Kadıoğlu Merve Berika, Sezer Miraç, Elbasan Bülent
Department of Orthodontics, Faculty of Dentistry, Ankara University, Ankara 06560, Turkey.
Department of Therapy and Rehabilitation, Physiotherapy Program, Vocational School of Health Services, Bartin University, Bartin 74100, Turkey.
Medicina (Kaunas). 2024 Dec 4;60(12):2007. doi: 10.3390/medicina60122007.
: This study aimed to examine the effects of manual therapy (MT) and home exercise (HE) treatments on pain, sleep quality, stress level, and quality of life in patients with bruxism. : The study included 30 bruxism patients ages 18-25 years who were randomly divided into the manual therapy group (MTG) and home exercise group (HEG). Before treatment (T1), all patients were asked to fill out the Pittsburgh Sleep Quality Index (PSQI), Perceived Stress Scale (PSS), Fonseca Anamnestic Index (FAI), and Quality of Life Scale/Short Form-36 (SF-36), and additionally, the number of trigger points (NTP) and pain levels were determined. MT and HE were applied for 8 weeks, and all tests were repeated at the end of treatment (T2). A paired-samples test was used for intra-group comparisons at T1 and T2, and an independent test was used for inter-group comparisons. The statistical significance level was accepted as < 0.05. : When the results obtained with MT and HE were examined after 8 weeks of treatment, a significant difference was found for all parameters (FAI, PSQI, PSS, SF-36, NTP, activity pain, and night pain levels, < 0.05) except rest pain in HEG. According to the inter-group comparison, a significant difference was found in PSQI, FAI, and NTP ( < 0.05). However, it was determined that both groups showed statistically similar effects in terms of pain, perceived stress, and quality of life ( > 0.05). : MT and HE reduce perceived stress and pain intensity and also improve quality of life and sleep in patients with bruxism. HE is as effective as MT in terms of pain, stress quality of life. MT is more effective than HE in improving sleep quality and TMD symptoms. Both manual therapy and home exercise applications can be applied as alternative treatment methods in the treatment of bruxism.
本研究旨在探讨手法治疗（MT）和家庭锻炼（HE）对磨牙症患者疼痛、睡眠质量、压力水平和生活质量的影响。本研究纳入了30名年龄在18至25岁之间的磨牙症患者，他们被随机分为手法治疗组（MTG）和家庭锻炼组（HEG）。在治疗前（T1），所有患者都被要求填写匹兹堡睡眠质量指数（PSQI）、感知压力量表（PSS）、丰塞卡既往指数（FAI）和生活质量量表/简明健康状况调查量表（SF-36），此外，还确定了触发点数量（NTP）和疼痛水平。MT和HE应用8周，所有测试在治疗结束时（T2）重复进行。采用配对样本检验进行T1和T2时的组内比较，采用独立检验进行组间比较。统计学显著性水平设定为<0.05。治疗8周后检查MT和HE的结果时，发现除HEG中的静息痛外，所有参数（FAI、PSQI、PSS、SF-36、NTP、活动痛和夜间痛水平，<0.05）均有显著差异。根据组间比较，PSQI、FAI和NTP有显著差异（<0.05）。然而，确定两组在疼痛、感知压力和生活质量方面显示出统计学上相似的效果（>0.05）。MT和HE可降低磨牙症患者的感知压力和疼痛强度，还可改善生活质量和睡眠。HE在疼痛、压力生活质量方面与MT一样有效。MT在改善睡眠质量和颞下颌关节紊乱症状方面比HE更有效。手法治疗和家庭锻炼应用均可作为磨牙症治疗的替代治疗方法。
