Yamaguchi Yoshihiro, Sakuma Shigemitsu, Ogi Nobumi, Taguchi Nozomu, Kimoto Suguru
Department of Fixed Prosthodontics and Oral Implantology, School of Dentistry, Aichi-Gakuin University: 2-11 Suemori-dori, Chikusa-ku, Nagoya, Aichi 464-8651, Japan.
Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi Gakuin University, Japan.
J Phys Ther Sci. 2023 Feb;35(2):139-145. doi: 10.1589/jpts.35.139. Epub 2023 Feb 1.
[Purpose] This study compared the short-term outcomes of manual therapy performed by a dentist and home exercises performed by patients as a single exercise therapy program for temporomandibular joint anterior disc displacement without reduction. [Participants and Methods] In this study we included seventeen patients with temporomandibular joint anterior disc displacement without reduction, moderate or greater temporomandibular joint functional impairment, and no treatment interventions. Patients receiving treatment underwent exercise therapy at the time of their first visit, whereas those in the non-treatment group received only an explanation of the condition. We evaluated the clinical symptoms (maximum painless opening distance, pain on motion and mastication, and degree of difficulty in daily life) at the first visit and at the two-week follow-up visit. [Results] For both groups, maximum painless opening distance and degree of difficulty in daily life improved significantly. For the treatment group, the pain on motion and mastication values significantly improved throughout the assessment period. [Conclusion] An exercise therapy program may be useful for the early treatment of temporomandibular joint anterior disc displacement without disc reduction.
[目的] 本研究比较了由牙医进行的手法治疗与患者进行的家庭锻炼作为颞下颌关节不可复性盘前移位单一运动疗法方案的短期疗效。[参与者与方法] 本研究纳入了17例颞下颌关节不可复性盘前移位、颞下颌关节功能中度或更严重受损且未接受过治疗干预的患者。接受治疗的患者在首次就诊时接受运动疗法，而未治疗组仅接受病情解释。我们在首次就诊时和两周随访时评估了临床症状（最大无痛开口距离、运动和咀嚼时的疼痛以及日常生活困难程度）。[结果] 两组患者的最大无痛开口距离和日常生活困难程度均有显著改善。治疗组在整个评估期间运动和咀嚼时的疼痛值显著改善。[结论] 运动疗法方案可能对颞下颌关节不可复性盘前移位的早期治疗有用。
