Effects of Jaw-Opening Exercises with/without Pain for Temporomandibular Disorders: A Pilot Randomized Controlled Trial.

Effects of Jaw-Opening Exercises with/without Pain for Temporomandibular Disorders: A Pilot Randomized Controlled Trial.
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DOI:
10.3390/ijerph192416840
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发表时间:
2022-12-15
影响因子:
--
通讯作者:
Fueki, Kenji
Fueki, Kenji
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Tobe, Shoko;Ishiyama, Hiroyuki;Nishiyama, Akira;Miyazono, Keisuke;Kimura, Hiroko;Fueki, Kenji

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本研究旨在评估有无疼痛的张口操对颞颌关节紊乱病(TMDs)的影响,特别是与TMDs患者的疼痛强度和张口范围的关系。受试者被随机分为张口有痛组(Je w/Pain)和无痛张口组(Je w/o Pain),每次练习持续8周。使用100 mm视觉模拟评分(VAS)评估TMDS疼痛强度,并在基线(T0)、2周(T1)、4周(T2)和8周(T3)评估张口范围。在61名受试者中,57人(JE W/疼痛组,n=30;JE W/O疼痛组,n=27)进入分析。从T1到T3,两组患者的张口范围和TMDS疼痛强度均有改善。JE W/Pain组在T3时与T1时相比有显著差异(无痛张口,p=0.006;张口痛,p=0.014;咀嚼痛,p=0.018)。此外,JE W/Pain组在T2和T3时的最大非辅助张嘴的变化显著大于JE W/O Pain组(T2,p<0.001;T3,p=0.003)。因此,张口操,直到疼痛发生,可能对TMDS患者有效。
This study aimed to evaluate the effects of jaw-opening exercises with and without pain on temporomandibular disorders (TMDs), specifically in relation to pain intensity and range-of-mouth opening in patients with TMDs. Participants were randomly assigned to either the jaw-opening exercise with pain (JE w/pain) or the jaw-opening exercise without pain (JE w/o pain) groups, and each exercise was performed for eight weeks. TMDs pain intensity was assessed using a 100-mm visual analog scale (VAS), and the range-of-mouth opening was evaluated at the baseline (T0), 2 weeks (T1), 4 weeks (T2), and 8 weeks (T3). Of the 61 participants, 57 (JE w/pain group, n = 30; JE w/o pain group, n = 27) were included in the analysis. The range-of-mouth opening and TMDs pain intensity improved from T1 to T3 in both groups. The JE w/pain group showed significant differences at T3 compared to T1 (pain-free unassisted mouth opening, p = 0.006; jaw-opening pain, p = 0.014; chewing pain, p = 0.018). In addition, the JE w/pain group showed significantly greater changes in the maximum unassisted mouth opening at T2 and T3 than the JE w/o pain group (T2, p < 0.001; T3, p = 0.003). Thus, jaw-opening exercises, until the occurrence of pain, may be effective in patients with TMDs.
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