基金项目:广州市卫生健康科技项目(20221A010004)通信作者:林少平,E-mail:526483179@qq.com低强度体外冲击波联合本体感觉训练治疗双侧颞下颌关节紊乱病林少平王世雄瞿代虎广州市第一人民医院康复医学科(广州510180)【摘要】目的探讨低强度体外冲击波联合本体感觉训练治疗双侧颞下颌关节紊乱病的临床疗效。方法给予1例双侧颞下颌关节紊乱病半年余患者低强度体外冲击波联合本体感觉训练治疗2周,比较治疗前、治疗2周后的最大张口度(MIO)、疼痛压力阈值(PPT)和Fricton颞下颌关节紊乱指数量表(CMI),并于2个月后随访。结果经过2周治疗,MIO、PPT和CMI均出现明显改善,2个月后随访未出现反弹,持续改善。结论低强度体外冲击波联合本体感觉训练治疗颞下颌关节关节紊乱病临床疗效显著。【关键词】体外冲击波;本体感觉训练;颞下颌关节紊乱病DOI:10.3969/j.issn.1000-8535.2023.02.010LowintensityextracorporealshockwavecombinedwithproprioceptivetraininginthetreatmentofbilateralTMDLINShaoping,WANGShixiong,QUDaihuDepartmentofRehabilitationMedicine,GuangzhouFirstPeople'sHospital,Guangzhou510180,China【Abstract】ObjectiveToinvestigatetheclinicalefficacyoflowintensityextracorporealshockwavecombinedwithproprioceptivetraininginthetreatmentofbilateraltemporomandibulardisorders(TMD).MethodsApatientwithbilateralTMDwastreatedwithlowintensityextracorporealshockwavecombinedwithproprioceptivetrainingfor2weeks.Themaxi-malinterincisalopening(MIO)、painpressurethresholds(PPT),andFricton'scraniomandibularindex(CMI)werecom-paredbeforeandaftertreatment,andfollowedupfor2months.ResultsAfter2weeksoftreatment,MIO,PPTandCMIweresignificantlyimproved,andtherewasnorelapseafter2monthsoffollow-up.ConclusionsLowintensityextracorpore-alshockwavecombinedwithproprioceptivetrainingwaseffectiveintreatingTMD.【Keywords】extracorporealshockwave;proprioceptivetraining;temporomandibulardisorders颞下颌关节紊乱病(temporomandibulardisor-ders,TMD)是指累及颞下颌关节和(或)咀嚼肌系统,以颞下颌关节区疼痛、弹响以及下颌运动障碍三大症状为主要表现的综合征,可伴有耳鸣、耳部疼痛、头颈部疼痛等症状[1]。在各个年龄段均可发病,青壮年更多见,其疼痛为主要就诊原因。体外冲击波(extracorporealshockwave,ESW)最早...
