本体感觉神经肌肉促进法用于治疗颞下颌关节紊乱病的疗效分析

关键词：颞下颌关节  本体感觉神经肌肉促进法  Fricton 指数  功能障碍指数

Keywords:temporomandibular joint  proprioceptive neuromuscular facilitation  Fricton′s index  dysfunction index

摘要：

      目的：探讨应用本体感觉神经肌肉促进法（PNF）治疗颞下颌关节紊乱病的疗效。方法：选择颞下颌关节紊乱病39例，随机分为PNF治疗组和对照组，应用颞下颌关节功能评价(Fricton 指数法)分别评定两组患者治疗前后颞下颌功能状况及比较治疗后两组患者的颞下颌功能状况。结果：治疗后两组颞下颌关节功能评分均较治疗前明显下降（P<0.05）,治疗后PNF组患者的下颌运动分、 肌肉压诊分、肌肉触压痛指数、颞颌关节功能障碍指数及颞下颌关节紊乱指数明显低于对照组（P<0.05）。结论：本体感觉神经肌肉促进法可明显缓解颞下颌关节紊乱病的各种症状，尤其是在改善下颌运动和缓解肌肉疼痛方面。

Abstract:

      Objective: To study the therapeutic effects of proprioceptive neuromuscular facilitation(PNF) on temporomandibular joint disorder(TMD). Method: Thirty-nine patients with temporomandibular joint disorder were involved in this study. All patients were divided into PNF therapy group and control group randomly. Fricton′s Index was used to evaluate the function of temporomandibular joint, and the assessments were performed before and after treatment in two groups. Temporomandibular function of two groups after treatment was compared. Result: The score of temporomandibular functional assessment in both groups decreased significantly after treatment（P<0.05）. After treatment the score of mandibular movement(MM),muscle palpation(MP), palpation index(PI) ，dysfunction index（DI）and craniomandibular index(CMI) in PNF therapy group were lower than that in control group significantly（P<0.05）. Conclusion: PNF technique can relieve symptoms of TMD significantly, especially for improving mandibular movement and muscular pain.