Abstract:
OBJECTIVE:To evaluate the use of exercise therapy for the treatment of craniomandibular disorders (CMDs). DESIGN:Before-after trial. All patients were assigned to a waiting list, serving as a no-treatment control period. SETTING:Outpatient clinic for physical medicine and rehabilitation of the University of Vienna. PATIENTS:Thirty consecutive patients suffering from CMD with anteridr disc displacement with reduction who were consulting a CMD service. INCLUSION CRITERIA:(1) symptoms lasting at least 3 months, (2) pain in the temporomandibular region, (3) a positive axiography, and (4) evidence of postural dysfunction. Twenty-six patients completed the study; no adverse effects occurred. INTERVENTIONS:Active and passive jaw movement exercises, correction of body posture, and relaxation techniques. MAIN OUTCOME MEASURES:(1) Pain at rest, (2) pain at stress, (3) impairment, and (4) mouth opening at baseline, before and after treatment, and at 6-month follow-up. RESULTS:During the control period, no changes occurred. After the treatment, pain and impairment were significantly reduced (Wilcoxon test, p < .001). Four patients had a restricted mouth opening, in contrast to 15 before treatment (chi2 test, p < .005). Joint clicking vanished in 13.3% and was reduced in another 13.3% (chi2 test, p < .01). These results did not change until follow-up. Seventy-five percent of the patients were treated successfully. CONCLUSION:Exercise therapy seems to be useful in the treatment of anterior disc displacement with reduction.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Nicolakis P,Erdogmus B,Kopf A,Djaber-Ansari A,Piehslinger E,Fialka-Moser Vdoi
10.1053/apmr.2000.6282subject
Has Abstractpub_date
2000-09-01 00:00:00pages
1137-42issue
9eissn
0003-9993issn
1532-821Xpii
S0003-9993(00)65588-0journal_volume
81pub_type
临床试验,杂志文章abstract:OBJECTIVES:To determine the factors associated with acute hospital discharge to the 3 most common postacute settings following total knee arthroplasty (TKA): inpatient rehabilitation facilities (IRFs), skilled nursing facilities (SNFs), and directly back to the community. DESIGN:Retrospective cohort study. SETTING:Ac...
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journal_title:Archives of physical medicine and rehabilitation
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更新日期:2012-12-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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更新日期:1989-03-01 00:00:00
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