The Impact of Education and Physical Therapy on Oral Behaviour in Patients with Temporomandibular Disorder: A Preliminary Study
| Autor: | Shuai Fan, Shenji Lu, Lili Xu, Bin Cai, Kerong Dai |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Article Subject Adolescent Visual analogue scale General Biochemistry Genetics and Molecular Biology 03 medical and health sciences Young Adult 0302 clinical medicine Chewing food Facial Pain medicine Outpatient clinic Humans In patient Physical Therapy Modalities Vas score Aged Aged 80 and over General Immunology and Microbiology business.industry Temporomandibular disorder 030206 dentistry General Medicine Middle Aged Temporomandibular Joint Disorders Checklist stomatognathic diseases Jaw Physical therapy Educational Status Medicine Female business 030217 neurology & neurosurgery Patient education Research Article |
| Zdroj: | BioMed Research International, Vol 2021 (2021) BioMed Research International |
| ISSN: | 2314-6141 2314-6133 |
| Popis: | Patient education is important in the treatment of temporomandibular disorder (TMD), but little is known about its effect on oral behaviors. We aimed to determine the dominant oral behaviours in patients with TMD and assess the impact of education on such behaviours. Between July 2018 and April 2019, 54 patients diagnosed with TMD according to DC/TMD were recruited. They received physical therapy and were provided education on TMD and offered a list of recommendations for improving their oral behaviours. The patient education process usually lasted for 10–20 min. Of these patients, 48 were reexamined at the outpatient clinic, 3–9 months posttreatment. We recorded the Oral Behaviour Checklist (OBC) score, maximum painless mouth opening (mm), visual analogue scale (VAS) score for pain, and Jaw Functional Limitation Scale (JFLS) score pre- and posttreatment. Wilcoxon signed rank test and paired sample t -test were used for statistical analysis. Results showed that the most dominant oral behaviours included “putting pressure on the jaw” (59.3%); “chewing food on one side” (46.3%); “pressing, touching, or holding teeth together at times other than eating” (33.3%); and “eating between meals” (33.3%). Posttreatment, the patients reported a decrease in “chewing gum” ( P = 0.002 ), “leaning with the hand on the jaw” ( P = 0.013 ), “chewing food on one side” ( P ≤ 0.001 ), and “eating between meals” ( P = 0.007 ), but this change was not significant in subgroups with a follow-up interval of 9 months. We also observed a significant improvement in the maximum painless mouth opening ( P ≤ 0.001 ), JFLS score ( P ≤ 0.001 ), and VAS score ( P ≤ 0.001 ) for pain, posttreatment. In conclusion, patient education can facilitate management of oral behaviours and should be targeted towards specific oral behaviours. |
| Databáze: | OpenAIRE |
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