物理治疗师与牙医在治疗咀嚼系统功能障碍患者中的合作 —— 问卷调查

Marta Grzegocka, Małgorzata Marjańska, Małgorzata Kowacka, Konrad Kijak, Helena Gronwald, Piotr Skomro, Adam Andrzej Garstka, Danuta Lietz-Kijak

Marta Grzegocka, Małgorzata Marjańska, Małgorzata Kowacka, Konrad Kijak, Helena Gronwald, Piotr Skomro, Adam Andrzej Garstka, Danuta Lietz-Kijak – The cooperation between physiotherapist and dentist in treatment of patient with functional disorders of the masticatory system – questionnaire survey. Fizjoterapia Polska 2023; 23(5); 69-74

DOI: https://doi.org/10.56984/8ZG20Bm5D

摘要
介绍。牙医和物理治疗师在咀嚼器官功能障碍领域的经验与身体整体的关系证实了咀嚼器官运动系统障碍问题不是一个局部问题的观点。因此,此类疾病的治疗不应仅限于使用保守的、正畸的或修复的方法重建静态和动态咬合,忽视与颈部节段和脊柱进一步节段相关的肌肉骨骼、筋膜、骨关节链的适当活动化。将功能障碍的诊断和治疗仅限于口腔咀嚼系统的元素可能会在患者中引发更大的疾病和痛苦。
与口腔咀嚼系统相关的广泛症状,导致不愉快的疼痛和情绪障碍,决定患者寻求多个专家的帮助,包括:耳鼻喉科医生、神经科医生或物理治疗师。患者有机会治愈这些健康问题,前提是整个康复团队合作:牙医、物理治疗师、心理学家和专门从事咀嚼系统功能障碍的言语治疗师。
研究目的。研究的目的是确定在治疗咀嚼系统功能障碍患者中建立物理治疗师和牙医之间合作的需求。
材料与方法。研究在西波美拉尼亚省的28名物理治疗师中进行。所使用的诊断工具是一份访谈问卷,包含许多关于与牙医合作治疗被推荐进行物理治疗的咀嚼系统障碍患者的条件和质量的问题。
结论。现有的物理治疗方法缩短了疾病的持续时间,例如通过按摩、手法治疗(触发点疗法、活动化、肌肉放松后等位)、物理治疗(超声波、生物刺激激光、冷疗、光疗、磁场)和练习(放松、稳定、本体感觉),患者在治疗师的监督下和之后独自在家进行。在治疗咀嚼系统障碍的患者中取得积极效果需要牙医和物理治疗师之间的持续合作。只有全面的、整体的诊断和治疗方法才是有效治疗的条件。
关键词
物理治疗师,牙医,咀嚼系统
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Physicodiagnostic amalysis of the ozonotherapy effectiveness on not afflicted craniofacial skin

Danuta Lietz-Kijak, Paulina Strzelecka, Elżbieta Kubala, Kamil Kosko, Aleksandra Simińska, Barbara Stępniak, Artur Perz, Łukasz Kopacz, Marta Grzegocka, Marek Kiljański, Zbigniew Śliwiński

D. Lietz-Kijak, P. Strzelecka, E. Kubala, K. Kosko, A. Simińska, B. Stępniak, A. Perz, Ł. Kopacz, M. Grzegocka, M. Kiljański, Z. Śliwiński – Physicodiagnostic amalysis of the ozonotherapy effectiveness on not afflicted craniofacial skin. FP 2017; 17(1); 46-55

Abstract
Aim. Evaluation the impact factor of therapeutic agent in the form of ozone application to temperature and feeling on superficial skin on facial part of the skull.
Material and Methods. The study included 60 patients, healthy, not taking any medication, aged 20 – 30 years old, 30 women and 30 men. Each time, before diagnostic tests, on cleansed skin determined 3 points: A – Supramentale, B – Chelion and C – projection of head of condylar process
of mandible on surface of skin. Then proceeded to double application of ozone – 30-and 60-seconds, in accordance with current standards for extraoral areas. Between the applications and measurements of sensation and temperature respected 15-minute break. Sensation measurement was carried out using PulpoEndometr device, and temperature was tested with laser pointer thermometer (CA 380). The last element was noticing sensations of pain using VAS scale.
Results. The results were analyzed using Statistica software.
Conclusions. 30-seconds of application in point. A woman pointing to the initial symptoms of analgesic, but in the general population can be seen only trailers that action. 60-seconds
of application at this point, and both applications in point. B showed a slightly increased sensitivity to stimuli. Different applications of ozone impact were noted in point. C, which was a slight decrease
in sensitivity to stimuli. It is worth noting that both applications of ozone in men at point C show some symptoms of analgesic.

Key words:
ozontheraphy, analgesia, feeling, temperature, OzonyTron

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