临床上确立的关节关节干扰在成年人与青少年异常性关节炎
Willemijn F C de Sonnaville1, Caroline M Speksnijder2, Nicolaas P A Zuithoff3
1W.F.C. de Sonnaville, MD, C.M. Speksnijder, PT, MSc, PhD, M.H. Steenks, DDS, PhD, A.J.W.P. Rosenberg, DMD, MD, Department of Oral and Maxillofacial Surgery and Special Dental Care, University Medical Center Utrecht, Utrecht University; w.f.c.desonnaville-3@umcutrecht.nl.
The Journal of rheumatology
|July 3, 2023
概括
青少年异常性关节炎 (JIA) 通常涉及关节 (TMJ),显著减少口腔开口. 咬力不受影响,这表明TMJ查应专注于JIA患者的部运动.
科学领域:
- 类风湿病学 类风湿病学
- 口腔和牙面部外科手术
- 临床牙科 临床牙科
背景情况:
- 青春期异常性关节炎 (JIA) 可以影响成年人,在关节 (TMJ) 中可能出现并发症.
- 评估关节功能对于管理成年期的JIA相关问题至关重要.
研究的目的:
- 与健康对照人群相比,确定定义关节 (TMJ) 功能的临床变量.
- 评估关节干扰对JIA成年人下部运动范围和咬伤力的影响.
主要方法:
- 一项横截面研究比较TMJ查,下运动范围 (MROM) 和前额最大自愿咬力 (AMVBF) 在成年人与JIA和健康对照.
- 统计模型被用来分析活跃最大口腔间口腔 (AMIO) 和AMVBF,调整性别和疾病持续时间.
主要成果:
- 56%的患有JIA的成年人表现出临床确定的TMJ参与.
- 在患有JIA的成年人中,关节干扰显著降低了AMIO8.8毫米.
- 在患有JIA的成年人和健康对照人群之间没有观察到AMVBF的显著差异.
结论:
- 在患有JIA的成年人中,关节干扰的高患病率需要提高临床意识.
- 关节干扰对AMIO产生负面影响,使其成为该人群中关节查的关键指标.
- 在成年JIA患者中,AMVBF对TMJ查具有有限的效用.
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