Temporomandibular disorders treatment: comparison of home exercise an manual therapy

Öz

Purpose: The aim of this study was to compare the effectiveness of home exercises therapy (HT) and manual therapy (MT) in patients with temporomandibular disorders (TMD) after 4weeks of intervention period. Methods: Forty patients with TMD with myofascial pain and/or anterior disc displacement with reduction were randomly divided into two groups: HT (N=20) and MT (N=20) groups. The HT group received education and postural exercises. The MT group

Anahtar Kelimeler

• Temporomandibular joint dysfunction, Manual therapy, Exercise therapy

Temporomandibular disfonksiyon tedavisi: ev egzersizi ve manual tedavinin karşılaştırılması

Öz

Amaç: Çalışmanın amacı, temporomandibular eklem disfonksiyonu (TMD) olan hastalarda ev egzersiz tedavisi (ET) ile manuel tedavinin (MT) etkisini dört haftalık tedavi sonrası karşılaştırmaktı. Yöntem: Bu çalışma TMD miyofasiyal ağrılı ve/veya temporomandibular eklem redüksiyonlu disk problemi olan 40 hasta ile gerçekleştirildi. Hastalar rastgele yöntemle ET grubu (N=20) ile MT grubu (N=20) olmak üzere ikiye ayrıldı. ET grubuna, eğitim ile postür egzersizleri verildi. MT grubuna; eğitim, postür egzersizleri ve temporomandibular eklem ve yumuşak doku mobilizasyonu uygulandı. Her iki grupta tedavi öncesi ve tedavi sonrası ağrı ve baş postürü açısından değerlendirildi. Sonuçlar: Her iki grubun tedavi öncesi ve sonrası değerleri karşılaştırıldığında vizüel ağrı skalası (VAS) ve baş postüründe istatistiksel olarak anlamlı gelişme saptandı (p<0.05). VAS değerinde azalma ve baş postüründe düzelme kaydedildi. Gruplar arası karşılaştırma yapıldığında her iki parametrede de iyileşme açısından farkın MT grubu lehine istatistiksel olarak anlamlı olduğu belirlendi (p<0.05). Tartışma: TMD hastalarında ET ve MT programlarının birlikte uygulanmasının daha etkili olduğu görüldü

Anahtar Kelimeler

• Temporomandibular eklem disfonksiyonu, Manuel tedavi, Egzersiz tedavisi

Kaynakça

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