Crăciun Maria Daniela, Geman Oana, Leuciuc Florin Valentin, Holubiac Iulian Ştefan, Gheorghiţă Daniela, Filip Florin
Interdisciplinary Research Centre in Motricity Sciences and Human Health, Ştefan cel Mare University of Suceava, 720229 Suceava, Romania.
Neuroaesthetics Laboratory, Ştefan cel Mare University of Suceava, 720229 Suceava, Romania.
Biomedicines. 2022 Nov 17;10(11):2962. doi: 10.3390/biomedicines10112962.
Temporomandibular dysfunctions are a heterogeneous group of conditions involving the temporomandibular joints (TMJs) and periarticular musculoskeletal structures. This study aimed to evaluate the effectiveness of a physiotherapy program for TMJ dysfunctions and the relationship with cervical spine. The study design was a non-randomized clinical trial with two parallel treatment groups: 33 subjects in the experimental group that underwent conservative drug treatment and physiotherapy treatment, and 31 subjects in the control group that underwent only conservative drug treatment. The participants were examined at baseline and re-examined after 3 months. In this study there was a higher incidence of female subjects. After 3 months of treatment of the TMJs and cervical spine, pain decreased in both groups ( = 0001). Muscle testing at the cervical spine and temporomandibular level showed a decrease in pain and muscles spasms. The average percentage values of the Neck Disability Index (NDI) and the Jaw Functional Limitation Scale 8 (JFLS 8) decreased significantly in both groups, but especially in the experimental group ( = 0.001). Physiotherapy treatments could maintain the functional state at the temporomandibular and cervical levels, thus contributing to increasing the quality of daily life.
颞下颌功能障碍是一组涉及颞下颌关节(TMJ)和关节周围肌肉骨骼结构的异质性疾病。本研究旨在评估物理治疗方案对颞下颌关节功能障碍的有效性以及与颈椎的关系。研究设计为非随机临床试验,有两个平行治疗组:33名受试者在实验组接受保守药物治疗和物理治疗,31名受试者在对照组仅接受保守药物治疗。参与者在基线时接受检查,并在3个月后重新检查。在本研究中女性受试者的发病率较高。对颞下颌关节和颈椎进行3个月的治疗后,两组的疼痛均有所减轻(P = 0.001)。颈椎和颞下颌水平的肌肉测试显示疼痛和肌肉痉挛减轻。两组的颈部残疾指数(NDI)和下颌功能受限量表8(JFLS 8)的平均百分比值均显著下降,但实验组尤其明显(P = 0.001)。物理治疗可以维持颞下颌和颈椎水平的功能状态,从而有助于提高日常生活质量。