Tag: Staw skroniowo-żuchwowy

颞下颌关节与髋关节之间的功能性联系

Kamil Lenczewski, Małgorzata Wójcik

Kamil Lenczewski, Małgorzata Wójcik – Functional connections between the temporomandibular joint and the hip joint –  Fizjoterapia Polska 2024; 24(1); 122-125

DOI: https://doi.org/10.56984/8ZG2EF8R1m

摘要
引言。形成颞下颌关节紊乱的一些因素是中枢和外周神经系统的变化。在创建两个关节之间的联系的背景下，筋膜和生物张力整合的概念是重要的。在组织中创建的张力沿整个身体线性分布。在一个结构内创建过度的张力可以导致在一个远处的结构中创建相同的张力。
研究目的。研究假设是，对颞下颌关节进行持续7分钟的软组织手法治疗，将会影响髋关节在外展运动中的活动度增加。
结果。右侧和左侧髋关节获得的值显示出强烈且正向的相关性。这证明了所进行的治疗对增加运动范围有影响。
结论。颞下颌关节组织的肌筋膜释放对增加髋外展运动范围有正面效果。
关键词
手法治疗，髋关节，运动范围，颞下颌关节，肌筋膜链
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Metody manualnej rehabilitacji oraz ocena ich skuteczności na przykładzie pacjenta po zwichnięciu stawu skroniowo-żuchwowego

Przemysław Pasiak, Tomasz Tomaszewski

P. Pasiak, T. Tomaszewski – Methods of manual rehabilitation and assessment of their effectiveness on the example of a patient after temporomandibular joint dislocation. Fizjoterapia Polska 2020; 20(3); 108-114

Streszczenie
Wstęp. W pracy przedstawiono metody rehabilitacji stosowane przy schorzeniach w obrębie twarzoczaszki, a także omówiono najczęstsze przyczyny predysponujące do zwichnięcia stawu skroniowo-żuchwowego. Zaburzenia te są problemem wielopłaszczyznowym. W ich procesie leczniczym, na różnych etapach, konieczny jest udział zarówno specjalistów chirurgii twarzowo-szczękowej, jak i ortodontów, logopedów, psychologów oraz fizjoterapeutów.
Cel pracy. Celem pracy było omówienie metod fizjoterapii stosowanych w leczeniu zaburzeń w obrębie stawu skroniowo-żuchwowego oraz ocena ich skuteczności na przykładzie pacjenta po zwichnięciu prawego stawu skroniowo-żuchwowego.
Materiały i metody. W pracy opartej na opisie pacjenta, który zgłosił się do gabinetu fizjoterapii, u którego doszło do zwichnięcia prawego stawu skroniowo-żuchwowego, przedstawiono postępowanie lecznicze stosowane przez specjalistów z zakresu chirurgii szczękowo-twarzowej oraz fizjoterapeutów.
Wyniki. Wdrożenie rehabilitacji przyniosło następujące efekty: zwiększenie zakresu ruchomości żuchwy, zmniejszenie dolegliwości bólowych, redukcję obrzęku, rozluźnienie mięśni.
Wnioski. Fizjoterapia powinna być jednym z elementów kompleksowego leczenia pacjentów z zaburzeniami w obrębie stawów skroniowo-żuchwowych.
Słowa kluczowe:
staw skroniowo-żuchwowy, rehabilitacja, chirurgia szczękowo-twarzowa
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Effect of Immediate Versus Gradual Exercises Program on Maximum mouth opening Post Temporomandibular Joint Arthroscopy: A randomized controlled trial

Zeinab A. Ali, Marwa M. Eid

Zeinab A. Ali, Marwa M. Eid – Effect of Immediate Versus Gradual Exercises Program on Maximum mouth opening Post Temporomandibular Joint Arthroscopy: A randomized controlled trial. Fizjoterapia Polska 2020; 20(2); 52-57

Streszczenie

Objective. The purpose of this study was to compare two physiotherapy programs for rehabilitation of patients after temporomandibular joint (TMJ) arthroscopy. Methods: Sixty patients diagnosed with closed lock and treated with arthroscopic lysis and lavage participated in this study, patients were divided into two groups: Group A (immediate program): included thirty patients rehabilitated with immediate full range of motion self-exercises. Group B (gradual program): included thirty patients rehabilitated with progressively increasing range of motion self-exercises. Outcome Measures. Maximum mouth opening (MMO) by measuring distance between the upper and lower incisors while the patient actively opens the mouth were assessed by Ruler, Pain assessment was done by using visual analogue scale. The measurements taken by the end of first month of treatment, analyzed and compared between the two groups. Results. Statistical analysis showed significant improvement in MMO and pain outcomes for the immediate group than for the gradual group. Conclusion. Based on the obtained results this study concluded that, a physiotherapy program consisting of immediate postoperative full range of motion mobilizations achieves better results (in terms of pain and mouth opening) than a physiotherapy program consisting of gradual and controlled increases in range of motion of closed lock of the TMJ after arthroscopic treatment.

