在患有肌肉关节疾病的患者中,疼痛和功能之间的复杂关联.
Ta-Chung Chen1, Chia-Shu Lin2,3,4,5
1Division of Prosthodontics, Department of Stomatology, Taipei Veterans General Hospital, Taipei, Taiwan.
Journal of oral rehabilitation
|July 21, 2025
概括
部疾病 (TMD) 患者经历吃饭困难,但保持足够的能力. 治疗改善了的表现,减少了疼痛,严重的疼痛与治疗前不良有关.
科学领域:
- 口腔健康 口腔健康
- 神经学 神经学
- 康复 康复 康复 康复
背景情况:
- 以前关于关疾病 (TMD) 的研究主要针对疼痛缓解.
- 在TMD患者中,功能缺陷以及疼痛和之间的关系仍然不完全理解.
研究的目的:
- 研究肌肉TMD患者的临床疼痛和功能.
- 检查肌肉TMD患者治疗前后疼痛和之间的关联.
主要方法:
- 一项涉及27名肌肉性TMD患者和27名健康对照者的比较研究,根据年龄,性别和缺失的牙进行了匹配.
- 对主观饮食体验,适应性饮食策略和客观的表现的评估.
- 在TMD患者治疗前后评估当前疼痛和肌肉疼痛.
主要成果:
- 肌肉型TMD患者报告说,吃饭难度更大,并使用了更适应的策略,但在治疗前的性能与对照组相比较.
- 在治疗后,TMD患者表现出改善的功能和减少疼痛.
- 在TMD患者中,治疗前的疼痛严重程度与更差的功能相关.
结论:
- 肌肉TMD患者表现出受损的体验,但足够的性能.
- 治疗对功能和疼痛水平产生积极影响.
- 治疗前的疼痛是与TMD中能力降低相关的重要因素.
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