Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University, Vennelyst Blvd. 9, Aarhus C, DK-8000, Denmark.
Department of Oral and Maxillofacial Surgery, Harvard Medical School, 188 Longwood Avenue, Boston, MA, 02115, United States of America.
Pediatr Rheumatol Online J. 2023 Oct 12;21(1):116. doi: 10.1186/s12969-023-00900-0.
Physiotherapy appears as a promising therapy option for patients with Juvenile Idiopathic Arthritis (JIA) [1, 2], but the effects of physiotherapy and jaw exercises on JIA-related orofacial symptoms remain unknown [3]. The aim of this proof-of-concept study was to assess the impact of orofacial physiotherapy and home-exercise programs in patients with JIA and temporomandibular joint (TMJ) involvement.
Twelve patients with JIA and TMJ involvement received a treatment of physiotherapy, complemented by prescribed home exercises spanning over eight weeks. Orofacial symptoms and dysfunction were monitored pre-treatment, during treatment, after treatment, and at a three-months follow-up.
Orofacial pain frequency and intensity significantly decreased during the course of the treatment (p = 0.009 and p = 0.006), with further reductions observed at the three-month follow-up (p = 0.007 and p = 0.002). During treatment, the mandibular function improved significantly in terms of maximal mouth opening capacity, laterotrusion, and protrusion.
This proof-of-concept study shows favourable effects of physiotherapy and home excercises in the management of JIA-related orofacial symptoms and dysfunctions.
物理疗法似乎是幼年特发性关节炎（JIA）患者的一种有前途的治疗选择[1,2]，但物理疗法和颌部运动对 JIA 相关的口腔颌面部症状的影响尚不清楚[3]。本概念验证研究的目的是评估口腔颌面部物理疗法和家庭锻炼计划对 JIA 伴颞下颌关节（TMJ）受累患者的影响。
12 例 JIA 伴 TMJ 受累患者接受了物理疗法治疗，并辅以规定的家庭锻炼，持续八周。在治疗前、治疗期间、治疗后和三个月随访期间监测口腔颌面部症状和功能障碍。
治疗过程中口腔颌面部疼痛的频率和强度显著降低（p=0.009 和 p=0.006），在三个月随访时进一步降低（p=0.007 和 p=0.002）。治疗期间，最大张口度、侧向和前伸运动的下颌功能明显改善。
本概念验证研究表明，物理疗法和家庭锻炼对 JIA 相关口腔颌面部症状和功能障碍的管理具有良好的效果。
