scholarly journals Diagnosis and perfection of the complex treatment of patients with neuromuscular dysfunction syndrome of the temporomandibular joints

2012 ◽  
Vol 93 (4) ◽  
pp. 627-631
Author(s):  
A N Sidorenko
Keyword(s):  
Sagittal Plane ◽  
Lateral Displacement ◽  
Mouth Opening ◽  
Masticatory Muscles ◽  
Control Group ◽  
Complex Treatment ◽  
Neuromuscular Dysfunction ◽  
Temporomandibular Joints ◽  
Transcranial Electrostimulation ◽  
Palm Of The Hand

Aim. To improve the complex treatment of patients with neuromuscular dysfunction syndrome of the temporomandibular joints. Methods. Clinical examination, electromyography of masticatory muscles, computed tomography in 24 patients (main group) with a neuromuscular dysfunction syndrome of the temporomandibular joints. The control group included 10 healthy individuals aged 18 to 32 years with intact tooth rows, orthognatic bite, and without pathology of the temporomandibular joints. In cases of deviation of the mandible at the time of opening the mouth in 7 (29.2%) patients the complex of therapeutic measures included a myo-gymnastic exercise, which consisted of shifting the mandible with the palm of the hand towards the opposite side of the deviation. During zigzag movements of the mandible in 12 (50%) patients assigned was myo-gymnastic exercise, aimed at keeping the lower jaw with the palms of both hands in the sagittal plane during a vertical opening of the mouth. In 5 (20.8%) patients with a small limitation of mouth opening and lateral displacement of the mandible myo-gymnastics were used that included exercises designed to stretch and cause reflex relaxation of the masticatory muscles, as well as the displacement of the mandible in the palm of the hand to the side opposite to its deviation. All patients from the start of treatment were prescribed a course (10 sessions) of therapeutic massage of the masticatory muscles and 10 sessions of transcranial electrostimulation in 8 (33.3%) patients to relax the chewing muscles in its hypertonicity, to relieve spasm of the lateral pterygoid muscle, and removal the significant pain syndrome. Results. By the 5-6th session of transcranial electrostimulation the pain and tension in the masticatory muscles on the affected side with neuromuscular dysfunction disappeared, the range of motion of the mandible was restored, atypical movement of the mandible stopped. Examination of 24 patients at 2 years after treatment showed that 22 patients had a sustained, positive result, no complaints or recurrences were observed. In 2 patients after treatment noted was significant tension in the masticatory muscles, they were re-appointed for transcranial electrostimulation. Conclusion. Developed and proposed was an improved method of complex treatment of patients with neuromuscular dysfunction syndrome of the temporomandibular joints without the use of drugs, which has shown high effectiveness.

Size and Orientation of Masticatory Muscles in Patients with Mandibular Laterognathism

2006 ◽  
Vol 85 (6) ◽  
pp. 552-556 ◽  
Author(s):  
T.K. Goto ◽  
S. Nishida ◽  
M. Yahagi ◽  
G.E.J. Langenbach ◽  
Y. Nakamura ◽  
...  
Keyword(s):  
Masseter Muscle ◽  
Lateral Displacement ◽  
Masticatory Muscles ◽  
Muscle Size ◽  
Control Group ◽  
Facial Morphology ◽  
Jaw Muscles ◽  
Adaptive Process ◽  
Medial Pterygoid ◽  
Pterygoid Muscles

Size measurements of jaw muscles reflect their force capabilities and correlate with facial morphology. Using MRI, we examined the size and orientation of jaw muscles in patients with mandibular laterognathism in comparison with a control group. We hypothesized that the muscles of the deviated side would be smaller than those of the non-deviated side, and that the muscles of both sides would be smaller than in controls. In patients, a comparison of deviated and non-deviated sides showed, in orientation, differences for masseter and medial pterygoid muscles, but, in size, differences only for the masseter muscle. Nevertheless, muscle sizes in patients were much smaller than in controls. Lateral displacement of the mandible can explain the orientation differences, but not the smaller muscle size, in patients. It is possible that the laterodeviation initiates an adaptive process in the entire jaw system, resulting in extensive atrophy of the jaw muscles.

scholarly journals The use of occlusal splints in temporomandibular disorders - an overview.

