Clinical evaluation of self-traction therapy for internal derangement of TMJ

概要

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Manipulation technique for Internal Derangement of TMJ is a highly effective therapy, especially for primary cure, not only to achieve unlock (reduction of displaced disc), but also to improve its pathological condition (stretch of parajoint soft-tissue, enlargement of joint space, improve of joint circulation). Accordingly, repeated exercise such as manipulation (self-traction therapy) can bring about softening and relaxation of the joint capsule, and is effective as a physical and kinesitherapy for internal derangement of TMJ.We treated internal derangement of TMJ mainly using self-traction therapy. In this study, we evaluated self-traction therapy for internal derangement in the second and third decades, because they are more simply diagnosed as closed lock or unlock than older decades.The 88 cases of internal derangement which included 45 cases of closed lock, 18 cases of intermittent closed lock were treated with self-traction therapy. The combination therapies were pumping manipulation or pivot-type occlusal splint and arthroscopic or open surgery. The cases were treated after unsatisfactory progress by treatment with self-traction therapy for several weeks. 30 cases of closed lock achieved unlock, 5 cases of intermittent lock disappeared and 8 cases decreased the state of locking, due to repeated exercise of self-traction.
一般社団法人日本顎関節学会の論文