A home-based exercise program for temporomandibular joint osteoarthritis: pain, functionality, and joint structure
Macias-Hernandez Salvador Israel, Morones-Alba Juan Daniel, Tapia-Ferrusco Irene, Velez-Gutierrez Oscar Benjamin, Hernandez-Diaz Cristina, Nava-Bringas Tania Ines, Cruz-Medina Eva, Toro Lya Contreras-del, Soria-Bastida Ma. de los Angeles,
소속 상세정보
( Macias-Hernandez Salvador Israel ) - Instituto Nacional de Rehabilitacion Luis Guillermo Ibarra Ibarra Spine Rehabilitation and Osteoporosis Clinic
( Morones-Alba Juan Daniel ) - University of the Army and Air Force of Mexico Military School of Dentistry Oral and Maxillofacial Surgery
( Tapia-Ferrusco Irene ) - Instituto Nacional de Rehabilitacion Luis Guillermo Ibarra Ibarra Physical Therapy Division
( Velez-Gutierrez Oscar Benjamin ) - Instituto Nacional de Rehabilitacion Luis Guillermo Ibarra Ibarra Physical Therapy Division
( Hernandez-Diaz Cristina ) - Instituto Nacional de Rehabilitacion Luis Guillermo Ibarra Ibarra Musculoskeletal Ultrasound Laboratory
( Nava-Bringas Tania Ines ) - Instituto Nacional de Rehabilitacion Luis Guillermo Ibarra Ibarra Spine Rehabilitation Department
( Cruz-Medina Eva ) - Instituto Nacional de Rehabilitacion Luis Guillermo Ibarra Ibarra Sports Rehabilitation Departament
( Toro Lya Contreras-del ) - Instituto Nacional de Rehabilitacion Luis Guillermo Ibarra Ibarra Sports Rehabilitation Departament
( Soria-Bastida Ma. de los Angeles ) - Instituto Nacional de Rehabilitacion Luis Guillermo Ibarra Ibarra Orthopedic Rehabilitation Departament
Abstract
Objectives: Osteoarthritis (OA) is the most prevalent and disabling joint disease in the world. Temporomandibular joint (TMJ) exercise is a widely used treatment and could be a beneficial and long-term tool for treating TMJ OA. The present study aims to evaluate the effects of therapeutic exercise in the conservative treatment of TMJ OA.
Materials and Methods: A single-group experimental pre-post test was performed. We included patients who met the diagnostic criteria for TMJ OA. Outcome variables were pain intensity (visual analogue scale), functionality (Helkimo index), and structural changes (ultrasound). Follow-up peri-ods were at months 1, 3, and 6. The intervention included a home-based program with thermotherapy, manual therapy, and therapeutic exercise during the entire follow-up period.
Results: We included 15 patients and 26 joints, all women with a median age of 57 years (range, 49-62 years). Median change in pain intensity on joint palpation, mouth opening, and at rest at the first month was 47.5 mm, 51 mm, and 60 mm, respectively, and 48 mm, 49.5 mm, and 42.5 mm, at six months (P=0.001). The Helkimo index showed significant improvement in medians from baseline severe dysfunction (17 points) to minimal dys-function at three and six months (2 points) (P=0.001). Ultrasound showed improved disc position.
Conclusion: This study demonstrated significant improvements in pain, function, and joint disc position and represents a valuable tool for the long-term treatment of patients with TMJ OA.
키워드
Osteoarthritis; Temporomandibular joint; Excercise; Pain
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