Temporomandibular Disorders and PhysicalTherapy Approaches

Yıl 2015, Cilt: 24 Sayı: 4, 542 - 554, 15.09.2015

İlke Benlidayı Tunay Sarpel

https://doi.org/10.17827/aktd.99046

Öz

Temporomandibular disorders are comprised of clinical problems associated with masticatory muscles, temporomandibular joint and neighboring tissues. The frequency of temporomandibular disorders is high among premenopausal women. Patient education and behavioral therapy, occlusal splints, pharmacological agents, intra-articular and surgical approaches and physical therapy methods are used in the treatment of temporomandibular disorders. Physical therapy approaches include exercise (passive stretching, resistive and posture exercises), superficial heat and cold applications, transcutaneous electrical nerve stimulation, therapeutic ultrasound, trigger point injections, acupuncture and laser. In this article, temporomandibular disorders were reviewed and physical therapy methods used for treatment were discussed in detail.

Anahtar Kelimeler

Physical therapy, rehabilitation, temporomandibular disorder

Temporomandibular Bozukluklar ve Fizik Tedavi Yaklaşımları

Öz

Temporomandibular bozukluklar, çiğneme kasları, temporomandibular eklem ve çevresindeki dokularla ilişkili klinik problemleri içerir. Görülme sıklığı premenapozal dönemdeki kadınlarda yüksektir. Temporomandibular bozuklukların tedavisinde, hasta eğitimi ve davranışsal terapi, oklüzal splintler, farmakolojik ajanlar, intraartiküler ve cerrahi uygulamalar ile fizik tedavi yöntemlerinden faydalanılır. Fizik tedavi yaklaşımları arasında, egzersiz (pasif germe egzersizleri, dirençli egzersizler ve postür egzersizleri), yüzeyel sıcak ve soğuk uygulamalar, transkutanöz elektriksel sinir stimülasyonu, terapotik ultrason, iyontoforez, tetik nokta enjeksiyonları, akupunktur ve laser yer alır. Bu derlemede, temporomandibular bozukluklar genel olarak ele alınıp, tedavide kullanılan fizik tedavi yöntemleri ayrıntılı olarak tartışılmıştır.

Anahtar Kelimeler

Fizik tedavi, rehabilitasyon, temporomandibular bozukluk

Kaynakça

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• Correspondence Address / Yazışma Adresi