空军军医大学学报2024,Vol.45Issue(10) :1119-1122,1128.DOI:10.13276/j.issn.2097-1656.2024.10.007

基于微信平台的居家运动训练在颞下颌关节紊乱病治疗中的应用

Application of home-based exercise training based on WeChat platform in the treatment of temporomandibular joint disorders

李家存 王云 吕云昉 杨帆
空军军医大学学报2024,Vol.45Issue(10) :1119-1122,1128.DOI:10.13276/j.issn.2097-1656.2024.10.007

基于微信平台的居家运动训练在颞下颌关节紊乱病治疗中的应用

Application of home-based exercise training based on WeChat platform in the treatment of temporomandibular joint disorders

李家存 1王云 1吕云昉 1杨帆1
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作者信息

  • 1. 口颌系统重建与再生全国重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔疾病国际联合研究中心,空军军医大学口腔医院医疗康复科,陕西西安 710032
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摘要

目的 探讨微信指导下的居家运动训练在颞下颌关节紊乱病(TMD)治疗中的应用效果.方法 选择2020年10月至2021年10月空军军医大学口腔医院就诊TMD患者120例,随机分为两组(n=60),对照组居家训练给予常规指导,观察组居家训练给予微信互动综合指导.两组治疗前、治疗结束以及结束后6个月评估视觉模拟评分(VAS)、最大主动开口(MMO)以及下颌功能损害程度(MFIQ),治疗结束时调查患者居家训练依从程度.结果 两组患者治疗前VAS、MMO数值和MFIQ评分差异无统计学意义(P>0.05).观察组治疗结束和结束后6个月VAS和MFIQ分值低于对照组(P<0.05),MMO数值高于对照组(P<0.05).观察组患者依从性评分以及完成训练的信心和对训练指导方式的满意度均优于对照组(P<0.01).结论 依托微信的远程指导有助于保持居家康复治疗连续性,加速症状改善,是保证TMD运动训练效果的可行方案.

Abstract

Objective To explore the application effect of home-based exercise training under the guidance of WeChat in the treatment of temporomandibular joint disorders(TMD).Methods A total of 120 TMD patients admitted to Stomatological Hospital,Air Force Medical University from October 2020 to October 2021 were randomly divided into control group(n=60)and observation group(n=60).The control group was given routine guidance for home-based exercise training,while the observation group was given comprehensive guidance based on WeChat for home-based exercise training.Visual Analogue Scale(VAS),maximum mouth opening(MMO)and Mandibular Function Impairment Questionnaire(MFIQ)were evaluated before treatment,at the end of treatment and at 6 months after treatment in both groups,and compliance with home-based exercise training was investigated at the end of treatment.Results There was no significant difference in the scores of VAS,MMO and MFIQ between the two groups before treatment(P>0.05).VAS and MFIQ scores in observation group were lower than those in control group at the end of treatment and 6 months after treatment(P<0.05),while MMO values were higher than those in control group(P<0.05).The compliance score,confidence in completing the training and satisfaction degree of the training guidance method in observation group were better than those in control group(P<0.01).Conclusion Remote guidance by WeChat is helpful to maintain the continuity of rehabilitation treatment,and accelerate the improvement of symptoms,which can ensure the effect of home-based exercise training for TMD.

关键词

微信/居家训练/颞下颌关节紊乱病/康复

Key words

WeChat/home-based exercise/temporomandibular joint disorders/rehabilitation

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基金项目

国家自然科学基金(81570938)

陕西省重点研发计划项目(2022ZDLSF03-08)

国家口腔疾病临床医学研究中心资助课题(LCA202016)

军队保健专项科研课题(22BJZ11)

出版年

2024
空军军医大学学报
第四军医大学

空军军医大学学报

CHSSCD
影响因子:0.372
ISSN:2097-1656
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