通过关节振动分析评估与 Bruxism 相关的振动模式:在患有关节疾病特征的患者中进行一项横截面研究
Serdar Gözler1, Nurcan Durmaz1, Beril Bayraktar1
1Department of Prosthodontics, Faculty of Dentistry, Istanbul Atlas University, Istanbul, Türkiye.
Journal of oral rehabilitation
|March 13, 2026
概括
关节振动分析 (JVA) 显示,在可能患有牛症的个体中,关节 (TMJ) 的振动更高. JVA有助于表征TMJ模式,但需要补充诊断来准确诊断牛病.
科学领域:
- 生物医学工程 生物医学工程
- 牙科科学 牙科科学
- 生物力学 生物力学
背景情况:
- Bruxism,以非自愿的关节紧缩或磨削为特征,与关节 (TMJ) 疾病有关.
- 布鲁克斯症对关节振动的独立贡献仍然是争论的主题.
- 关节振动分析 (JVA) 提供了一种非侵入性的方法来评估关节振动.
研究的目的:
- 通过使用JVA. 调查潜在的布鲁克斯症患者的TMJ振动.
- 为了确定JVA参数是否可以区分布鲁克斯症患者与无症状对照者.
- 探索布鲁克西斯症严重程度与JVA发现之间的相关性.
主要方法:
- 一项回顾性研究包括195名成年人 (18-45岁),分类为可能患有TMD特征的乳头炎 (n=175) 和无症状对照组 (n=20).
- 分类是基于临床检查和自我报告,没有区分睡眠或清醒布鲁克斯症.
- 使用JVA评估TMJ功能,测量峰值频率,中位频率,振动幅度和振动能量. 统计分析包括t测试,曼-惠特尼U测试,相关性和回归.
主要成果:
- 与对照组相比,可能患有 Bruxism 的个体表现出明显更高的峰值频率,中位频率,振动幅度和振动能量.
- Bruxism 严重程度与增加的 JVA 参数正相关.
- JVA参数解释了振动振幅和能量差异的约30-35%,效果大小中等到大.
结论:
- 这项研究表明,在患有潜在肌痛症的个体中,关节振动参数升高,通常与关节疾病特征同时发生.
- 肌动脉是一种有价值的工具,用于表征肌动脉的振动模式,与布鲁克斯症相关.
- 应将JVA与成像和TMD评估一起用于确定布鲁克西斯症诊断.
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