Cooper B C, Rabuzzi D D
Laryngoscope. 1984 Jan;94(1):68-75. doi: 10.1002/lary.5540940116.
The diagnosis of myofacial pain dysfunction (MPD), commonly called temporomandibular joint syndrome, has traditionally been made on the presence of a group of clinical symptoms that produce pain and limitation of movement. The cause of this common illness has been the subject of controversy for over half a century. There has been a lack of agreement on diagnosis, a cause, and treatment. Advanced bioelectronic technology now makes an accurate diagnosis possible, based not merely on clinical symptoms, but on reproducible scientific data. A cause of MPD is discernable and reliable treatment possible, as well as long lasting resolution objectively monitorable with the Mandibular Kinesiograph (MKG 5-R) and Bioelectric Processor (EMIR). A study of mandibular movement and masticular muscle function of 26 "normal" subjects (i.e., clinically asymptomatic) revealed that the overwhelming majority did indeed have dysfunction of the muscles which move and posture the mandible. The significance of this study is twofold. First it demonstrates a valid testing procedure for measuring mandibular movement and muscle function. Second it establishes the fact that most individuals have a physical predisposition to MPD. Changes in the adaptive capacity of the neuromusculature by physical or emotional trauma could then precipitate MPD.
肌筋膜疼痛功能障碍（MPD），通常称为颞下颌关节综合征，传统上是根据一组产生疼痛和运动受限的临床症状来诊断的。这种常见疾病的病因在半个多世纪以来一直是争议的主题。在诊断、病因和治疗方面一直缺乏共识。先进的生物电子技术现在不仅可以根据临床症状，还可以根据可重复的科学数据进行准确诊断。MPD的病因是可辨别的，可靠的治疗是可行的，并且可以通过下颌运动描记仪（MKG 5-R）和生物电处理器（EMIR）对持久的恢复情况进行客观监测。一项对26名“正常”受试者（即临床上无症状）的下颌运动和咀嚼肌功能的研究表明，绝大多数人确实存在下颌运动和姿势的肌肉功能障碍。这项研究的意义有两个方面。首先，它展示了一种测量下颌运动和肌肉功能的有效测试方法。其次，它确立了这样一个事实，即大多数人在身体上易患MPD。身体或情感创伤导致的神经肌肉适应性能力的变化可能会引发MPD。
