Physical Therapy Korea (한국전문물리치료학회지)
- Volume 15 Issue 1
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- Pages.61-68
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- 2008
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- 1225-8962(pISSN)
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- 2287-982X(eISSN)
Effect of Disease-Specific Exercise on Temporomandibular Joint Function and Neck Mobility in Temporomandibular Joint Dysfunction Associated With Ankylosing Spondylitis
강직성척추염과 관계된 측두하악관절장애에 대한 특수 운동치료의 효과
- Oh, Duck-Won (Dept. of Physical Therapy, College of Health and Sports Science, Daejeon University) ;
- Jeon, Hye-Seon (Dept. of Physical Therapy, College of Health Science, Yonsei University) ;
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Kwon, Oh-Yun
(Dept. of Physical Therapy, College of Health Science, Yonsei University) ;
- You, Sung-Hyun (Dept. of Physical Therapy, College of Health Science, Yonsei University) ;
- Park, Si-Bok (Dept. of Rehabilitation Medicine, Hospital for Rheumatic Diseases, Hanyang University Medical Center) ;
- Hwang, Kyung-Gyun (Dept. of Dentistry, Hanyang University Medical Center)
- 오덕원 (대전대학교 보건스포츠과학대학 물리치료학과) ;
- 전혜선 (연세대학교 보건과학대학 물리치료학과) ;
-
권오윤
(연세대학교 보건과학대학 물리치료학과) ;
- 유승현 (연세대학교 보건과학대학 물리치료학과) ;
- 박시복 (한양대학교의료원 류마티스병원 관절재활의학과) ;
- 황경균 (한양대학교의료원 치과)
- Received : 2007.07.06
- Accepted : 2007.11.16
- Published : 2008.02.19
Abstract
The aim of the study was to evaluate the effect of a disease-specific exercise (DSE) on temporomandibular joint (TMJ) function and neck mobility in TMJ dysfunction associated with ankylosing spondylitis (AS). Ten AS patients (seven males and three females) with TMJ dysfunction were recruited for this study. The DSE included exercises to correct head and neck posture and to improve the flexibility of the neck and TMJs. The patients attended treatment three times a week for 4 weeks, averaging 1 hour each session. Assessments were performed pretreatment, posttreatment, and 6 weeks after the completion of treatment. General physical status was assessed by four clinical measures (tragus-to-wall distance, modified Schober test, lumbar side flexion, and intermalleolar distance), the Bath ankylosing spondylitis function index (BASFI), and the Bath ankylosing spondylitis disease activity index. The main outcome measures included TMJ function (craniomandibular index (CMI)), and neck mobility (flexion, extension, rotation, and lateral rotation). None of the measures of general physical status, with the exception of BASFI, were significant1y different between the pretreatment, posttreatment, and 6-week follow-up (p>.05). However, CMI and all neck movements, except for extension, significant1y improved after the treatment (p<.05). These improvements were maintained during the follow-up period. The DSE used in the present study seems to be a clinical1y useful method for managing patients with symptoms from the stomatognathic system in AS. Further studies with more subjects and longer treatment times, including the follow-up period, will be conducted to validate these findings.
Keywords
- Ankylosing spondylitis;
- Disease-specific exercise;
- Temporomandibular joint dysfunction;
- Therapeutic exercise