Clinical efficacy of Kaltenborn and Maitland joint loosening manipulations on improving mouth opening in patients with anterior disc displacement without reduction
Clinical efficacy of Kaltenborn and Maitland joint loosening manipulations on improving mouth opening in patients with anterior disc displacement without reduction
Objective:To analyze the effect of different loosening manipulations on patients with anterior disc displacement without reduction(ADDWoR).Methods:Forty patients with ADDWoR were treated with Kaltenborn and Maitland joint loosening manipulation for one month respectively.The maximum opening and the degree of temporomandibular joint pain were evaluated before treatment and 1,3 months after treatment.Results:Independent sample t test was used,before treatment,there was no significant difference between the maximum mouth opening and VAS pain score between the two groups(P＞0.05).1,3 months after treatment,the maximum mouth opening of the two groups increased sequentially and the experimental group was larger than that of the control group,and the VAS pain score decreased sequentially and the experimental group was lower than that of the control group(P＜0.05).The effect of oral motion trajectory in the experimental group was better than that in the control group(P＜0.05).Conclusion:Kaltenborn joint loosening manipulation is better than Maitland manipulation in improving the opening degree of patients with ADDWoR,and can alleviate the pain of temporomandibular joint.
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