, hypermobile type, was clinically evalu-ated and treated. She underwent a gnathological therapy with an anterior repositioning splint and proprioception ex-ercises, and a physical rehabilitation through an osteopathic manipulation treatment (OMT). Technology - surface Elec-tromyography (sEMG) of masticatory muscles, T-scan and stabilometric platform- supported diagnostic and therapeutic phases, giving objective and quantifiable information on the patient's assessment before and after treatments.

CONCLUSION

According to a targeted therapeutic strategy, both the gnathological and the osteopathic therapy proved to be effective in improving patient's symptomatology and functionality, as confirmed by digital findings.

摘要

背景

埃勒斯-当洛斯综合征(EDS)是一种遗传性结缔组织疾病,需要专家医疗团队提供特定的护理和多学科方法,以进行诊断和治疗管理。由于关节过度活动,慢性广泛性疼痛和肌肉骨骼功能障碍是常见特征。颞下颌关节紊乱(TMD)是最常见的投诉之一。作者报告了一例 EDS 患者的诊断和治疗管理。

病例介绍

一名 33 岁女性,患有埃勒斯-当洛斯综合征,活动性高,经临床评估和治疗。她接受了颌学治疗,包括前复位夹板和本体感受练习,以及通过整骨手法治疗(OMT)进行物理康复。技术-表面肌电图(sEMG)的咀嚼肌,T 扫描和稳定平台-支持诊断和治疗阶段,为患者治疗前后的评估提供客观和可量化的信息。

结论

根据有针对性的治疗策略,颌学和整骨疗法都被证明可以有效改善患者的症状和功能,这一点得到了数字发现的证实。

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[Temporomandibular manifestation in patients with Ehlers-Danlos syndrome: a systematic review].[埃勒斯-当洛综合征患者的颞下颌表现:一项系统评价]
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