肌源性和混合性颞下颌关节紊乱症患者口面部和颈部肌肉力学性能变化的研究。
An investigation of the changes in mechanical properties of the orofacial and neck muscles between patients with myogenous and mixed temporomandibular disorders.
作者信息
Taş Serkan, Kaynak Besime Ahu, Salkin Yasemin, Karakoç Zehra Betül, Dağ Figen
机构信息
School of Health Science, Alanya Alaaddin Keykubat University, Department of Physical Therapy and Rehabilitation, Antalya, Turkey.
Department of Physiotherapy and Rehabilitation, Toros University, School of Health Sciences, Mersin, Turkey.
出版信息
Cranio. 2024 Mar;42(2):150-159. doi: 10.1080/08869634.2021.1934795. Epub 2021 Jun 1.
OBJECTIVE
To investigate the possible changes in the mechanical properties of the orofacial and neck muscles in patients with temporomandibular disorders (TMD).
METHODS
The study included a total of 98 females. Females were divided into three groups as myogenous TMD, mixed TMD, and healthy controls. The frequency (indicator of muscle tone), stiffness, and decrement (related to muscle elasticity) values of the sternocleidomastoid, upper trapezius, cervical extensor, and masseter muscles were measured using a portable myotonometer.
RESULTS
The frequency, stiffness, and decrement values of the masseter muscle were higher in the mixed and myogenous TMD groups than those of the control group ( < 0.017). The mixed TMD group had higher frequency and stiffness values in the upper trapezius muscle compared with the control group ( < 0.017).
DISCUSSION
The results suggest that the mechanical properties of the oral and neck muscles may be affected in patients with TMD.
目的
探讨颞下颌关节紊乱病（TMD）患者口面部及颈部肌肉力学性能的可能变化。
方法
本研究共纳入98名女性。女性被分为三组，即肌源性TMD组、混合型TMD组和健康对照组。使用便携式肌张力计测量胸锁乳突肌、上斜方肌、颈伸肌和咬肌的频率（肌张力指标）、刚度和衰减值（与肌肉弹性有关）。
结果
混合型和肌源性TMD组咬肌的频率、刚度和衰减值高于对照组（<0.017）。与对照组相比，混合型TMD组上斜方肌的频率和刚度值更高（<0.017）。
讨论
结果表明，TMD患者口腔和颈部肌肉的力学性能可能受到影响。
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