Study 두통을 동반한 근막성 턱관절 장애 환자의 관리를 위한 정형도수치료기법과 가정 자가-치료적 운동의 적용 : 사례연구
Use of Orthopedic Manual Physical Therapy and Home Self-Therapeutic Exercise to M anage M yofascial Tem porom andibular Disorder Accompanied by Headache : Case Study
Purpose: The current case study focuses on identifying the effects of manual therapy and home self-therapeutic exercise including on mouth opening and pain relief in patients with continuous neck pain with myofascial temporomandibular disorders (TMDs) accompanied by headache induced by masticatory myalgia Subjects: The study participant was a 27-year-old woman who was treated a year ago for pain related to TMDs accompanied by a headache. Methods: Manual therapy of the cervical spine with upper cervical spine posterior-to-anterior mobilization (C1~C2), upper cervical spine flexion mobilization (C0~C2), upper cervical spine lateral flexion mobilization (C0~C1), upper cervical spine thrust manual therapy (C1~C2) and manual therapy of the temporomandibular joint and muscles with transverse medial accessory temporomandibular joint mobilization, manual therapies for the temporal, the masseter, and medial pterygoid muscles were performed twice a week for about 30 minutes for 4 weeks. This protocol included 3 sessions in total. The home self-therapeutic exercise was to be performed two to three times a day. Results: The values more improved MMO increased to 41.4 ㎜, left masseter muscle PPT to 2.9 ㎏f/㎠, right masseter muscle PPT to 3.1 ㎏f/㎠, KHIT-6 to 46 points, neck pain intensity (by NRS) to 2 points, headache frequency to per weeks, cervical kyphotic angle to -8.06%, and GCPS to grade 1 (low-intensity pain without pain-related disorder). Conclusion: Manual therapy and home self-therapeutic exercise can be helpful for mouth opening and pain relief in patients with myofascial TMDs accompanied by secondary headaches induced by masticatory myalgia.
목차
ABSTRACT I. 서론 Ⅱ. 연구방법 1. 연구설계 2. 사례 설명 3. 실험도구 및 측정방법 4. 중재 방법 Ⅲ. 연구결과 1. 연구대상자의 일반적인 특성 2. 중재 결과 Ⅳ. 고찰 Ⅴ. 결론 참고문헌
대한정형도수물리치료학회 [Korean Academy of Orthopedic Manual Therapy]
설립연도
1992
분야
의약학>물리치료학
소개
대한정형물리치료학회는 대한물리치료사학회 정형물리치료 분과학회로서 정형물리치료학 분야의 연구및 학문발전에 목적을 가지고 있습니다.
본 학회에서는 다음과 같은 사업을 주관하고 있습니다.
첫째. 정형물리치료 분야 및 관련분야의 연구가 이루어지고 있으며,
둘째. 정형물리치료 연수위원회 운영 및 교육프로그램을 개발하고,
셋째. 학술대회 및 세미나를 개최하며,
넷째. 학회지 및 관련 도서를 발간 하고 있으며,
다섯째. 국제 및 국내 유관단체와 학술교류를 담당하고 있습니다.
간행물
간행물명
대한정형도수물리치료학회지 [The Journal of Korean Academy of Orthopedic Manual Physical Therapy]