2020 ◽  
Vol 3 (2) ◽  
pp. 3-8
Author(s):  
Andreea Kui ◽  
Silvia Pop ◽  
Smaranda Buduru ◽  
Marius Negucioiu
Keyword(s):  
Temporomandibular Disorders ◽  
Mouth Opening ◽  
Clinical Situation ◽  
Masticatory Muscles ◽  
The State ◽  
Common Symptom ◽  
Occlusal Splints ◽  
Temporomandibular Joints ◽  
Closed Lock ◽  
State Of Art

AbstractTemporomandibular disorders (TMD) affect the temporomandibular joints, the masticatory muscles, and surrounding tissues. Among symptoms such as jumps, joint noises, reduced mouth opening (closed lock), difficulties in closing the mouth (subluxation or open lock), pain is the most common symptom encountered among patients diagnosed with temporomandibular disorders. As literature on this topic is abundant and sometimes controversial, the authors focus on reviewing the state of art of occlusal splints indications. Therefore, the most common occlusal splints, like Lucia jig, nociceptive trigeminal inhibition (NTI), directive splints, etc., are being described, based on their design and therapeutic indications. Cases of malocclusions associated or not with parafunctions are usually manageable using the splints mentioned in this article. In case of disc displacements, occlusal appliances can be used, but as the etiology is multifactorial, there are some limitations, depending on the complexity of each clinical situation.

scholarly journals Effectiveness of Physical Therapy in the Correction of the Functional Status of the Temporomandibular Joint in Arthrosis

2021 ◽  
Vol 6 (6) ◽  
pp. 188-193
Author(s):  
M. G. Aravitska ◽  
◽  
L. M. Sheremeta ◽  
S. I. Danylchenko ◽  
Dovgan O. V. ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Temporomandibular Joint ◽  
Mouth Opening ◽  
Masticatory Muscles ◽  
Main Group ◽  
Control Group ◽  
Maxillofacial Region ◽  
Therapeutic Exercises ◽  
Inflammatory Drugs ◽  
Anti Inflammatory

The purpose of the study was to evaluate the effect of a physical therapy program on the state of functioning of the maxillofacial region in patients with arthrosis of the temporomandibular joint. Materials and methods. The study involved 33 people with arthrosis of the temporomandibular joint of the II-III degrees, which were divided into 2 groups – control and main. The control group consisted of 18 people who received arthrosis therapy only with non-steroidal anti-inflammatory drugs. The main group consisted of 15 people who additionally underwent the developed program of physical therapy (therapeutic exercises, massage, post-isometric relaxation, kinesiotaping of the masticatory muscles, neck muscles, cervical-collar zone; paraffin therapy course for the temporomandibular joint area, patient education). Complaints of patients, the intensity of pain in the temporomandibular joint on a visual analogue scale, the amount of mouth opening were determined, and auscultation of the joint was performed. Results and discussion. After the completion of the treatment course (for patients of the control group) and physical therapy (for the patients of the main group), pain in the temporomandibular joint did not manifest itself at rest and during movement. This is explained, in particular, by the fact that the basis of conservative treatment of arthrosis is the use of non-steroidal anti-inflammatory drugs with analgesic effects. At the same time, the usage of physical therapy, in comparison with medications, in the main group was statistically significant (p <0.05) in relation to control patients, it improved the functional activity of the jaw area and the functioning of the temporomandibular joint, which was manifested by a decrease in the number of persons with complaints of pathological sounds during jaw movements and their auscultatory detection, discomfort when chewing, as well as an increase in the magnitude of opening the mouth. Restoration of the condition of patients with diseases of the maxillofacial region, and, in particular, the temporomandibular joint, is an urgent problem not only for dentists, but also for specialists in the field of rehabilitation, in particular, physical therapists. The objectives of physical therapy in patients with arthrosis of the temporomandibular joint are to reduce the load on the joint, eliminate and reduce pain, synovitis, myalgia, improve joint function, stimulate and activate metabolic processes in cartilaginous and bone tissues, normalize blood flow, and thus improve quality of life. Conclusion. Physical therapy means improve the functional ability of the temporomandibular joint in the complex recovery of patients with arthrosis statistically significantly better than monotherapy with non-steroidal anti-inflammatory drugs

