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The effect of temporomandibular joint movement on tinnitus
±èÁ¤¸ð, ±èżö, ³²ÀÇö,
¼Ò¼Ó »ó¼¼Á¤º¸
±èÁ¤¸ð ( Kim Jung-Mo ) - °¿ø´ëÇб³º´¿ø ±¸°¾Ç¾È¸é¿Ü°ú
±èżö ( Kim Tae-Su ) - °¿ø´ëÇб³º´¿ø À̺ñÀÎÈÄ°ú
³²ÀÇö ( Nam Eui-Cheol ) - °¿ø´ëÇб³ ÀÇÇÐÀü¹®´ëÇпø À̺ñÀÎÈÄ°úÇб³½Ç
KMID : 0355220130380040333
Abstract
Purpose: ƯÁ¤ÇÑ ÇüÅÂÀÇ À̸íÀº ±× ¹ß»ý¿¡ ÀÖ¾î¼ Ã»°¢°è¿Í ü¼º°¨°¢°èÀÇ »óÈ£ÀÛ¿ëÀÌ ÇÙ½ÉÀûÀÎ ¿ªÇÒÀ» ÇÏ°í ÀÖÀ½À» ½Ã»çÇÏ´Â Áõ°ÅµéÀÌ Áö¼ÓÀûÀ¸·Î ¿¬±¸µÇ¾î ¹ßÇ¥µÇ°í ÀÖ´Ù. ÀÌ·¯ÇÑ ¸Æ¶ô¿¡¼ º» ¿¬±¸´Â ÅÎÀÇ ¿îµ¿ÀÌ ÀÌ¸í¿¡ ¹ÌÄ¡´Â ¿µÇâÀ» Á¶»çÇÏ°íÀÚ °èȹµÇ¾ú´Ù.
Methods: 163¸í À̸í ȯÀÚÀÇ 217±Í¸¦ ´ë»óÀ¸·Î ¼øÀ½Ã»·Â°Ë»ç, À̸íÀÇ Æ¯¼º¿¡ ´ëÇÑ ¼³¹®Á¶»ç, À̸íÀÇ Å©±â, Áö¼Ó½Ã°£ ¹× ±«·Î¿î Á¤µµ¿¡ ´ëÇÑ ½Ã°¢»ç»óôµµ(visual analogue scale) Á¶»ç¿Í ÇÔ²² 9 Ç׸ñÀÇ ÅΰüÀýÀÇ µîô¼º ¿îµ¿¿¡ µû¸¥ À̸íÀÇ Å©±â º¯È¸¦ Á¶»çÇÏ´Â À̸íÀÇ Ã¼¼ºÁ¶Àý °Ë»ç¸¦ ½ÃÇàÇÏ¿´´Ù.
Results: ü¼ºÁ¶Àý °Ë»ç¸¦ ½ÃÇàÇÑ À̸í ȯÀÚÀÇ 217±Í Áß 125±Í(57.6 %)¿¡¼ À̸íÀÇ Å©±â°¡ º¯ÇÔÀ» °üÂûÇÒ ¼ö ÀÖ¾ú´Ù. ÀÏÃø¼º À̸í 109±ÍÁß 70±Í(64.2%)¿¡¼ ü¼ºÁ¶Àý¿¡ ¹ÝÀÀÇÏ¿© ¾çÃø¼º À̸í 108±ÍÁß 55±Í(50.9%)ÀÇ ¹ÝÀÀº¸´Ù À¯ÀÇÇÏ°Ô ³ôÀº ºóµµ¸¦ º¸¿´´Ù(p<0.05). °Ë»ç Ç׸ñ ¸ðµÎ¿¡¼ À̸íÀÇ Å©±â Áõ°¡°¡ °¨¼Òº¸´Ù ´õ ÀÚÁÖ °üÂûµÇ¾ú°í, Å©±â Áõ°¡ÀÇ ºóµµ´Â 6.7-15.4%·Î °³±¸ ¹× À̾ǹ°±â Ç׸ñ¿¡¼ °¡Àå ÀÚÁÖ À̸íÀÇ Å©±â Áõ°¡°¡ À¯¹ßµÇ¾ú´Ù.
Conclusion: º» ¿¬±¸ °á°ú, ÅÎÀÇ ¿îµ¿Àº À̸íÀ» ¾ÇÈ È¤Àº À¯¹ß½Ãų ¼ö ÀÖÀ¸¸ç, ü¼ºÁ¶Àý °Ë»ç´Â ÅÎ °üÀýÀÇ ÀÚ±ØÀÌ À̸íÀÇ À¯¹ß ¹× ¾ÇÈ¿äÀÎ Àΰ¡¸¦ Æò°¡ÇÏ´Â ¹æ¹ýÀ¸·Î È°¿ëÇÒ ¼ö ÀÖÀ» °ÍÀ¸·Î »ý°¢µÈ´Ù.
Purpose: A growing number of studies have been providing evidence for neural connections between the auditory and somatosensory systems that might be a critical part of the mechanisms underlying certain forms of tinnitus. The aim of this study was to investigate the effect of temporomandibular joint (TMJ) movements on tinnitus.
Methods: One hundred sixty-three tinnitus patients participated in this study. All patients underwent a thorough audiological examination including pure-tone audiometry, tinnitus handicap inventory, and evaluation of tinnitus loudness, frequency and severity on a visual analog scale. Somatic testing consisting of nine forceful jaw muscle contractions was performed to evaluate the effect of TMJ movements on modulation of tinnitus.
Results: 66.9% of patients had unilateral tinnitus. Somatic testing modulated tinnitus loudness in 125 ears (57.6 %) of 217 ears tested. An increase in tinnitus loudness was observed more often than a decrease. Loudness was most commonly increased by opening and clenching jaw. Tinnitus could be induced by opening, clenching and deviating jaw to the left.
Conclusion: Our study showed evidence that TMJ movements may aggravate and even evoke tinnitus and somatic testing can be used for evaluating if stimulation of the TMJ induces or aggravates tinnitus.
Å°¿öµå
À̸í; ü¼º Á¶Àý; ÅΰüÀý
somatic modulation; temporomandubular joint; tinnitus
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