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首页> 外文期刊>Journal of oral rehabilitation >Natural course of temporomandibular disorders with low pain-related impairment: A 2-to-3-year follow-up study
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Natural course of temporomandibular disorders with low pain-related impairment: A 2-to-3-year follow-up study

机译：低疼痛相关障碍的颞下颌疾病的自然病程：一项为期2至3年的随访研究

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摘要

To describe the natural course of temporomandibular disorders (TMD) in patients with low levels of pain-related impairment, independently by the physical diagnoses they received. Amongst all patients who attended the TMD Clinic, University of Padova, Italy, during the year 2009, those who: (i) had Research Diagnostic Criteria for TMD (RDC/TMD) axis II Graded Chronic Pain Scale (GCPS) grade 0 or 1 scores, (ii) received counselling on their signs and symptoms at the time of their first visit and suggestions on how to self-manage their symptoms, (iii) did not attend the Clinic since the time of their last visit and (iv) were visited by the same resident, were recalled for a follow-up assessment during the period from September to December 2011. Sixty-nine patients (79% females; mean age 47.4 ± 11.3 years; range 26-77) of 86 who were potentially eligible accepted to enter the study. The time span since the first visit ranged from 23 to 36 months. At the follow-up assessment, the percentage of patients with muscle disorders decreased from 68.1% to 23.1%; disc displacement with reduction remained unchanged (52.1%), whilst the 5.7% of patients who had disc displacement without reduction with limited opening then showed absence of limitation; diagnoses related to other joint disorders decreased from 30.4% to 14.4% for arthralgia and from 27.5% to 24.6% for osteoarthritis/osteoarthrosis. In a sample of patients TMD with low pain-related impairment followed up with a single recall assessment at 2-to-3 years, the natural course of disease was generally favourable.
机译：通过低水平的与疼痛相关的损伤患者的物理诊断来描述他们的颞下颌关节疾病的自然病程。在2009年期间，意大利帕多瓦大学的TMD诊所就诊的所有患者中，（i）拥有TMD（RDC / TMD）轴II级慢性疼痛量表（GCPS）0或1级的研究诊断标准分数;（ii）初次就诊时就接受了有关其体征和症状的咨询，以及有关如何自我管理其症状的建议;（iii）自上次就诊以来就没有去诊所了;（iv）在2011年9月至2011年12月期间，召回了同一位居民走访的患者，以进行随访评估。有可能符合条件的86名患者中有69名患者（女性占79％;平均年龄47.4±11.3岁;范围26-77）被接受进入研究。自第一次访问以来的时间跨度为23到36个月。在随访评估中，肌肉疾病患者的百分比从68.1％降低到23.1％;椎间盘移位并减少的情况保持不变（52.1％），而5.7％的患者在没有开放受限的情况下发生椎间盘移位的情况表明没有局限性;关节痛的其他关节疾病诊断从30.4％降低到14.4％，骨关节炎/骨关节炎从27.5％降低到24.6％。在具有低疼痛相关损伤的TMD患者样本中，在2至3年内进行了一次回忆评估，该疾病的自然病程通常是有利的。

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