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颞下颌关节紊乱症的物理治疗方法:一种多模式保守管理策略

Physiotherapy Approaches for Temporomandibular Disorders: A Multimodal Conservative Management Strategy.

作者信息

Ben El Hammi Nezha, Amessegher Fatimazahra, Moudni Sofia, Jouhadi El Mehdi

机构信息

Department of Fixed Prosthodontics, Faculty of Dentistry, Hassan II University, Casablanca, MAR.

Faculty of Dentistry, Hassan II University, Casablanca, MAR.

出版信息

Cureus. 2025 Jul 28;17(7):e88885. doi: 10.7759/cureus.88885. eCollection 2025 Jul.

Abstract

Temporomandibular disorder (TMD) is a complex, multifactorial disorder affecting the masticatory muscles, the temporomandibular joint, and associated structures. These disorders are also associated with other symptoms affecting the head and neck region, such as headaches, ear-related symptoms, cervical spine dysfunction, and altered head and neck posture. TMDs require multidisciplinary care. Physiotherapy is one of the pillars of TMD management; it is part of the non-invasive treatment recommended by medical guidelines. It aims to eliminate or significantly reduce pain and functional discomfort, reduce muscle tone, and increase the range of mandibular movement. Physiotherapy also remains a preferred therapeutic choice in the management of generalized myalgia, tension headaches, and myofascial pain. Physiotherapy modalities include behavioral education, physical therapy, manual therapy, and self-rehabilitation. This article aims to determine the major interest that physiotherapy brings to the treatment of TMDs while detailing these modalities.

摘要

颞下颌关节紊乱病(TMD)是一种复杂的多因素疾病,会影响咀嚼肌、颞下颌关节及相关结构。这些疾病还与影响头颈部区域的其他症状相关,如头痛、耳部相关症状、颈椎功能障碍以及头颈部姿势改变。TMD需要多学科护理。物理治疗是TMD管理的支柱之一;它是医学指南推荐的非侵入性治疗的一部分。其目的是消除或显著减轻疼痛和功能不适,降低肌肉张力,并增加下颌运动范围。物理治疗在治疗全身性肌痛、紧张性头痛和肌筋膜疼痛方面也是首选的治疗方法。物理治疗方式包括行为教育、物理治疗、手法治疗和自我康复。本文旨在确定物理治疗对TMD治疗的主要益处,同时详细介绍这些治疗方式。

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