TEMPOROMANDİBULAR EKLEM DİSLOKASYONU SONRASI MANİPÜLATİF FİZYOTERAPİ VE REHABİLİTASYON YAKLAŞIMLARININ ETKİSİ: BİR VAKA RAPORU

Yıl 2024, Cilt: 7 Sayı: 3, 225 - 236, 30.12.2024

Melisa Ayhan Sevinç , Gülhan Yılmaz Gökmen

Öz

Temporomandibular eklem (TME) dislokasyonu,temporomandibular eklem bozuklukları (TME) arasında yer almaktadır. Yaş, diş yapısı, çıkığın nedeni ve süresine ek olarak çiğneme kaslarının fonksiyonu da TME dislokasyonunun mekanizmasını ve tedavisini açıklamada önemlidir. Bu disfonksiyon çiğneme, yutma ve konuşmayı bozar ve başlıca semptomları eklem sesleri, hareket açıklığının azalması ve TME fonksiyonu sırasında alt çene sapmasıdır. TME tedavisi sadece çene tedavisi olarak görülmemeli; servikal omurga ve tüm kraniomandibular sistemi kapsayan tedaviyi dikkate alarak kapsamlı bir tedavi yönetimi oluşturulmalıdır. Ayrıca TME için tek bir tedavi yönteminin etkili olmadığı ve semptomları tamamen azaltmak için multidisipliner bir yaklaşımın gerekli olduğu ileri sürülmektedir. Bu çalışmada TME dislokasyonu sonrası holistik fizyoterapi ve rehabilitasyon perspektifinden tedavi ettiğimiz 21 yaşında bir olgu sunulmaktadır.

Anahtar Kelimeler

temporomandibular eklem, egzersiz, muskuloskeletal manipulasyon

EFFECT OF MANIPULATIVE PHYSIOTHERAPY AND REHABILITATION APPROACHES AFTER TEMPOROMANDIBULAR JOINT DISLOCATION: A CASE REPORT

Öz

Temporomandibular joint (TMJ) dislocation is among the Temporomandibular joint disorders (TMD). In addition to age, tooth structure, cause and duration of dislocation, the function of the chewing muscles is also crucial in explaining the mechanism and treatment of TMJ dislocation. This dysfunction impairs chewing, swallowing, and speech, and the main symptoms are joint noises, decreased range of motion, and lower jaw deviation during TMJ function. TMJ treatment should not be seen only as jaw treatment; a comprehensive treatment management should be created by taking into account the treatment including the cervical spine and the entire craniomandibular system. It is also claimed that no single treatment method for TMD is effective and that a multidisciplinary approach is required to reduce the symptoms completely. In this study, 21-year-old case, which we treated from a holistic physiotherapy and rehabilitation perspective after TMJ dislocation, is presented.

