软组织操作对口腔黏膜下纤维化患者浅咬肌和颞前肌功能和肌肉活动的影响：一项随机临床试验的研究方案

IF 1.1 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

International Journal of Osteopathic Medicine Pub Date : 2025-05-03 DOI:10.1016/j.ijosm.2025.100764

Rohan Kumar Sahu , Preeti Garg , Deepak Gupta , Aditi Popli , Kanu Goyal , Manu Goyal

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引用次数: 0

摘要

口腔黏膜下纤维化（OSMF）是一种慢性致残性口腔疾病，主要表现为张嘴受限（牙关），嘴唇、脸颊和咽部僵硬，导致吞咽困难和口腔灼烧感。目的比较软组织手法对OSMF患者浅咬肌和颞前肌功能及肌肉活动的影响。材料,方法12名OSMF参与者将被随机分为两组，即1组-软组织操作和局内注射（STM + II），而2组-局内注射（II）。参与者将在6周内每周接受一次训练，每次训练30-40分钟。将在基线和基线后6周评估张口范围、疼痛和肌肉功能。结果经正态性判定后，进行组内和组间分析，评价统计学显著性，计算干预的效应量和威力。结论本研究将评价STM对OSMF患者浅咬肌和颞前肌功能的改善效果。•本研究方案针对患有牙关超过3个月的口腔黏膜下纤维化（OSMF）患者，研究软组织操作（STM）对OSMF患者浅表咬肌和颞前肌功能和肌肉活动的影响。•很少有研究应用整骨疗法治疗颞下颌功能障碍，但没有任何已发表的文献关于该疗法在OSMF病例中的潜力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Effectiveness of soft tissue manipulation on function and muscle activity of superficial masseter and anterior temporalis in patients with oral Submucous Fibrosis: A study protocol for randomized clinical trial

Background

Oral Submucous Fibrosis (OSMF) is a chronic, disabling disorder of oral cavity primarily marked by limited mouth opening (trismus) and rigid lips, cheeks and pharynx causing dysphagia and a burning sensation in the mouth.

Objective

To compare the efficacy of soft tissue manipulation on function and muscle activity of superficial masseter and anterior temporalis in patients with OSMF.

Material & methods

A total of 12 OSMF participants will be randomized in two groups i.e. Group 1- Soft tissue manipulation and Intralesional injection (STM + II), while Group 2 -Intralesional injection (II) only. Participants will receive one session per week for 6 weeks with the duration of 30–40 min per session. The mouth opening range, pain and muscle function will be assessed at the baseline and 6 weeks from baseline.

Result

Following normality determination appropriate within and between the group analysis will be performed to evaluate statistical significance and effect size and power of intervention will be computed.

Conclusion

This study will evaluate the efficacy of the STM in improving muscle function of superficial masseter and anterior temporalis in patients with OSMF.

Implications for practice

•
This study protocol deals with Oral Submucous Fibrosis (OSMF) patients having trismus more than 3 months, investigating the effectiveness of Soft Tissue Manipulation (STM) on function and muscle activity of superficial masseter and anterior temporalis muscle in patients with OSMF.
•
Very few studies have been conducted on the application of Osteopathic Manipulative Treatment for the management of temporomandibular dysfunctions but there isn't any published literature on this therapy's potential in cases with OSMF.

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来源期刊

International Journal of Osteopathic Medicine 医学-医学：内科

CiteScore

2.20

自引率

36.80%

发文量

审稿时长

3 months

期刊介绍： The International Journal of Osteopathic Medicine is a peer-reviewed journal that provides for the publication of high quality research articles and review papers that are as broad as the many disciplines that influence and underpin the principles and practice of osteopathic medicine. Particular emphasis is given to basic science research, clinical epidemiology and health social science in relation to osteopathy and neuromusculoskeletal medicine. The Editorial Board encourages submission of articles based on both quantitative and qualitative research designs. The Editorial Board also aims to provide a forum for discourse and debate on any aspect of osteopathy and neuromusculoskeletal medicine with the aim of critically evaluating existing practices in regard to the diagnosis, treatment and management of patients with neuromusculoskeletal disorders and somatic dysfunction. All manuscripts submitted to the IJOM are subject to a blinded review process. The categories currently available for publication include reports of original research, review papers, commentaries and articles related to clinical practice, including case reports. Further details can be found in the IJOM Instructions for Authors. Manuscripts are accepted for publication with the understanding that no substantial part has been, or will be published elsewhere.