Słowa kluczowe: Temporomandibular Joint, Arthroscopy, Maximum mouth opening

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實施手工理療活動作為支持先天性叮咬和顳下頜關節畸形手術治療的重要因素 – 病例報告

Szymon Tyszkiewicz, Marta Tyndorf, Krzysztof Dowgierd

S. Tyszkiewicz, M. Tyndorf, K. Dowgierd – Implementation of manual physiotherapeutic activities as an important element of supporting surgical treatment in congenital malformations of the bite and temporomandibular joints – case report. Fizjoterapia Polska 2019; 19(3); 38-45

摘要
简介：用于治疗先天性颅面缺损的外科手术可能会导致口颔系统功能受损的并发症，这些缺陷为多方面的问题，在不同阶段的治疗过程中必须有颔面外科专家、显微外科医生、正牙医生、语言治疗师及物理治疗师等参与。
研究目的。本研究目的在确认物理治疗对接受咀嚼系统疾病患者的口颔系统运动恢复上的有效性。
材料和方法：针对颞下颔关节假体进行了双颔骨成形术的颞下颔关节先天性强直患者所进行的报告中提出使用物理疗程的分析。
结果：超过半年来来所使用的物理疗法带来成果，水肿降低且达到预期的外展范围，另外疼痛减轻且吞咽能力恢复。持续的疗程能让效果维持，然而工作强度降低时效果将中断。为了提高并稳定效果，计划对患者进行微移植（电缆式神经移植术）及正畸治疗（牙尖吻合及正中牙合），与语言治疗师和物理治疗师的配合也将继续进行。
结论。支持性物理治疗应作为颅骨面部手术后患者治疗的要素之一，无论其成因为何，是否是受伤、天生缺陷或正颔手术造成。

关键词：
关节成形术、强直、牙科理疗、颞下颔关节

 

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The physiotherapeutic estimation of the act of temporal-mandibular joints among students of Medical University of Gdańsk

Maciej Krzyżanowski, Rita Hansdorfer-Korzon, Elżbieta Rajkowska-Labon

M. Krzyżanowski, R. Hansdorfer-Korzon, E. Rajkowska-Labon – The physiotherapeutic estimation of the act of temporal-mandibular joints among students of Medical University of Gdańsk. FP 2014; 14(4); 14-22

Abstract

Aim of the study. 1. Evaluating the activity of temporomandibular joints manifesting features of dysfunction in students of the Medical University Gdańsk, 2. Quantitative analysis of the disorders occurring in temporomandibular joints. 3. Proving the correlation between the investigated parameters and the analysed dysfunctions in temporomandibular joints
The materials and research method. For the examination, 40 students in the age of 19 to 27 years (21 women and 19 men) were classified, representing the average age of 23 years.  For the needs of this study, a card of patient examination had been constructed. The evaluation covered, among others, such parameters as: the mobility range of the jaw, the Rozencwaig’s dyskinesia index, the movement of the joint head during the jaw abduction, acoustic symptom, pain index, the presence of trigger points, the cervical spine mobility range.  The obtained results were subjected to statistical analysis with the application of Statistica 10 software .
Results. Analysis of the investigated parameters revealed that dysfunctions of mobility range, at least in one direction, occur in 87,5% (n=35) of the examined persons. The Rozencwaig’s dyskinesia index was proven in 37,5% (n=15). Asymmetric movement of the joints heads occurred in 67,5% (n=27) of the examined persons; and the disorders of the jaw guiding track and the presence of the acoustic symptom were revealed in 80% (n=32) out of the total 40 of the examined persons. Among 57,5% (n=23) of the examined, the presence of trigger points was revealed within the masseter and the temporalis muscles, or in one of them. Dysfunction of the temporomandibular joints correlates, among others, with a reduction of the mobility range in the cervical spine, with acoustic symptoms and presence of parafunctions.
Conclusions. A significant percentage of the temporomandibular joints dysfunctions was observed among students. Attention was attracted by the high percentage of people performing parafunctions. Correlations statistically significant for the temporomandibular joints were proven.

Key words:
temporomandibular joint, dysfunction, physiotherapy

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