scholarly journals CHANGES IN THE FUNCTIONAL CONDITION OF THE MASTICATORY MUSCLES WITH INCREASED TEETH ABRASION

2019 ◽  
Vol 72 (5) ◽  
pp. 1002-1006
Author(s):  
Svetlana A. Pavlenko ◽  
Elena V. Pavlenkova ◽  
Iryna M. Tkachenko ◽  
Alla I. Sidorova ◽  
Yaroslav Y. Vodoriz ◽  
...  
Keyword(s):  
Treatment Plan ◽  
Nervous Activity ◽  
Muscular Activity ◽  
Masticatory Muscles ◽  
The Body ◽  
Control Group ◽  
Complex Treatment ◽  
Muscular System ◽  
Hard Tissues ◽  
Tooth Abrasion

Introduction: The term “pathological abrasion” (increased abrasion) can be described as a loss of tooth hard tissue on the occlusal, oral, vestibular surfaces of teeth or in the occlusal area. Treatment of increased abrasion of teeth is a difficult task for the practical work of a dentist. The choice of the optimal treatment plan provides the greatest likelihood of long-term success and minimal probability of complication appearance. The aim of our work was to study the functional activity of the masticatory muscles in the pathogenesis of the development of increased abrasion of tooth hard tissues. Materials and methods: In order to achieve the goal of the study, an examination of patients aged between 19 and 69 years old was carried out in order to identify the number of persons with increased abrasion of teeth. During the examination of all patients one control and one researched group were formed. The patients of the control group (30 patients aged from 18 to 60 years) which had intact dental rows with any signs of increased tooth wear. The investigated group consisted of 25 patients, aged from 18 to 60 years. Depending on the complex treatment, the patients of the second group were divided into two subgroups. Subgroup 2A - (10 patients) with increased abrasion of tooth hard tissues with planned complex treatment of the disease without additional use of mouthguards after the end of treatment. For the patients from the 2B subgroup (15 people with increased abrasion of tooth hard tissues) a mouthguard was prescribed after the end of the complex treatment. In order to study some peculiarities of the muscular activity of the maxillofacial region an electromyogram was taken from all participants before treatment and repeated in a six- and twelve-months term. Results and conclusions: In our opinion, all manifestations of increased tooth abrasion are associated with changes in the muscular system, the motor apparatus and the nervous activity of the body. Regarding to this, the study of the propria muscular system and the related bone system can justify the usage of one or another prevention ortreatment of the pathology. Based on the results of our research, we can conclude that the study of the functional state of the muscle complex is a fairly reliable prognostic sign in the study of such a disease as an increased tooth abrasion.

Clinical efficacy of osteopathic correction in the complex treatment of patients with unoperated open-angle glaucoma

2020 ◽  
pp. 97-105
Author(s):  
E. N. Simakova ◽  
O. V. Stenkova
Keyword(s):  
Intraocular Pressure ◽  
Drug Therapy ◽  
Primary Open Angle Glaucoma ◽  
Open Angle Glaucoma ◽  
Randomized Study ◽  
Main Group ◽  
Control Group ◽  
Open Angle ◽  
Complex Treatment ◽  
Hypotensive Drug

