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低强度激光疗法在颞下颌关节疼痛管理中的作用。

Role of Low-Level Laser Therapy in the Management of Temporomandibular Joint Arthralgia.

作者信息

Puvvada Sravanthi, Kasiviswanathan Muthubabu, Kishore P, Jose Eliza Chinna, Vigna Dutt P, Parameshwaran A, Kumar Ashwin, Prasad Krishna, Sangeetha G

机构信息

Department of Otorhinolaryngology, Meenakshi Medical College and Research Institute, Meenakshi Academy of Higher Education and Research, Chennai, India.

Department of Physical Medicine and RehablitationMeenakshi Medical College and Research Institute, Meenakshi Academy of Higher Education and Research, Chennai, India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2024 Aug;76(4):3412-3417. doi: 10.1007/s12070-024-04705-9. Epub 2024 Apr 26.

Abstract

To study the efficacy of low-level laser therapy in the management of temporomandibular joint arthralgia. Interventional study (pre-post study), Meenakshi Medical College And Hospital, Research Institute. 50 patients with temporomandibular joint arthralgia were evaluated for pain, mouth opening and clicking sound while mouth opening before and after treatment. Patients are subjected to undergo low-level laser therapy with Infrared and red rays with a therapeutic dosage ranging from 8 J/cm to 15 J/cm up to 3-5 sessions for a month each session lasts for 15-20 min. The patients are to be followed up regularly after 1, 3, 6 and 8 months in the study.The study measured the range of mouth opening in patients before and after undergoing low-level laser therapy. Before treatment, the range of mouth opening was from 2.78 to 3.97 cm, with a mean value of 2.78 cm and a standard deviation of 0.22. After treatment, the range of mouth opening was from 2.78 to 3.97 cm, with a mean value of 3.97 cm and a standard deviation of 0.24. The study also measured the VAS score for pain, with a mean and standard deviation of 7.9 ± 0.73 before treatment and 0.88 ± 0.718 after treatment. There was a significant difference between the pretreatment and post-treatment VAS scores, with a -value of 0.05. Low-level laser therapy is an effective non invasive treatment modality for temporomandibular joint arthralgia. The patients who underwent this procedure had symptomatic relief and no remissions were observed.

摘要

研究低强度激光疗法治疗颞下颌关节疼痛的疗效。干预性研究(前后对照研究),米纳克希医学院及医院研究所。对50例颞下颌关节疼痛患者在治疗前后进行疼痛、张口度及张口时弹响的评估。患者接受红外和红光低强度激光治疗,治疗剂量为8 J/cm至15 J/cm,共3至5次,每月进行一次,每次持续15至20分钟。研究中患者在1、3、6和8个月后进行定期随访。该研究测量了患者接受低强度激光治疗前后的张口度范围。治疗前,张口度范围为2.78至3.97厘米,平均值为2.78厘米,标准差为0.22。治疗后,张口度范围为2.78至3.97厘米,平均值为3.97厘米,标准差为0.24。该研究还测量了疼痛的视觉模拟评分(VAS),治疗前平均值和标准差为7.9±0.73,治疗后为0.88±0.718。治疗前和治疗后VAS评分之间存在显著差异,P值为0.05。低强度激光疗法是治疗颞下颌关节疼痛的一种有效的非侵入性治疗方式。接受该治疗的患者症状得到缓解,未观察到复发情况。

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