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手法治疗、物理治疗联合患者教育治疗颞下颌关节紊乱的疗效:一项随机对照研究。

EFFECTIVENESS OF MANUAL THERAPY, PHYSICAL THERAPY IN CONJUNCTION WITH PATIENT EDUCATION FOR TEMPOROMANDIBULAR DISORDERS: A RANDOMIZED CONTROLLED STUDY.

机构信息

Zia Uddin Hospital in Karachi.

Abbasi Shaheed Hospital, Karachi.

出版信息

J Ayub Med Coll Abbottabad. 2024 Apr-Jun;36(2):373-379. doi: 10.55519/JAMC-02-13325.

DOI:10.55519/JAMC-02-13325
PMID:39609984
Abstract

BACKGROUND

Temporomandibular joint (TMJ) disorders represent a significant health concern affecting a substantial portion of the population worldwide. The management of TMJ disorders often involves a multifaceted approach including physiotherapy techniques, manual exercise interventions, patient education, and medication therapy. The purpose of this research is to examine the "Effectiveness of manual therapy, and physical therapy in conjunction with patient education for temporomandibular disorders".

METHODS

Forty patients with TMDS were randomized into two groups: one for home physical therapy and the other for manual therapy plus physical therapy. Patient education and counseling were done in both groups. the patient had assessments both before and after.

RESULTS

The study made a comparison of two groups: one received physical therapy only (n=20) and the other group received a combination of physical and manual therapy (n=20). There were no significant differences between the two groups in terms of age, gender distribution, or the affected side of the face (p>0.05).

CONCLUSIONS

For TMJ issues, physical therapy patient education is a useful therapeutic method. Moreover, combining these modalities with manual therapy improves results beyond what would be achieved with just these modalities alone.

摘要

背景

颞下颌关节(TMJ)疾病是一个重大的健康问题,影响着全球很大一部分人群。TMJ 疾病的治疗通常涉及多方面的方法,包括物理治疗技术、手动运动干预、患者教育和药物治疗。本研究旨在探讨“手动治疗和物理治疗结合患者教育治疗颞下颌关节紊乱的效果”。

方法

40 名 TMDS 患者被随机分为两组:一组进行家庭物理治疗,另一组进行手动治疗加物理治疗。两组均进行患者教育和咨询。患者在治疗前后都进行了评估。

结果

本研究比较了两组患者:一组仅接受物理治疗(n=20),另一组接受物理和手动治疗的联合治疗(n=20)。两组在年龄、性别分布或面部受累侧方面没有显著差异(p>0.05)。

结论

对于 TMJ 问题,物理治疗和患者教育是一种有用的治疗方法。此外,将这些方法与手动治疗相结合可以提高治疗效果,超过仅使用这些方法的效果。

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