Advances in clinical rehabilitation for temporomandibular joint disorder_West China Medical Journal

Authors：

YANG Haolun ^1,2 , ZHENG Kun ^1,2 ,  ZHANG Liming ^1,2

1. Rehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Key Laboratory of Rehabilitation Medicine in Sichuan Province, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

ZHANG Liming, Email: 451597870@qq.com

Keywords：

Temporomandibular joint disorder; restricted functionality; pain; rehabilitation

DOI：

10.7507/1002-0179.202403057

Video：

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Abstract Full text Figures/Tables Video References Cited by

Temporomandibular joint disorder (TMD) is a general term for a group of diseases. Clinically, it often presents as pain in the temporomandibular joint and surrounding muscles and soft tissues, often involving the temporomandibular joint, chewing muscles, and anterior joint area. There are also abnormalities in jaw movement, function, joint sounds, crushing sounds, and murmurs. This article provides a review of the epidemiology, etiology, clinical characteristics, auxiliary examinations, rehabilitation assessment, and rehabilitation treatment of TMD, in order to improve understanding of TMD rehabilitation assessment and provide reference for clinical rehabilitation treatment of TMD.

Citation： YANG Haolun, ZHENG Kun, ZHANG Liming. Advances in clinical rehabilitation for temporomandibular joint disorder. West China Medical Journal, 2024, 39(6): 960-964. doi: 10.7507/1002-0179.202403057 Copy

