강직성척추염과 관계된 측두하악관절장애에 대한 특수 운동치료의 효과

• 영문명: Effect of Disease-Specific Exercise on Temporomandibular Joint Function and Neck Mobility in Temporomandibular Joint Dysfunction Associated With Ankylosing Spondylitis
• 발행기관: 한국전문물리치료학회
• 저자명: 오덕원(Duck-won Oh) 전혜선(Hye-seon Jeon) 권오윤(Oh-yun Kwon) 유승현(Sung-hyun You) 박시복(Si-bok Park) 황경균(Kyung-gyun Hwang)
• 간행물 정보: 『한국전문물리치료학회지』한국전문물리치료학회지 제15권 제1호, 61~68쪽, 전체 8쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2008.02.28

영문 초록

  The aim of the study was to evaluate the effect of a disease-specific exercise (DSE) on temporomandibular joint (TMJ) function and neck mobility in TMJ dysfunction associated with ankylosing spondylitis (AS). Ten AS patients (seven males and three females) with TMJ dysfunction were recruited for this study. The DSE included exercises to correct head and neck posture and to improve the flexibility of the neck and TMJs. The patients attended treatment three times a week for 4 weeks, averaging 1 hour each session. Assessments were performed pretreatment, posttreatment, and 6 weeks after the completion of treatment. General physical status was assessed by four clinical measures (tragus-to-wall distance, modified Schober test, lumbar side flexion, and intermalleolar distance), the Bath ankylosing spondylitis function index (BASFI), and the Bath ankylosing spondylitis disease activity index. The main outcome measures included TMJ function (craniomandibular index (CMI)), and neck mobility (flexion, extension, rotation, and lateral rotation). None of the measures of general physical status, with the exception of BASFI, were significantly different between the pretreatment, posttreatment, and 6-week follow-up (p>.05). However, CMI and all neck movements, except for extension, significantly improved after the treatment (p<.05). These improvements were maintained during the follow-up period. The DSE used in the present study seems to be a clinically useful method for managing patients with symptoms from the stomatognathic system in AS. Further studies with more subjects and longer treatment timesm, including the follow-up period, will be conducted to validate these findings.

목차

Abstract
Ⅰ. 서론
Ⅱ. 연구방법
Ⅲ. 결과
Ⅳ. 고찰
Ⅴ. 결론
인용문헌

키워드

Ankylosing spondylitis Disease-specific exercise Temporomandibular joint dysfunction Therapeutic exercise