Impact of Emotional Stress and Physiotherapy Treatment on Prognosis of Temporomandibular Joint Disc Displacement with Reduction - A Case Report

Vinotha Durai
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Abstract

Many conservative treatment approaches are used for patients with temporomandibular joint disorders (TMD). Nonetheless, only a few studies have been published about physiotherapy treatment for patients with temporomandibular joint disc anterior displacement with reduction. A few studies have emphasised the relationship between increasing emotional stress and the occurrence of TMD. This report aimed to study the impact of integrated physiotherapy treatment (ultrasound therapy, soft tissue mobilisation, manual therapy and exercise therapy) approach for patients with temporomandibular joint disc displacement with reduction. The initial hypothesis of this study was that integrated physiotherapy treatment will reduce the patient’s symptoms and improve the quality of life. The outcome measures of our report showed that integrated physiotherapy treatment reduced the patient’s symptoms for a short period of time (3 weeks) post-treatment but was not effective in the long term. Even-though, the patient had followed all the self-management strategies, the patient was not able to cope with increasing emotional stress from day-to-day life which resulted in aggravation of the clinical condition. Our report concludes that the psychological aspect of the clinical condition must be included during the evaluation and treatment of patients with TMD for better treatment prognosis. How to cite this article:Durai V, Thiyagarajan A. Impact of Emotional Stress and Physiotherapy Treatment on Prognosis of Temporomandibular Joint Disc Displacement with Reduction - A Case Report. Chettinad Health City Med J. 2023;12(2):117-121. DOI: https://doi.org/10.24321/2278.2044.202339
情绪应激和物理治疗对颞下颌关节盘移位复位预后的影响1例报告
许多保守治疗方法用于颞下颌关节疾病(TMD)患者。然而,关于颞下颌关节盘前移位伴复位的物理治疗的研究很少。一些研究强调了情绪压力增加与TMD发生之间的关系。本报告旨在研究综合物理治疗(超声治疗、软组织活动、手工治疗和运动治疗)方法对颞下颌关节盘移位复位患者的影响。本研究最初的假设是综合物理治疗可以减轻患者的症状,提高患者的生活质量。我们报告的结果测量显示,综合物理治疗在治疗后短时间内(3周)减轻了患者的症状,但长期无效。尽管患者遵循了所有的自我管理策略,但患者无法应对日常生活中不断增加的情绪压力,导致临床病情恶化。我们的报告得出结论,在评估和治疗TMD患者时必须包括临床状况的心理方面,以获得更好的治疗预后。Durai V, Thiyagarajan A.情绪应激和物理治疗对颞下颌关节盘移位复位预后的影响- 1例报告。中国卫生与城市医学杂志,2013;12(2):117-121。DOI: https://doi.org/10.24321/2278.2044.202339
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