治疗关节疾病患者的多模式物理治疗方法:随机对照试验
Ramesh Chandra Patra1, Biswajit Kanungo1, A Yashudas1
1Lovely Professional University, Phagwara, Punjab, India.
Journal of oral biology and craniofacial research
|March 31, 2025
概括
结合头下稳定练习和手动治疗的多模式治疗显著改善了关节障碍 (TMD) 患者的疼痛,机械敏感和活跃的口腔功能. 这种方法为TMD的传统治疗提供了更有益的替代方案.
科学领域:
- 物理治疗和牙科医学
- 肌肉骨系统疾病 肌肉骨系统疾病
- 康复科学 康复科学 康复科学
背景情况:
- 关节疾病 (TMD) 是常见的肌肉骨疾病,影响关节 (TMJ) 和中枢神经系统.
- 传统的TMD治疗方法往往有局限性,这表明需要更有效的治疗策略.
- 多模式治疗方法可以为管理TMD提供增强的益处.
研究的目的:
- 为了比较头下稳定炼与结构化手动治疗方案在减少TMD患者疼痛的疗效.
- 为了量化这些干预措施后机械柔软性和活跃口腔功能的改善.
- 评估TMD多模式治疗的综合效果.
主要方法:
- 一个单盲,随机对照试验,涉及146名被诊断患有TMD的参与者 (18至50岁).
- 参与者被随机分配到干预组 (下稳定和手动治疗) 或对照组.
- 由熟练的物理治疗师进行标准化干预,并使用经过验证的疼痛,敏感性和功能仪器测量结果.
主要成果:
- 接受头下稳定和手动治疗的组在减少疼痛方面显示出统计学上显著的改善 (P=0.001).
- 与对照组相比,干预组的机械敏感性 (P=0.001) 和活跃的口腔功能 (P=0.001) 也有显著的改善.
- 这些发现表明,对多式联络治疗方案有强烈的积极反应.
结论:
- 结合头下稳定和结构化手动治疗的多式治疗有效地显著减少TMD患者的疼痛.
- 这种治疗方法还可以显著改善机械敏感性和活跃的口腔功能.
- 未来的研究应该专注于长期跟踪,以确认持续的益处,并完善治疗方案,以实现最佳的TMD管理.
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