Use of complementary and alternative medicine for temporomandibular disorders.
Use of complementary and alternative medicine for temporomandibular disorders.
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发表时间：
2003
影响因子：
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通讯作者：
L. DeBar;N. Vuckovic;J. Schneider;C. Ritenbaugh
中科院分区：
文献类型：
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作者：
L. DeBar;N. Vuckovic;J. Schneider;C. Ritenbaugh
尽管有许多关于补充和替代医学（CAM）在普通人群中使用的报道，但关于用于特定健康状况的特定CAM疗法的信息很少。本研究探讨使用CAM治疗颞下颌关节紊乱病（TMD）患者。方法：我们调查了192例有记录的TMD患者，作为一个更大的项目的一部分，对TMD患者的各种CAM模式的有效性。该调查询问了对特定CAM疗法治疗TMD和其他患者确定的健康状况的使用和态度。该调查还测量了身体健康，健康行为和心理社会功能。结果近三分之二的受访者（62.5%; n = 120）报告使用CAM治疗TMD或相关疾病。在报告的所有疗法中，按摩被评为最常见，最令人满意和最有帮助的疗法之一。总的来说，使用CAM治疗TMD的受访者表示对“动手”CAM疗法（按摩、针灸和脊椎按摩疗法）最满意。绝大多数受访者报告称，在常规护理的同时使用CAM方法治疗TMD（95.6%; 66/69）。那些使用CAM治疗TMD的人往往年龄较大，有多种医疗问题的历史，并报告了更积极的心理功能。最常报告CAM治疗对其TMD“非常有帮助”的受访者可能更健康（即，报告更高水平的锻炼和更少的睡眠障碍）。结论：鉴于我们的受访者经常使用CAM治疗，对抗疗法提供者应询问他们的TMD患者中CAM的连续使用情况。
AIMS Despite many reports about complementary and alternative medicine (CAM) use in the general population, little information exists about specific CAM therapies used for particular health conditions. This study examines the use of CAM therapies among patients with temporomandibular disorders (TMD). METHODS We surveyed 192 patients with documented TMD as part of a larger project on the effectiveness of various CAM modalities for TMD patients. The survey asked about use of and attitudes toward specific CAM therapies for treating TMD and other patient-identified health conditions. The survey also measured physical health, health behavior, and psychosocial functioning. RESULTS Nearly two thirds of the respondents (62.5%; n = 120) reported using CAM therapies for TMD or a related condition. Of all the therapies reported, massage was rated as the most frequent and among the most satisfactory and helpful. In general, respondents who used CAM for their TMD reported being most satisfied with the "hands on" CAM therapies (massage, acupuncture, and chiropractic care). The vast majority of respondents reported using CAM approaches for TMD simultaneously with conventional care (95.6%; 66 of 69). Those using CAM for TMD tended to be older, had a history of multiple medical problems, and reported more positive psychologic functioning. Respondents who most often reported CAM treatment as "very helpful" for their TMD were likely to be healthier (i.e., reporting higher levels of exercise and fewer sleep disturbances). CONCLUSION Given the frequent use of CAM treatments by our respondents, allopathic providers should inquire about the adjunctive use of CAM among their TMD patients.