Aklar Ayça, Bal Burcu, Taşdelen Neslihan, İnal H Serap, Ertaş Gökhan
Physiotherapy and Rehabilitation Department, Başkent University Altunizade Hospital, Istanbul 34662, Turkey.
Department of Prosthodontics, Faculty of Dentistry, Yeditepe University, Istanbul 34730, Turkey.
J Clin Med. 2025 Apr 8;14(8):2544. doi: 10.3390/jcm14082544.
This study aimed to quantitatively assess the efficacy of osteopathic manipulative treatment (OMT) as an adjunct to stabilization splint treatment for temporomandibular joint anterior disc displacement with reduction (ADDwR) disorder. Thirty-eight joints were evaluated in this study. OMT, in addition to splint treatment, was administered to the study group, and the control group only received splint treatment. Before and after the treatments, the quality of life, the pain levels of distinct body regions, and the sleep quality were evaluated, while mandibular movements were assessed and condyle-disc position differences measured on magnetic resonance images. In all the life qualities, except social functionality, increases after treatment were present for both control and study groups, but the increase was significant in bodily pain for the control group ( = 0.034) while increases were significant in physical functionality ( = 0.018), general health perception ( = 0.027), and reported health transition ( = 0.019) for the study group. Significant pain reduction in all body regions was seen in the study groups ( = 0.007-0.033), but the decrease was only significant for the temporomandibular joint for the control group ( = 0.011). The sleep quality significantly improved for the study group ( = 0.018). Limited after-treatment improvements in the condyle-disc positions were determined for both the normal joints and joints with ADDwR in the study group. The application of OMT adjunct to splint treatment increases quality of life and sleep, reduces bodily pain, and improves condyle-disc positions over the MRIs of TMJ.
本研究旨在定量评估整骨手法治疗（OMT）作为颞下颌关节可复性盘前移位（ADDwR）疾病稳定夹板治疗辅助手段的疗效。本研究评估了38个关节。研究组除接受夹板治疗外，还接受了OMT，而对照组仅接受夹板治疗。治疗前后，评估生活质量、身体不同部位的疼痛程度和睡眠质量，同时评估下颌运动，并在磁共振图像上测量髁突-盘位置差异。在所有生活质量方面，除社会功能外，对照组和研究组治疗后均有提高，但对照组身体疼痛方面的提高具有显著性（P = 0.034），而研究组在身体功能（P = 0.018）、总体健康感知（P = 0.027）和报告的健康转变（P = 0.019）方面的提高具有显著性。研究组所有身体部位的疼痛均显著减轻（P = 0.007 - 0.033），但对照组仅颞下颌关节的疼痛减轻具有显著性（P = 0.011）。研究组的睡眠质量显著改善（P = 0.018）。研究组中正常关节和ADDwR关节在治疗后髁突-盘位置的改善有限。夹板治疗辅助应用OMT可提高生活质量和睡眠质量，减轻身体疼痛，并改善颞下颌关节MRI上的髁突-盘位置。
