Impact of multimodal physical therapy combined with extracorporeal shock wave therapy on patients with temporomandibular joint disorders
Objective To explore the effect of multimodal physical therapy combined with extracorporeal shock wave therapy(ESWT)on patients with temporomandibular joint disorders.Methods This prospective controlled study included 240 patients with temporomandibular disorders treated at Second Hospital,Air Force Military Medical University from January 2021 to January 2023.The patients were randomly divided into a control group and an observation group by the random number table method,with 120 cases in each group.There were 68 males and 52 females in the control group;they were(39.25±4.14)years old;their disease course was(61.59±8.54)d.There were 70 males and 50 females in the observation group;they were(39.37±4.28)years old;their disease course was(61.71±8.62)d.The control group took multimodal physical therapy.The observation group took multimodal physical therapy and ESWT.The clinical efficacies and the scores of temporomandibular joint function[Mandibular Function Impairment Questionnaire(MFIQ)],pain[Visual Analogue Scale(VAS)],temporomandibular joint disorder degree[pain index(PI),dysfunction index(DI),and comprehensive mandibular index(CMI)],oral health quality[Oral Health Impact Profile-14(OHIP-14)],and Fricton index[joint noise(JN),mandibular movement(MM),muscle palpation(MP),and joint palpation(JP)]and maximum mouth opening before and after 2 weeks'treatment were compared between the two groups.t and x2 tests were applied.Results The effective rate in the observation group was higher than that in the control group[95.83％(115/120)vs.82.50％(99/120)],with a statistical difference(x2=11.042;P＜0.001).Before the treatment,there were no statistical differences in the scores of MFIQ,VAS,PI,DI,CMI,OHIP-14,JN,MM,MP,and JP and maximum mouth opening between the two groups(all P＞0.05).After the treatment,the scores of MFIQ,VAS,PI,DI,CMI,OHIP-14,JN,MM,MP,and JP in the observation group were lower than those in the control group(9.64±1.59 vs.19.57±2.68,2.62±0.62 vs.3.90±0.78,0.35±0.07 vs.0.58±0.09,0.26±0.06 vs.0.44±0.08,0.20±0.07 vs.0.31±0.11,11.23±2.17 vs.22.16±3.04,1.36±0.35 vs.3.12±0.64,2.01±0.57 vs.4.66±1.03,6.37±1.46 vs.9.28±2.54,and 1.34±0.46 vs.3.45±0.87);the maximum mouth opening in the observation group was bigger than that in the control group[(3.25±0.68)mm vs.(2.02±0.51)mm];there were statistical differences(t=34.908,14.072,22.098,19.718,9.242,32.056,26.431,24.660,10.881,23.487,and 15.852;all P＜0.05).Conclusion Multimodal physical therapy combined with ESWT for patients with temporomandibular disorders is effective and can improve their joint function and oral health,reduce their pain and disorder levels,and increase their maximum mouth opening.
万方数据
维普
