Abstract
OBJECTIVE:
Definition
of the effective and appropriate essential use of myogymnastic
exercises and orthopedic methods of posture correction in the complex
rehabilitation of patients with TMJ pathology and parafunction of the
masticatory muscles.
METHODS:
In the study, 63 patients
(11 men and 52 women) aged from 20 to 67, with the middle age 31±2.3
were treated, 43 of them had TMJ disease. In 51 patients, parafunctions
of masticatory muscles were diagnosed. The treatment was carried out
with the help of uncoupling the dentition rows of the splint, made after
the TENS-therapy; used medicamentation treatment, using an individual
plan for myogymnastic exercises and individual insoles for correction
the posture.
RESULTS:
Total effectiveness of the
treatment is shown as the average of the findings. Analysis of treatment
dynamics was due to only those data the results of which after
treatment in the control and main groups were different. Treatment
effectiveness of the main group in comparison with the control one is as
follows - periodontal vessels dopplerography - 16.22%, tonus of the
right chewing muscle - 11.45%, right temporal muscle tone - 4.8%, the
number of hours per a day in case of increased tone of the chewing
muscles - 12.9%, mouth opening amplitude - 17.1%. Thus, total treatment
effectiveness in the main group was 12.49±2.18% higher than in the
control group.
CONCLUSIONS:
Results of complex
rehabilitation, including myorelaxation procedures, medicamentation
treatment, splint therapy, an individual plan of myogymnastic exercises
for chewing muscles, and correction of posture using individual insoles
showed its effectiveness more than 12.49±2.18% in comparison with
traditional methods of treatment.
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