物理疗法及手法治疗对颞下颌关节紊乱的疗效

Effects of Physiotherapy Combined with Manual Therapy on Temporomandibular Disorders

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。

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.