Introduction. Glaucoma is one of the most significant eye diseases. It is often diagnosed, not always amenable to therapy, and can lead to a complete loss of visual functions. In recent years, the method of osteopathic correction has become widespread as one of the effective methods of treatment and rehabilitation of patients with pathologies of various body systems. In the pathogenesis of glaucoma, it is customary to distinguish a dystrophic concept, which considers primary open-angle glaucoma as a result of dystrophic changes in the connective tissue, as well as in the endothelial lining of the trabeculae and Schlemm′s canal, especially destructive changes in mitochondria and the alteration of their functional activity. A vascular concept is also distinguished. According to this concept, the central link in the pathogenesis of glaucoma is circulatory disorder in the ciliary vessels, ocular artery, and major vessels of the head and neck, it can be assumed that osteopathic correction in the treatment of patients with open-angle glaucoma will be pathogenetically substantiated and will have a positive effect on intraocular pressure and trophicity of the optic nerve. The goal of research — to study the influence of in osteopathic correction on the nature of unoperated glaucoma (stage IIA) and to substantiate the possibility of using osteopathic correction in the complex treatment of patients with this pathology.Materials and methods. A prospective controlled randomized study was conducted at 52 city polyclinics, branch 3, Moscow, from January 2018 to January 2019. 40 patients (70 eyes) aged 50 to 75 years with primary open-angle glaucoma IIA stage were examined. At this stage of the disease, patients most often seek medical care and the issue of conservative management is primarily considered. All patients were divided into two groups of 20 people: the main group and the control group. The treatment in the main group included hypotensive drug therapy and osteopathic correction. Patients of the control group received only drug therapy. All patients underwent ophthalmic (visometry, tonometry, perimetry) and osteopathic examination twice: before the treatment and after 3 months.Results. For patients with primary open-angle IIA non-operated glaucoma, regional (most often regions of the head, neck, dura mater) and local (abdominal diaphragm, iliac bones, hip and knee joints) somatic dysfunctions were the most typical. In the main group a statistically significant decrease in the frequency and severity of dysfunctions at all levels was stated. Also, in patients receiving osteopathic correction, a significant decrease in the level of intraocular pressure and perimetric indices was noted. In patients of the control group, no reliable changes in these indicators were obtained.Conclusion. The results obtained indicate that osteopathic correction is clinically effective in the complex treatment of patients with primary open-angle II A glaucoma.

(Preprint)

2018 ◽  
Author(s):  
Dr Malathi Dayalan ◽  
Dr Sudeshna Sharma ◽  
Dr Shweta Poovani ◽  
Dr Saher Altaf
Keyword(s):  
Myofascial Pain ◽  
Mouth Opening ◽  
Masticatory Muscles ◽  
Matched Pair ◽  
Masticatory Muscle ◽  
Muscle Disorders ◽  
Occlusal Contact ◽  
Group I ◽  
Group Ii

BACKGROUND Masticatory system is a complex functional unit, primarily engaged in chewing, swallowing and breathing functions, and some parts are involved in taste recognition and determination of food consistency. Sophisticated functional performances of speech and emotional expressions are specifically human qualities. Irregularities in occlusion appears to be the precipitating factor in the pathogenesis of myofascial pain dysfunction syndrome. Tek- Scan III records the bite length, number, distribution, timing, duration and the relative force of each tooth contact. It also records the sequence of occlusal contacts in terms of time and the associated force with each occlusal contact. The aim of this study was to treat masticatory muscle disorders with occlusal equilibration, and compare the efficacy of treatment outcomes between selective grinding and stabilization splints using Tek-Scan III. OBJECTIVE Objective of this study was to compare the efficacy of occlusal equilibration achieved through selective griding and stabilization splints using Tek-Scan III. METHODS In this in vivo study, 40 patients with masticatory muscle disorders were selected based on the inclusion and exclusion criteria. The occlusal discrepancies were analyzed using Tek-Scan III. The selected 40 subjects were then randomly divided into 2 groups based on the treatment they recieved; Group I – Selective grinding group (20) and Group II – Stabilization splint group (20). Comparison of pre-treatment and post treatment results were evaluated in terms of pain, mouth opening, left and right side force percentage as recorded through Tek-Scan III and reduction of disclusion time. Statistical analysis was carried out with Kolmogorov Smirnov test, Wilcoxon matched pair test and Mann-Whitney U test. RESULTS Wilcoxon matched pairs test demonstrated that there was statistically significant results ( p = 0.0007) in both the groups for reduction of disclusion time, elimination of pain and improved mouth opening. Patients in Group I showed better results as compared to Group II in terms of disclusion time, pain and mouth opening. CONCLUSIONS Occlusal equilibration brought about by reducing the disclusion time using the Tek- Scan III reduced the symptoms of pain in masticatory muscles. Patients in group I (Selective grinding) however showed better results when compared to patients in group II (Stabilization splints).

