The influence of mandibular movements on joint sounds in patients with temporomandibular disorders.
The influence of mandibular movements on joint sounds in patients with temporomandibular disorders.
复制标题
颞下颌关节紊乱病患者下颌运动对关节声音的影响。
DOI：
10.1016/s0022-3913(99)70247-7
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发表时间：
1999
期刊：
影响因子：
--
通讯作者：
Zaki,HS
中科院分区：
文献类型：
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作者：
Leader,JK;Boston,JR;Rudy,TE;Greco,CM;Zaki,HS
本研究对35例颞下颌关节紊乱病患者的下颌运动进行了记录，并对下颌运动与声音的相关性进行了研究。并在耳道中用Panasonic驻极体电容式麦克风双侧记录声音。受试者进行3个动作，每个重复5 times.ResultsReliability的最大运动在5个试验是良好的优秀，与组内相关系数（ICC）之间的0.76和0.91的所有运动，除了突出。颞下颌声音事件计数对于大多数运动是可靠的，包括垂直开口、突出和左右侧偏（ICC在0.41和0.81之间）。大多数受试者在100%或没有试验中产生声音事件。声音事件的可靠性在突出（ICC在0.56和0.81之间）比垂直打开（ICC 0.41至0.64）。受试者在垂直开放（然后关闭）的声音事件显着更有可能有声音事件在突出（随后立即垂直开放和关闭）（P <.01）。髁突平移，这发生在垂直开放和前伸，似乎有很大的影响，生产颞下颌声音事件。（J Prosthet Dent 1999;81：186- 195）
Statement of problemThere are discrepancies among researchers concerning the reliability and use of temporomandibular joint sounds.PurposeThis study examined the reliability of mandibular movements and sounds and determined the correlation between movements and sounds.Material and methodsThe mandibular movements of 35 subjects diagnosed with temporomandibular disorders were recorded with 2 CCD cameras, and sounds were recorded bilaterally with Panasonic electret condenser microphones in the ear canal. Subjects performed 3 movements, each repeated 5 times.ResultsReliability of maximum movements across the 5 trials was good to excellent, with Intraclass Correlation Coefficients (ICC) between 0.76 and 0.91 for all movements except protrusion. Temporomandibular sound event counts were reliable for most movements, including vertical opening, protrusion, and right and left laterotrusion (ICCs between 0.41 and 0.81). Most subjects produced sound events either in 100% or in none of the trials. Reliability for sound events was better during protrusion (ICCs between 0.56 and 0.81) than vertical opening (ICCs 0.41 to 0.64). Subjects with sound events during vertical opening (followed by closing) were significantly more likely to have sound events during protrusion (followed immediately by vertical opening and closing) (P <.01).ConclusionTemporomandibular sound events are generally reliable and warrant study regarding their use in classifying and diagnosing patients with temporomandibular disorders. Condylar translation, which occurs during both vertical opening and protrusion, appears to have a strong influence on the production of temporomandibular sound events. (J Prosthet Dent 1999;81:186-95.)