Anahtar Kelimeler

temporomandibular joint, exercise, musculoskeletal manipulation

Kaynakça

• Akinbami, B. O. (2011). Evaluation of the mechanism and principles of management of temporomandibular joint dislocation. Systematic review of literature and a proposed new classification of temporomandibular joint dislocation. Head Face Med, 7(10). https://doi.org/10.1186/1746-160x-7-10
• Anumula, S., Beku, C., & Raj, M. (2017). Reduction of tempero mandibular dislocation: a case report. Physiother Rehabil, 2(127), 2573-0312.1000127.
• Armijo-Olivo, S., Pitance, L., Singh, V., Neto, F., Thie, N., & Michelotti, A. (2016). Effectiveness of manual therapy and therapeutic exercise for temporomandibular disorders: systematic review and meta-analysis. Physical therapy, 96(1), 9-25.
• Cherian, K., Cherian, N., Cook, C., & Kaltenbach, J. A. (2013). Improving tinnitus with mechanical treatment of the cervical spine and jaw. Journal of the American Academy of Audiology, 24(07), 544-555.
• Crăciun, M. D., Geman, O., Leuciuc, F. V., Holubiac, I., Gheorghiţă, D., & Filip, F. (2022). Effectiveness of Physiotherapy in the Treatment of Temporomandibular Joint Dysfunction and the Relationship with Cervical Spine. Biomedicines, 10(11). https://doi.org/10.3390/biomedicines10112962
• de Oliveira-Souza, A. I. S., Sales, L. R. d. V., Coutinho, A. D. d. F., de Oliveira, D. A., & Armijo-Olivo, S. (2024). Effectiveness of an 8-week neck exercise training on pain, jaw function, and oral health-related quality of life in women with chronic temporomandibular disorders: a randomized controlled trial. Journal of Oral & Facial Pain and Headache, 38(1), 40-51.
• Delgado De La Serna, P., Plaza-Manzano, G., Cleland, J., Fernández-De-Las-Peñas, C., Martín-Casas, P., & Díaz-Arribas, M. J. (2020). Effects of Cervico-mandibular manual therapy in patients with temporomandibular pain disorders and associated somatic tinnitus: a randomized clinical trial. Pain Medicine, 21(3), 613-624.
• Garrigós-Pedrón, M., La Touche, R., Navarro-Desentre, P., Gracia-Naya, M., & Segura-Ortí, E. (2018). Effects of a Physical Therapy Protocol in Patients with Chronic Migraine and Temporomandibular Disorders: A Randomized, Single-Blinded, Clinical Trial. J Oral Facial Pain Headache, 32(2), 137-150. https://doi.org/10.11607/ofph.1912
• Hackenberg, B., Döge, J., O'Brien, K., Bohnert, A., Lackner, K. J., Beutel, M. E., Michal, M., Münzel, T., Wild, P. S., Pfeiffer, N., Schulz, A., Schmidtmann, I., Matthias, C., & Bahr, K. (2023). Tinnitus and Its Relation to Depression, Anxiety, and Stress-A Population-Based Cohort Study. J Clin Med, 12(3). https://doi.org/10.3390/jcm12031169
• Kalamir, A., Bonello, R., Graham, P., Vitiello, A. L., & Pollard, H. (2012). Intraoral myofascial therapy for chronic myogenous temporomandibular disorder: a randomized controlled trial. J Manipulative Physiol Ther, 35(1), 26-37. https://doi.org/10.1016/j.jmpt.2011.09.004
• La Touche, R., Fernández‐de‐Las‐Peñas, C., Fernández‐Carnero, J., Escalante, K., Angulo‐Díaz‐Parreño, S., Paris‐Alemany, A., & Cleland, J. (2009). The effects of manual therapy and exercise directed at the cervical spine on pain and pressure pain sensitivity in patients with myofascial temporomandibular disorders. Journal of oral rehabilitation, 36(9), 644-652.
• Lee, I.-s., & Kim, S.-y. (2023). Effectiveness of manual therapy and cervical spine stretching exercises on pain and disability in myofascial temporomandibular disorders accompanied by headaches: a single-center cohort study. BMC Sports Science, Medicine and Rehabilitation, 15(1), 39.
• LoMartire, R., Äng, B. O., Gerdle, B., & Vixner, L. (2020). Psychometric properties of Short Form-36 Health Survey, EuroQol 5-dimensions, and Hospital Anxiety and Depression Scale in patients with chronic pain. Pain, 161(1), 83-95.
• Mallya, S. M., Ahmad, M., Cohen, J. R., Kaspo, G., & Ramesh, A. (2022). Recommendations for imaging of the temporomandibular joint. Position statement from the American Academy of Oral and Maxillofacial Radiology and the American Academy of Orofacial Pain. Oral Surg Oral Med Oral Pathol Oral Radiol, 134(5), 639-648. https://doi.org/10.1016/j.oooo.2022.06.007
• Manske, R. C., Lehecka, B., Reiman, M., & Loudon, J. (2018). Orthopedic joint mobilization and manipulation: an evidence-based approach. Human Kinetics.
• Michelotti, A., Steenks, M. H., Farella, M., Parisini, F., Cimino, R., & Martina, R. (2004). The additional value of a home physical therapy regimen versus patient education only for the treatment of myofascial pain of the jaw muscles: short-term results of a randomized clinical trial. Journal of orofacial pain, 18(2).
• Minervini, G., Franco, R., Marrapodi, M. M., Crimi, S., Badnjević, A., Cervino, G., Bianchi, A., & Cicciù, M. (2023). Correlation between Temporomandibular Disorders (TMD) and Posture Evaluated trough the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD): A Systematic Review with Meta-Analysis. J Clin Med, 12(7). https://doi.org/10.3390/jcm12072652
• Mulet, M., Decker, K. L., Look, J. O., Lenton, P. A., & Schiffman, E. L. (2007). A randomized clinical trial assessing the efficacy of adding 6 x 6 exercises to self-care for the treatment of masticatory myofascial pain. J Orofac Pain, 21(4), 318-328.
• Rezaie, K., Amiri, A., Ebrahimi Takamjani, E., Shirani, G., Salehi, S., & Alizadeh, L. (2022). The Efficacy of Neck and Temporomandibular Joint (TMJ) Manual Therapy in Comparison With a Multimodal Approach in the Patients with TMJ Dysfunction: A Blinded Randomized Controlled Trial. Med J Islam Repub Iran, 36(45). https://doi.org/10.47176/mjiri.36.45
• Sata, J. (2012). A study to compare the effectiveness of conventional treatment versus Temporomandibular joint mobilization in patients with Temporomandibular joint disorders. Indian Journal of Physiotherapy and Occupational Therapy, 6(3), 178.
• Shaffer, S. M., Brismée, J. M., Sizer, P. S., & Courtney, C. A. (2014). Temporomandibular disorders. Part 2: conservative management. J Man Manip Ther, 22(1), 13-23. https://doi.org/10.1179/2042618613y.0000000061
• Sikka, I., Chawla, C., Seth, S., Alghadir, A. H., & Khan, M. (2020). Effects of deep cervical flexor training on forward head posture, neck pain, and functional status in adolescents using computer regularly. BioMed Research International, 2020(1), 8327565.
• Wadhokar, O. C., & Patil, D. S. (2022). Current Trends in the Management of Temporomandibular Joint Dysfunction: A Review. Cureus, 14(9), e29314. https://doi.org/10.7759/cureus.29314
• Walker, H. K., Hall, W. D., & Hurst, J. W. (1990). Clinical methods: the history, physical, and laboratory examinations.
• Zhang, J., Huo, Y., Lui, G., Li, M., Tyler, R. S., & Ping, H. (2022). Reliability and Validity of the Tinnitus Handicap Inventory: A Clinical Study of Questionnaires. The journal of international advanced otology, 18(6), 522.