Possibility of osteopathic correction inclusion in the complex treatment of anal incontinence in teenagers

2021 ◽  
pp. 31-40
Author(s):  
T. S. Kovalchuk ◽  
R. R. Enaleev ◽  
Yu. O. Kuzmina
Keyword(s):  
Anal Sphincter ◽  
Anal Incontinence ◽  
Standard Treatment ◽  
Control Group ◽  
Lumbar Region ◽  
Complex Treatment ◽  
Group 16 ◽  
Sphincter Insufficiency ◽  
Severity Of The Disease ◽  
Socially Maladjusted

Introduction. Anal incontinence (insufficiency of the anal sphincter) is a disease in which there is an uncontrolled discharge of intestinal contents through the anal canal when it is impossible to keep the episode of defecation to an acceptable place, which is a socially significant problem. Patients suffering from anal incontinence experience a feeling of psychoemotional inferiority and are often socially maladjusted. Insufficiency of the anal sphincter is a widespread pathology. The course of therapy is, as a rule, complex, and usually includes the use of medications, cleansing enemas, as well as non-drug methods of treatment (exercise therapy, massage, physiotherapy). At the same time, information on the possibility of including such a method of non-drug treatment as osteopathic correction in the complex therapy of anal incontinence in the available literature has not been found.The aim of the research was to study the possibility of including osteopathic correction in the complex treatment of anal sphincter insufficiency in teenagers.Materials and methods. The study involved 32 teenagers with functional anal sphincter incontinence, aged 14–17 years, undergoing treatment in the department of surgery. The patients were divided into 2 groups by the method of simple randomization — the main group (16 people, they received osteopathic correction in addition to the standard treatment) and the control group (16 people, they received only the standard treatment). At the beginning and at the end of the study there were assessed the osteopathic status and the disease severity using the Wexner scale and the Browning–Parks scale. The obtained results were analyzed by methods of nonparametric statistics. Results. It was found that the inclusion of osteopathic correction in the complex treatment of teenagers with anal sphincter insufficiency is accompanied by a statistically significant (p<0,05) decrease in the severity of the disease. It was revealed that children suffering from anal sphincter insufficiency are characterized by a high frequency of detection of regional (pelvic region, lumbar region) and local (some skull sutures, rectum, ascending and descending colon) somatic dysfunctions. After osteopathic correction, the frequency of detecting regional and local dysfunctions in teenagers is statistically significantly lower (p<0,05) compared with children who did not receive osteopathic correction.Conclusion. The obtained results demonstrated the ability to include the osteopathic correction in the complex treatment of teenagers with anal sphincter insufficiency.

The effect of hirudotherapy on cerebral circulatory homeostasis in patients with genital endometriosis

2020 ◽  
pp. 58-66
Author(s):  
Ya. I. Uraeva ◽  
I. I. Ivanova ◽  
N. N. Lazarenko ◽  
E. V. Filatova ◽  
I. A. Pankova ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Drug Therapy ◽  
Cerebral Circulation ◽  
The State ◽  
Control Group ◽  
Complex Treatment ◽  
Statistical Regression ◽  
Treatment Results ◽  
Standard Drug ◽  
Before And After

The results of the treatment of women (n = 94) suffering from genital endometriosis are presented. The first (control, n = 30) group of women received standard drug therapy; the second (main, n = 64) group of women additionally had hirudotherapy procedures using medical leeches. The course of treatment consisted of 10–12 procedures. The state of cerebral circulation was assessed according to the rheoencephalography data before and after the treatment, as well as after 1, 3, 6, and 9 months. As a result, in patients in the 2-nd (main) group receiving complex treatment, the state of cerebral circulation improved signifi cantly. Moreover, according to the statistical regression analysis, it was possible to predict its further decrease by two periods ahead, compared with the treatment results in patients in the 1-st (control) group.

Sign in / Sign up

Export Citation Format

Share Document