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2.	de Oliveira-Souza AIS, de O Ferro JK, Barros MMMB, et al. Cervical musculoskeletal disorders in patients with temporomandibular dysfunction: a systematic review and meta-analysis. J Bodyw Mov Ther, 2020, 24(4): 84-101.
3.	赵晓敏, 周瑾, 米丛波. 新疆维汉青年中颞下颌关节紊乱病患病率与年龄、性别关系的流行病学分析. 新疆医学, 2014, 44(6): 33-36.
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7.	Turp JC, Schindler H. 颞下颌关节病的病因问题: 咬合因素的流行病学和病因学依据. 实用口腔医学杂志, 2015(3): 417-424.
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9.	Zhu R, Zhang L, Zheng YH, et al. Association between stigma and pain in patients with temporomandibular disorders. Int J Clin Pract, 2022, 2022: 2803540.
10.	Xiong X, Zhang SY, Zhang J, et al. Exploring the relationship between perfectionism and pain in patients with temporomandibular disorders: a cross-sectional study. Int J Clin Pract, 2023, 2023: 2857115.
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40.	刘婧, 韩德雄, 陈勤, 等. 温针灸治疗颞下颌关节紊乱综合征的临床疗效观察. 中华中医药杂志, 2019, 34(2): 827-829.
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1. Manfredini D, Guarda-Nardini L, Winocur E, et al. Research diagnostic criteria for temporomandibular disorders: a systematic review of axis I epidemiologic findings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2011, 112(4): 453-462.
2. de Oliveira-Souza AIS, de O Ferro JK, Barros MMMB, et al. Cervical musculoskeletal disorders in patients with temporomandibular dysfunction: a systematic review and meta-analysis. J Bodyw Mov Ther, 2020, 24(4): 84-101.
3. 赵晓敏, 周瑾, 米丛波. 新疆维汉青年中颞下颌关节紊乱病患病率与年龄、性别关系的流行病学分析. 新疆医学, 2014, 44(6): 33-36.
4. 吴敏, 张洁. 颞下颌关节紊乱病的针灸推拿治疗研究进展. 中国医药导刊, 2020, 22(9): 611-614.
5. 崔静, 张秀英, 张智玲. 颞下颌关节紊乱病患者心理状况研究进展. 中华老年口腔医学杂志, 2018, 16(6): 362-366.
6. 刘洪臣. 我国颞下颌关节病的研究与临床进展. 中华口腔医学杂志, 2014, 49(7): 385-389.
7. Turp JC, Schindler H. 颞下颌关节病的病因问题: 咬合因素的流行病学和病因学依据. 实用口腔医学杂志, 2015(3): 417-424.
8. Sun R, Zhang S, Si J, et al. Association between oral behaviors and painful temporomandibular disorders: a cross-sectional study in the general population. J Pain Res, 2024, 17: 431-439.
9. Zhu R, Zhang L, Zheng YH, et al. Association between stigma and pain in patients with temporomandibular disorders. Int J Clin Pract, 2022, 2022: 2803540.
10. Xiong X, Zhang SY, Zhang J, et al. Exploring the relationship between perfectionism and pain in patients with temporomandibular disorders: a cross-sectional study. Int J Clin Pract, 2023, 2023: 2857115.
11. 邱蔚六, 张震康. 口腔颌面外科学. 5 版. 北京: 人民卫生出版社, 2005: 304.
12. Ferendiuk E, Zajdel K, Pihut M. Incidence of otolaryngological symptoms in patients with temporomandibular joint dysfunctions. Biomed Res Int, 2014, 2014: 824684.
13. Katzberg RW, Westesson PL, Tallents RH, et al. Anatomic disorders of the temporomandibular joint disc in asymptomatic subjects. J Oral Maxillofac Surg, 1996, 54(2): 147-153.
14. 满城, 祝颂松, 张碧, 等. 自体喙突移植重建下颌髁突对下颌骨生长发育的影响. 北京口腔医学, 2009, 17(2): 65-68.
15. Li L, Liu H, Cheng H, et al. CBCT evaluation of the upper airway morphological changes in growing patients of class II division 1 malocclusion with mandibular retrusion using twin block appliance: a comparative research. PLoS One, 2014, 9(4): e94378.
16. Park S, Heo HA, Yun KI, et al. High prevalence of stress and suicidal ideation in women with temporomandibular disorder: a population-based cross-sectional survey. Cranio, 2022, 40(2): 174-180.
17. Tang NK, Crane C. Suicidality in chronic pain: a review of the prevalence, risk factors and psychological links. Psychol Med, 2006, 36(5): 575-586.
18. Tektonidou MG, Dasgupta A, Ward MM. Suicidal ideation among adults with arthritis: prevalence and subgroups at highest risk. Data from the 2007-2008 National Health and Nutrition Examination Survey. Arthritis Care Res (Hoboken), 2011, 63(9): 1322-1333.
