외측익돌근에 대한 일반적인 촉진과 기능적 수조작법의 평가
Evaluation of Lateral Pterygoid Muscle Symptoms using intraoral Palpation and Functional Manipulation
안용우, 이상준, 김해규,
소속 상세정보
안용우 ( ) - 부산대학교 치과대학 구강내과학
이상준 ( ) - 부산대학교 치과대학 구강내과학
김해규 ( ) - 부산대학교 치과대학 구강내과학
KMID : 0355220020270040467
Abstract
Objective In TMDs that have masticatory pain as a primary symptom, it is imperative that the source of the pain be identified. However, in case of lateral pterygoid muscle, the anatomical location of this muscle made palpation difficult and false-positive responses were reported with intraoral approach. Therefore, the purpose of this study is to compare the intensity of the pain on palpation with on functional manipulation of the inferior lateral pterygoid muscle.
Methods 123 subjects, 61 healthy subjects and 62 TMD patients, were classified into control and pain group. To evaluate the intra－ and inter－examiners reliability, all of the subjects were examined by two different investigators. Palpation of lateral pterygoid muscle is accomplished by placing the index finger on the posterior to the maxillary tuberosity and functional manipulation by having the subjects made a protrusive movement against resistance.
Results 1. there was no significant difference of intra－examiners on both right and left muscles. 2. It was found that the difference of inter－examiners was prominent during palpation, but no statistical difference was showed during functional manipulation. 3. The intensity of the pain of inter－examiners was more severe during palpation than functional manipulation. 4. In both groups, a false－positive results were found with palpation.
Conclusion functional manipulation is more reliable and helpful in identifying lateral pterygoid muscle symptoms and in making anlete diag accurate and compnosis than palpation.
키워드
원문 및 링크아웃 정보
등재저널 정보