[Clinical evaluation of protocol for the craniomandibular disorders. 3. Questionnaire for the craniomandibular disorders].

T Okamura, R Kawata, A Ohta, K Koide, S Hatate
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Abstract

The purpose of this study is to clarify the effectiveness of questionnaire which is included in the protocol designed for screening the patients with extensive pathological states of craniomandibular disorders. 100 patients, with their ages ranging from 11 to 77 years old, were selected for the study and they were classified under various disorder classification which is based on the criteria of Japanese society for Temporomandibular Joint. Statistical analysis was performed to find the relationship between the different pathological states and the results of the questionnaire. The following results were obtained: 1. The ratio of appearance on TMJ pain was as follows: Type I (100%), Type II (0%), Type III (43.8-75.0%) and Type IV (75.0%). 2. The ratio of appearance on TMJ pain on chewing was as follows: Type I (50.0%), Type II (100%), Type III (20.0-100%) and type IV (37.5%). 3. The ratio of appearance on TMJ pain on maximum opening was as follows: Type I (100%), Type II (100%), Type III (50.0-100%) and Type IV (75.0%). 4. The ratio of appearance on TMJ noise was as follows: Type I (0%), Type II (0%), Type III (40.9-81.3%) and Type IV (50.0%). 5. The ratio of appearance on the fatigue by mastication was as follows: Type I (0%), Type II (50.0%), Type III (40.0-100%) and Type IV (75.0%). 6. The ratio of appearance on bruxism was as follows: Type I (0%), Type II (0%), Type III (10.4-40.0%) and Type IV (25.0%). 7. The ratio of appearance on the stiff of jaw on awakening was as follows: Type I (50.0%), Type II (0%), Type III (20.8-70.0%) and Type IV (37.5%). 8. The ratio of appearance on the unilateral chewing was as follows: Type I (50.0%), Type II (0%), Type III (20.0-50.0%) and Type IV (62.5%). 9. There were significances among those types about each items on the questionnaire, it can be suggested that the questionnaire for screening about craniomandibular disorders was effective.

颅下颌疾病治疗方案的临床评价。3.颅下颌疾病问卷调查[j]。
本研究的目的是为了阐明问卷调查的有效性,问卷调查包含在筛选具有广泛病理状态的颅下颌疾病患者的方案中。选取年龄在11 ~ 77岁之间的100例患者,根据日本颞下颌关节学会的标准对其进行不同的疾病分类。统计分析不同病理状态与问卷调查结果的关系。得到了以下结果:1。出现颞下颌关节疼痛的比例为:I型(100%)、II型(0%)、III型(43.8-75.0%)和IV型(75.0%)。2. 咀嚼时颞下颌关节疼痛出现的比例依次为:I型(50.0%)、II型(100%)、III型(20.0 ~ 100%)、IV型(37.5%)。3.最大开口时出现TMJ疼痛的比例为:I型(100%)、II型(100%)、III型(50.0% ~ 100%)和IV型(75.0%)。4. 外观在TMJ噪声中的占比依次为:I型(0%)、II型(0%)、III型(40.9-81.3%)、IV型(50.0%)。5. 外观对咀嚼疲劳的影响比例依次为:I型(0%)、II型(50.0%)、III型(40.0% ~ 100%)和IV型(75.0%)。6. 出现磨牙的比例依次为:I型(0%)、II型(0%)、III型(10.4-40.0%)、IV型(25.0%)。7. 醒觉时出现颌僵的比例依次为:I型(50.0%)、II型(0%)、III型(20.8 ~ 70.0%)、IV型(37.5%)。8. 单侧咀嚼出现的比例依次为:I型(50.0%)、II型(0%)、III型(20.0 ~ 50.0%)、IV型(62.5%)。9. 问卷各题项类型间差异均有统计学意义,提示该问卷对颅下颌疾病的筛查是有效的。
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