Exercise therapy for craniomandibular disorders.
نویسندگان
چکیده
OBJECTIVE To evaluate the use of exercise therapy for the treatment of craniomandibular disorders (CMDs). DESIGN Before-after trial. All patients were assigned to a waiting list, serving as a no-treatment control period. SETTING Outpatient clinic for physical medicine and rehabilitation of the University of Vienna. PATIENTS Thirty consecutive patients suffering from CMD with anteridr disc displacement with reduction who were consulting a CMD service. INCLUSION CRITERIA (1) symptoms lasting at least 3 months, (2) pain in the temporomandibular region, (3) a positive axiography, and (4) evidence of postural dysfunction. Twenty-six patients completed the study; no adverse effects occurred. INTERVENTIONS Active and passive jaw movement exercises, correction of body posture, and relaxation techniques. MAIN OUTCOME MEASURES (1) Pain at rest, (2) pain at stress, (3) impairment, and (4) mouth opening at baseline, before and after treatment, and at 6-month follow-up. RESULTS During the control period, no changes occurred. After the treatment, pain and impairment were significantly reduced (Wilcoxon test, p < .001). Four patients had a restricted mouth opening, in contrast to 15 before treatment (chi2 test, p < .005). Joint clicking vanished in 13.3% and was reduced in another 13.3% (chi2 test, p < .01). These results did not change until follow-up. Seventy-five percent of the patients were treated successfully. CONCLUSION Exercise therapy seems to be useful in the treatment of anterior disc displacement with reduction.
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ورودعنوان ژورنال:
- Archives of physical medicine and rehabilitation
دوره 81 9 شماره
صفحات -
تاریخ انتشار 2000