《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (12): 1168-1170.

• 临床研究 • 上一篇    下一篇

物理疗法及手法治疗对颞下颌关节紊乱的疗效

王传杰，朱洁

   

  1. 复旦大学附属金山医院康复科，上海市201508。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-12-25 发布日期:2014-12-25

Effects of Physiotherapy Combined with Manual Therapy on Temporomandibular Disorders

WANG Chuan-jie, ZHU Jie.   

  1. Jinshan Hospital of Fudan University, Shanghai 201508, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-12-25 Online:2014-12-25

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摘要： 目的观察物理疗法及手法治疗对颞下颌关节紊乱(TMD)的疗效。方法TMD患者90 例随机分为药物组(n=30)、理疗组(n=30)、理疗+手法组(n=30)。治疗前及治疗4 周后采用疼痛视觉模拟评分(VAS)、最大张口度、关节弹响程度进行评定。结果治疗后，各组疼痛均明显改善(P<0.01)，理疗组还伴有最大张口度明显改善(P<0.01)，理疗+手法组患者最大张口度、关节弹响程度显著改善(P<0.001)。治疗后三项评定从优到差顺序均为理疗+手法组、理疗组、药物组。结论理疗结合手法治疗可更有效改善TMD患者关节疼痛、张口受限及关节弹响。

关键词: 颞下颌关节紊乱, 物理疗法, 手法

Abstract: Objective To analyze the effects of physiotherapy and manual therapy on temporomandibular disorders (TMD). Methods 90 patients with TMD were randomly divided into the medicine group (group A, n=30), physiotherapy group (group B, n=30) and physiotherapy combined with manual therapy group (group C, n=30). They were assessed with Visual Analogue Scale (VAS) of pain, maximum active mouth opening and joint clicking (100% before treatment) before and 4 weeks after treatment. Results All the patients improved in the pain after treatment (P<0.01), while the group B also improved in the maximum active mouth opening (P<0.01), and the group C improved in all the assessments (P<0.001). The result of all the assessment ranked from better to worse were group C, group B and group A (P<0.001). Conclusion Physiotherapy combined with manual therapy can improve the pain, the activity of mouth and joint clicking of TMD patients.

Key words: temporomandibular disorder, physiotherapy, manual therapy