摘要
目的观察冲击波结合运动疗法治疗颞下颌关节功能紊乱病的临床效果。方法选取颞下颌关节功能紊乱病Ⅲ类患者40例,按随机数字表法随机分为观察组(n=20例)和对照组(n=20例),观察组给予冲击波配合运动疗法,对照组给予超短波配合运动疗法。2组患者均于治疗前和治疗4周后(治疗后)采用疼痛视觉模拟评分(VAS)、最大张口度、Fricton颞下颌关节功能指数分别评定患者的疼痛程度、最大张口度和颞下颌关节的功能。结果治疗后,2组患者的VAS评分、最大张口度和颞下颌关节的功能各项指标与组内治疗前比较,差异均有统计学意义(P<0.05)。治疗后,观察组的VAS评分和最大张口度分别为(0.95±1.15)分和(3.23±0.37)cm,与对照组治疗后比较,差异均有统计学意义(P<0.05),且观察组治疗后颞下颌关节功能的各项指标与对照组治疗后比较,差异均有统计学意义(P<0.05)。结论体外冲击波联合运动疗法可显著缓解颞下颌关节紊乱病患者的解疼痛程度,最大张口度和颞下颌关节功能。
Objective To observe the clinical effect of shock waves combined with movement therapy in the treatment of temporomandibular joint dysfunction.Methods Forty patients with class-Ⅲtemporomandibular joint function disorders were randomly divided into an observation group and a control group,each of 20.In addition to the exercise therapy,the observation group was provided with extracorporeal shock wave therapy,while the control group was given ultrashortwave therapy.The intervention lasted for 4 weeks for both groups.Before and after the intervention,discomfort was quantified using a visual analogue scale,and maximum mouth opening and Fricton′s temporomandibular joint function index were measured for both groups.Results There was no significant difference between the two groups before the intervention.After the treatment the average discomfort rating and maximum mouth opening were significantly better in the observation group.The observation group′s average Fricton index was also significantly better.Conclusion Extracorporeal shock waves can be combined with movement therapy to significantly relieve the pain of patients with temporomandibular joint dysfunction.It can improve their maximum mouth opening and the functioning of the temporomandibular joint.
作者
李雯燕
武俊英
张青
Li Wenyan;Wu Junying;Zhang Qing(Department of Rehabilitation Medicine,The First Hospital of Shanxi Medical University,Taiyuan 030001,China)
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2019年第11期838-841,共4页
Chinese Journal of Physical Medicine and Rehabilitation
关键词
颞下颌关节紊乱
冲击波
运动疗法
Temporomandibular joint
Extracorporeal shock waves
Exercise therapy
