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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Assessment of Temporomandibular Joint Dysfunction in Patients with Stroke
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Assessment of Temporomandibular Joint Dysfunction in Patients with Stroke

机译：卒中患者颞下颌关节功能障碍的评估

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Goal: The aim of this study was to assess temporomandibular joint dysfunction in patients with stroke. Materials and Methods: Total of 100 participants, 50 healthy and 50 who had stroke, were recruited into this study. Digital caliper and algometer were used to assess temporomandibular joint range of motion and masticatory muscle pressure pain threshold. Labial commissure angle measurement was used for the assessment of facial paralysis severity. Fonseca questionnaire was used for temporomandibular joint dysfunction assessment and categorization. In addition, dominant mastication shift was measured by the question that asks the pre and poststroke dominant mastication side. Findings: In intergroup comparison, significant decrease was found in all temporomandibular range of motion parameters in favor of stroke group (P .05). Despite the fact that no significant difference was found between groups for the pain threshold in masticatory muscles except for middle part of the left temporalis muscle, values were higher in healthy group (P .05). As a result of intergroup examination of labial commissure angle degree, Fonseca questionnaire score, it was found that labial commissure angle and Fonseca questionnaire scores were higher in stroke group (P .05). Intragroup examination of patients with stroke showed that dominant mastication side shift was seen in patients with stroke (P .05). Conclusion: It was concluded that, temporomandibular joint dysfunction prevalence was higher in stroke group compared with healthy group and use of modalities specific to temporomandibular joint dysfunction treatment would be beneficial.
机译：目标：本研究的目的是评估中风患者的颞下颌关节功能障碍。材料和方法：招募了100名参与者，50名健康，50人，招聘了这项研究。数字卡尺和避鸟仪用于评估颞下颌关节运动和咀嚼肌压疼痛阈值。 Labial Conmissure角度测量用于评估面膜瘫痪严重程度。 Fonseca问卷用于颞下颌关节功能障碍评估和分类。此外，通过问题询问前后主导咀嚼方面的问题来衡量主导的咀嚼转变。结果：在依法比较中，发现在所有颞下颌的运动参数范围内发现了显着的减少（P <.05）。尽管在咀嚼肌的疼痛阈值之间没有发现显着差异，但除了左颞肌的中间部分，健康组的值较高（P＆GT; .05）。由于对唇息角度程度的血液组合检查，Fonseca调查问卷评分，发现颌下组的唇颌面积和Fonseca调查表评分较高（P <.05）。卒中患者的Intragrous考试显示，中风患者（P <0.05）患者看到显性咀嚼侧移。结论：结论是，与健康群体相比，中风组颞下颌关节功能障碍患病率高，以及使用特异性颞下颌关节功能障碍治疗的方式将是有益的。

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