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KMID : 1034620220120020043
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Korean Journal of Neuromuscular Rehabilitation
2022 Volume.12 No. 2 p.43 ~ p.55
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Effects of Physical Therapy on Temporomandibular Disorder with Psychosocial Impairment
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Lee Keun-Su
Lee Joon-Hee
Yoon Tae-Lim
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Abstract
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The purpose of this study was to investigate the effects of physical therapy intervention on psychosocial aspects and temporomandibular function in patients with temporomandibular disorder (TMD) presenting psychosocial impairment. The subjects of this study were twenty-one patients with TMD diagnosed by Pain-Related TMD and Headache through Diagnostic Criteria for TMD (DC/TMD) and with psychosocial impairment characteristics in the Symptom Check-list 90-Revision (SCL-90-R). DC/TMD AxisII assessment tool was used to characterize psychosocial disability, and maximum comfortable opening (MCO) and neck disability index (NDI) were assessed for improvement in temporomandibular and neck function. This study was pre- and post-test single group trial to evaluate he symptoms. Physical therapy interventions were performed for an hour a day, 3 times a week for 4 weeks. As a result of SCL-90-R, there were significant effects in somatization, interpersonal sensitivity, depression, anxiety, paranoid ideation, and global severity index (p<.05). And the number of subjects with T score of 60 or higher was decreased. DC/TMD AxisII evaluation showed a significant effect on psychosocial aspects (p<.05). Furthermore, MCO and NDI had a significant effect on temporomandibular and neck pains and functional improvement (p<.05). Based on these results, it is suggested that physical therapy will be effective in improving not only the function of the temporomandibular mandible but also the psychosocial characteristics for patients with TMDs with psychosocial impairment.
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KEYWORD
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Physical therapy, Psychosocial, Temporomandibular disorder
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