Department of Oral and Maxillofacial Surgery, Karamanoglu Mehmetbey University, Karaman, Turkiye.
Faculty of Health Sciences, Department of Audiology, KTO Karatay University, Konya, Turkiye.
Explore (NY). 2024 Sep-Oct;20(5):102980. doi: 10.1016/j.explore.2024.01.006. Epub 2024 Jan 17.
Temporomandibular joint dysfunction (TMD) poses significant challenges due to its diverse symptoms and impact on patients' daily lives.
This study aimed to explore the effectiveness of two innovative interventions, dry needling and face yoga, in managing TMD-related issues such as pain, depression, and sleep quality.
Ninety patients with TMD symptoms were enrolled in a prospective randomized controlled trial. The patients were divided into three groups: dry needling, face yoga, and a control group. Various assessments, including Visual Analog Scale for pain, Beck Depression Inventory for depression, and Pittsburgh Sleep Quality Index for sleep quality, were conducted before and 6 weeks after the interventions.
A decrease in pain levels and a statistically significant increase in jaw joint movements (mouth opening, protrusive movement, lateral movements) were observed in the dry needling and face yoga groups after treatment (p <0.05). Additionally, improvements in sleep quality were observed (p <0.05).
Dry needling and face yoga interventions demonstrated efficacy in managing TMD symptoms, including pain relief and improved jaw movement. The findings suggest that these interventions can be valuable additions to the treatment regimen for patients suffering from TMD-related issues. However, further research is warranted to explore the long-term effects and mechanisms underlying these interventions in TMD management.
颞下颌关节功能紊乱（TMD）因其症状多样且对患者日常生活造成影响而带来了巨大挑战。
本研究旨在探讨两种创新干预措施，即干针疗法和面部瑜伽，在管理 TMD 相关问题（如疼痛、抑郁和睡眠质量）方面的有效性。
90 名 TMD 症状患者参与了一项前瞻性随机对照试验。这些患者被分为三组：干针组、面部瑜伽组和对照组。在干预前和干预后 6 周，采用视觉模拟评分法（VAS）评估疼痛、贝克抑郁量表（BDI）评估抑郁和匹兹堡睡眠质量指数（PSQI）评估睡眠质量等各项评估。
干针组和面部瑜伽组在治疗后疼痛水平降低，下颌关节运动（张口、前伸运动、侧方运动）显著增加（p＜0.05）。此外，睡眠质量也得到了改善（p＜0.05）。
干针疗法和面部瑜伽干预措施在管理 TMD 症状方面具有疗效，包括缓解疼痛和改善下颌运动。这些发现表明，这些干预措施可以作为 TMD 相关问题患者治疗方案的有益补充。然而，需要进一步的研究来探索这些干预措施在 TMD 管理中的长期效果和机制。
