A follow-up study of subjective symptoms of temporomandibular disorders in patients who received acupuncture and/or interocclusal appliance therapy 18-20 years earlier
A follow-up study of subjective symptoms of temporomandibular disorders in patients who received acupuncture and/or interocclusal appliance therapy 18-20 years earlier
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DOI：
10.1080/00016350801978660
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发表时间：
2008-01-01
影响因子：
2
通讯作者：
Magnusson, Tomas
中科院分区：
文献类型：
--
作者：
Bergstrom, Ingalill;List, Thomas;Magnusson, Tomas
客观的 。旨在评估 18-20 年前因肌肉问题而转诊至专科诊所且主要接受针灸和/或咬合矫治器治疗的患者是否存在颞下颌关节紊乱 (TMD) 症状。材料和方法。 65 名 18-20 年前在 TMD 专科诊所接受过治疗的受试者收到了一份调查问卷，其中包含有关 TMD 症状、他们对治疗的态度以及他们对结果的看法的问题。五十五名受试者（85%）回答并退回了调查问卷。结果。治疗前，87%的人有严重的TMD症状，但在长期随访中这一数字下降至38%。用视觉模拟量表测量，治疗前受试者最差和最好的投诉平均值分别为 66（范围 26-100）和 31（范围 0-100）。长期随访时的相应数字为 32（范围 0-96）和 16（范围 0-70）。最初，73% 的女性和 77% 的男性报告每周至少一次头痛。 18-20 年后，女性头痛患病率为 35%，男性为 54%。大多数患者对他们接受的治疗持积极态度，并将其推荐给有类似症状的朋友。结论。大多数患者报告症状得到持久改善。患者对所接受治疗的总体评价是积极的。
Objective . To evaluate the presence of symptoms of temporomandibular disorders (TMDs) in patients referred to a specialist clinic because of muscular problems 18-20 years earlier and who had received mainly acupuncture and/or interocclusal appliance therapy. Material and methods . Sixty-five subjects who had received therapy at a TMD specialist clinic 18-20 years earlier were mailed a questionnaire with questions about TMD symptoms, their attitude towards the therapy, and their opinion about the outcome. Fifty-five subjects (85%) answered and returned the questionnaire. Results. Before therapy, 87% had had severe TMD symptoms, but this figure decreased to 38% at the long-term follow-up. The mean values of the subjects' complaints at worst and at best before treatment, measured with a visual analog scale, were 66 (range 26-100) and 31 (range 0-100), respectively. The corresponding figures at the long-term follow-up were 32 (range 0-96) and 16 (range 0-70). Headache at least once a week was originally reported by 73% of the women and by 77% of the men. Headache prevalence 18-20 years later was 35% in women and 54% in men. The majority of patients were positive about the therapy they had received, and would recommend it to a friend with similar complaints. Conclusions . A majority of the patients reported a lasting improvement in their symptoms. Patients' overall opinions of the therapy received were positive.