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顎関節症患者の治療におけるJacobsonに従った進行性筋弛緩法
Progressive muscle relaxation according to Jacobson in treatment of the patients with temporomandibular joint disorders.
PMID: 31891364 DOI: 10.24425/fmc.2019.131140.
抄録
機能障害の病因における有意な影響因子と精神的・情動的ストレスは、側頭顎関節障害患者の治療における日常的なアプローチを変更する必要性を示している。本研究の目的は、咬合スプリントや他の理学療法を用いた以前の方法を補完するものとして、側頭顎関節障害に起因する疼痛の治療における漸進的筋弛緩の有効性について、データ、文書化された試験結果を得ることであった。本研究では、リラクセーション療法で治療した咀嚼筋の筋緊張を伴う側頭顎関節障害による疼痛と診断された20～35歳の男女100名を対象とした。すべての患者は、ポーランド版RDC/TMD（The Research Diagnostic Criteria of Temporomandibibular Disorders, Axis I - Physical Assessment, Axis II - Assessment of psychosocial Status and Pain - Related Disability）に準拠した身体検査、咀嚼システムの専門的な機能検査、精神的感情的要因とストレスの評価を受けました。調査結果は、専門の統計パッケージ"R"i386 3.2.3 を用いて得られた。検査の結果、リラクゼーション治療を行った患者は、すべての患者において筋膜性疼痛の強度が有意に減少していた。筋弛緩療法は、機能障害を有する患者の支持療法的治療法として有効に利用できることが示された。
Significant impact factor and psycho-emotional stress in the etiology of dysfunction indicate the need of the routine approach in the treatment of patients with temporomandibular joint disorders to be changed. The aim of the study was to obtain data, documented test results as to the effciency of progressive muscle relaxation in the treatment of pain caused by temporomandibular joint disorders, as a supplement to previous methods using occlusal splint and other physical therapies. The study included 100 patients of both sexes, aged from 20 to 35 years who were diagnosed with pain due to temporomandibular joint disorders accompanied with high muscle tension of musticatory muscles which were treatment by relaxation therapy. All patients underwent physical examination, specialized functional examination of the masticatory system in accordance with the Polish version of the study RDC/TMD (The Research Diagnostic Criteria of Temporomandibular Disorders, Axis I - physical assessment, Axis II - assessment of psychosocial status and pain - related disability) and assessment of psycho emotional factor and stress, based on the survey developed for their own purpose. The results of the research were obtained using specialized statistical package "R" i386 3.2.3. The results of examinations a er relaxation therapy showed a significant reduction in the intensity of myofascial pain in all patients. Progressive muscle relaxation can be successfully used as an supportive therapy treatment of patient with dysfunction.