Short-term effectiveness of conservative therapies in pain, quality of life, and sleep in patients with temporomandibular disorders: A randomized clinical trial
Short-term effectiveness of conservative therapies in pain, quality of life, and sleep in patients with temporomandibular disorders: A randomized clinical trial
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DOI：
10.1080/08869634.2019.1627068
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发表时间：
2019-06-16
影响因子：
1.6
通讯作者：
de Almeida, Erika Oliveira
中科院分区：
文献类型：
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作者：
Bastos Machado de Resende, Camila Maria;Lemos de Oliveira Medeiros, Fernanda Gondim;de Almeida, Erika Oliveira
目的：评价保守疗法对TMD患者疼痛、生活质量和睡眠的短期疗效。方法：89例经RDC-TMD诊断的TMD患者分为咬合夹板（OS, n= 24）、手工治疗（MT, n= 21）、心理咨询（C, n= 19）和OS合并C （OSC, n= 25）治疗组。在基线和1个月内通过VAS（疼痛）、PSQI（睡眠质量- sq）、WHOQOL-BREF（生活质量-QL）和oship -14（与口腔健康相关的生活质量- qloh）进行数据收集。采用分裂图方差分析（Split Plot ANOVA）检验观察组间和时间间的差异。结果：随着时间的推移，所有疗法都有效，改善了疼痛（p< 0.001）、SQ （p= 0.001）、QLOH （p< 0.001）和QL (p= 0.006)，但它们之间没有差异。讨论：治疗在改善疼痛、SQ和生活质量方面是有效的；然而，没有任何治疗组优于其他治疗组。
Objective: To evaluate, in the short term, the effectiveness of conservative therapies in pain, quality of life, and sleep in TMD patients. Methods: Eighty-nine TMD patients diagnosed by RDC-TMD were distributed in occlusal splints (OS; n= 24), manual therapy (MT; n= 21), counseling (C; n= 19), and OS associated with C (OSC; n= 25) therapy groups. Data collection was performed at baseline and within one month by VAS (pain), PSQI (sleep quality -SQ), WHOQOL-BREF (Quality of life - QL) and OHIP-14 (quality of life related to oral health -QLOH). The Split Plot ANOVA test was used to observe the difference between groups and over time. Results: All therapies were effective over time, improving pain (p< .001), SQ (p=.001), QLOH (p< .001), and QL (p= .006), but not between them. Discussion: The therapies were effective in improving pain, SQ, and quality of life; however, no therapeutic group was superior to the other.