Awareness of the Role of Physiotherapy in Temporomandibular Disorders amongst DentistsAwareness of the Role of Physiotherapy in Temporomandibular Disorders amongst Dentists

Manasi S. Desai, Urvisha Jain
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Abstract

Purpose: Temporomandibular joint disorder (TMD) is a complex disorder usually characterized by pain,crepitus and reduced movement which may be caused due to unbalanced activity, muscular spasm, oroveruse of the jaw muscles. Awareness among dentists in and around Mumbai and Navi-Mumbai about PT’srole for TMD treatment was found to be unknown. Therefore, the study aimed at finding out the awarenessof physiotherapy management of TMD amongst dentists.Method: This was a cross-sectional study including 100 dentists done over a period of 6 months. Thedata was collected from various private setups and hospitals in and around Mumbai and Navi-Mumbai. Aconsent form and a self-prepared validated questionnaire was used. The data was statistically analysed anddescriptive analysis was done with the help of pie charts and bar diagrams.Results: In our study 89% of the dentists considered physiotherapy as a treatment option for TMD. However,49% of the dentists refer people with TMD to physiotherapists. Fewer dentists were aware that physiotherapyhelps in improving strength and coordination of jaw muscles while greater number of dentists were awarethat physiotherapy also helps in pain relief, relaxation, minimization of stiffness and restoration of normalmobility and function.Conclusions: Although a large percentage of dentists that completed the survey were aware of the role of PTin treating people with TMD, the rate of referral was low. Therefore, there is a need to educate the dentistsabout the role of physiotherapy in treating people with TMD, to encourage them to refer people with TMDand thereby promote multidisciplinary rehabilitation of this complex disorder.
物理治疗在牙科颞下颌疾病中的作用的认识牙医对物理治疗在颞下颌疾病中的作用的认识
目的:颞下颌关节紊乱(Temporomandibular joint disorder, TMD)是一种复杂的疾病,通常以疼痛、肌痉挛和运动减少为特征,这可能是由于活动不平衡、肌肉痉挛或过度使用颌骨肌肉引起的。在孟买及其周边地区和新孟买,牙医对PT在TMD治疗中的作用的认识是未知的。因此,本研究旨在了解牙医对TMD物理治疗管理的认识。方法:这是一项横断面研究,包括100名牙医在6个月内完成。这些数据是从孟买和新孟买及其周边的各种私人机构和医院收集的。使用同意表和自行准备的有效问卷。对数据进行统计分析,并借助饼图和条形图进行描述性分析。结果:在我们的研究中,89%的牙医认为物理治疗是治疗TMD的一种选择。然而,49%的牙医会将患有TMD的病人转介给物理治疗师。很少有牙医意识到物理疗法有助于提高下颌肌肉的力量和协调性,而更多的牙医意识到物理疗法也有助于缓解疼痛、放松、最小化僵硬和恢复正常的活动和功能。结论:虽然完成调查的大部分牙医都知道PTin治疗TMD的作用,但转诊率很低。因此,有必要教育牙医理疗在治疗TMD患者中的作用,鼓励他们转诊TMD患者,从而促进这种复杂疾病的多学科康复。
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