19. Slade GD, Fillingim RB, Sanders AE, et al. Summary of findings from the OPPERA prospective cohort study of incidence of first-onset temporomandibular disorder: implications and future directions. J Pain, 2013, 14(Suppl 12): T116-T124.
20. Dahlström L, Carlsson GE. Temporomandibular disorders and oral health-related quality of life. A systematic review. Acta Odontol Scand, 2010, 68(2): 80-85.
21. Wieckiewicz M, Grychowska N, Wojciechowski K, et al. Prevalence and correlation between TMD based on RDC/TMD diagnoses, oral parafunctions and psychoemotional stress in Polish university students. Biomed Res Int, 2014, 2014: 472346.
22. Burke AL, Mathias JL, Denson LA. Psychological functioning of people living with chronic pain: a meta-analytic review. Br J Clin Psychol, 2015, 54(3): 345-360.
23. 卢冉, 姚志涛, 昆得孜·杜肯, 等. 乌鲁木齐市大学生颞下颌关节紊乱病的流行病学调查分析. 中国美容医学, 2016, 25(2): 63-67.
24. Manfredini D, Guarda-Nardini L. Ultrasonography of the temporomandibular joint: a literature review. Int J Oral Maxillofac Surg, 2009, 38(12): 1229-1236.
25. Liedberg J, Panmekiate S, Petersson A, et al. Evidence-based evaluation of three imaging methods for the temporomandibular disc. Dentomaxillofac Radiol, 1996, 25(5): 234-241.
26. Habashi H, Eran A, Blumenfeld I, et al. Dynamic high-resolution sonography compared to magnetic resonance imaging for diagnosis of temporomandibular joint disk displacement. J Ultrasound Med, 2015, 34(1): 75-82.
27. Chen YJ, Gallo LM, Meier D, et al. Individualized oblique-axial magnetic resonance imaging for improved visualization of mediolateral TMJ disc displacement. J Orofac Pain, 2000, 14(2): 128-139.
28. 孙琦, 余强. 颞下颌关节 MRI 技术的应用和进展. 中国口腔颌面外科杂志, 2011, 9(1): 79-83.
29. 王璞, 韦丽宾, 张少嘉, 等. 基于颈部核心稳定训练的康复模式治疗颞下颌关节紊乱病的临床疗效观察. 现代口腔医学杂志, 2021, 35(3): 166-169.
30. Magni G. The use of antidepressants in the treatment of chronic pain. A review of the current evidence. Drugs, 1991, 42(5): 730-748.
31. Cascos-Romero J, Vázquez-Delgado E, Vázquez-Rodríguez E, et al. The use of tricyclic antidepressants in the treatment of temporomandibular joint disorders: systematic review of the literature of the last 20 years. Med Oral Patol Oral Cir Bucal, 2009, 14(1): E3-E7.
32. Rizzatti-Barbosa CM, Nogueira MT, de Andrade ED, et al. Clinical evaluation of amitriptyline for the control of chronic pain caused by temporomandibular joint disorders. Cranio, 2003, 21(3): 221-225.
33. McQuay HJ, Moore RA. Antidepressants and chronic pain. BMJ, 1997, 314(7083): 763-764.
34. Dym H, Bowler D, Zeidan J. Pharmacologic treatment for temporomandibular disorders. Dent Clin North Am, 2016, 60(2): 367-379.
35. 温开兰, 李鹏, 廖娟. 超激光联合非甾体类抗炎药在颞下颌关节炎的临床应用. 四川医学, 2016, 37(3): 314-316.
36. Harkins S, Linford J, Cohen J, et al. Administration of clonazepam in the treatment of TMD and associated myofascial pain: a double-blind pilot study. J Craniomandib Disord, 1991, 5(3): 179-186.
37. Lader M. Benzodiazepines revisited-will we ever learn?. Addiction, 2011, 106(12): 2086-2109.
38. Marra EM, Mazer-Amirshahi M, Brooks G, et al. Benzodiazepine prescribing in older adults in U. S. ambulatory clinics and emergency departments (2001-10). J Am Geriatr Soc, 2015, 63(10): 2074-2081.
39. 董升平. 针灸治疗颞下颌关节紊乱综合征的临床进展. 江苏中医药, 2015(12): 84-86.
40. 刘婧, 韩德雄, 陈勤, 等. 温针灸治疗颞下颌关节紊乱综合征的临床疗效观察. 中华中医药杂志, 2019, 34(2): 827-829.
41. 范宇, 韩龙, 张莉. 中药离子透入治疗颞下颌关节紊乱回顾. 中国妇幼健康研究, 2017(增刊 1): 47-48.
42. 丁小刚, 覃勇, 樊继波, 等. 针灸联合手法推拿治疗颞下颌关节紊乱病 60 例临床观察. 世界中医药, 2016, 11(5): 884-887.
43. 王海涛. 物理康复疗法在颞下颌关节紊乱综合症中的临床效果观察. 世界最新医学信息文摘(连续型电子期刊), 2015(83): 49, 66.
44. 徐凯, 陈秀玲, 黄云声. 电针围刺治疗颞下颌关节功能紊乱综合征疗效观察. 上海针灸杂志, 2010, 29(5): 303-304.
45. 陈金武, 王美青, 刘晓东. 渐进性咬合紊乱导致兔髁突退行性变的研究. 中华口腔医学杂志, 2003, 38(2): 103-105.
46. 刘蕾, 王美青, 孙磊, 等. 渐进性咬合紊乱对大鼠髁突软骨肿瘤坏死因子-α表达的影响. 华西口腔医学杂志, 2008, 26(4): 435-438.
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West China Medical Journal

Advances in clinical rehabilitation for temporomandibular joint disorder

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