측두하악관절 수술 후 관절 운동프로그램이기능회복에 미치는영향
Effect of a Therapeutic Exercise Program on the Functional Recovery Following Temporomandibular Joint Surgery
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The purposes of this study were to assess the effect of therapeutic exercise and tooffer an approach to the physical therapy and rehabilitation procedure of thetemporomandibular joint (TMJ) following surgery. In this research, 42 patients withTMJ surgery were assigned one of two groups. The experimental group included 21 patients who performed therapeutic exercise, and the control group included 21 patientswho did not perform therapeutic exercise. Conservative therapy such as an ice pack, ahot pack, and pulsed ultrasound was applied to both groups. Treatment was appliedtwice a day during the admission period and, after discharge, everyday for six weeks. Visual analogue scale (V AS), incisal biting force, and joint ROM were measured beforesurgery and at 30 days after surgery. The results were as follows: V AS (p<0.05),mouth opening (p<O.01), lateral excursion to unaffected side (p<0.05), and protrusion(p<0.05) between experimental group and control group showed statistically significantdifferences. Incisal biting force and lateral excursion to affected side betweenexperimental group and control group showed no statistically significant difference.
Abstract
The purposes of this study were to assess the effect of therapeutic exercise and tooffer an approach to the physical therapy and rehabilitation procedure of thetemporomandibular joint (TMJ) following surgery. In this research, 42 patients withTMJ surgery were assigned one of two groups. The experimental group included 21 patients who performed therapeutic exercise, and the control group included 21 patientswho did not perform therapeutic exercise. Conservative therapy such as an ice pack, ahot pack, and pulsed ultrasound was applied to both groups. Treatment was appliedtwice a day during the admission period and, after discharge, everyday for six weeks. Visual analogue scale (V AS), incisal biting force, and joint ROM were measured beforesurgery and at 30 days after surgery. The results were as follows: V AS (p<0.05),mouth opening (p<O.01), lateral excursion to unaffected side (p<0.05), and protrusion(p<0.05) between experimental group and control group showed statistically significantdifferences. Incisal biting force and lateral excursion to affected side betweenexperimental group and control group showed no statistically significant difference.