선택한 단어 수는 입니다.
최소 단어 이상 선택하여야 합니다.
최소 단어 이상 선택하여야 합니다.
선택한 단어 수는 30입니다.
최대 10 단어까지만 선택 가능합니다.
최대 10 단어까지만 선택 가능합니다.
가설 설정
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2. TMJ sounds.
제안 방법
- Three types of range of motion were measured: (1) maximum opening without pain, (2) maximum unassisted opening, and (3) maximum assisted opening. After routine radiographic examination, clinical diagnosis was made based on the information from symptoms, clinical examination findings and radiographic appearances.
- Such data expressed in a 4-graded scale can be further processed to produce secondary variables with a quantitative property. In this study, several variables of the sum of tenderness scores were defined and were used to determine the relationships between subjective pain intensity and sum of tenderness scores. The correlation between the two variables was low, which suggested the patients' report of pain level is not well proportionate to the tenderness test results.
- Tenderness scores obtained on palpation of the TMJ, masseter, and submandibular area were processed for further analysis. The sum of unilateral tenderness scores added up pain scores of only one side-right or left-which was defined as RTS and LTS.
- The data obtained from the questionnaire, patient interview, clinical findings, and processed tenderness scores were statistically analyzed. The correlation between the patients’ report and palpation test result of the intensity of jaw pain was examined using Kendall’s rank correlation coefficient.
- Patients completed a self-administered TMD questionnaire. The questionnaire asked whether they had often experienced neck pain, headache, emotional stress, sleep disturbance, and nighttime tooth grinding. It contained questions about pain intensity-both at the time and in the past six months, which could be expressed as a numerical rating scale from 0 to 10.
- To answer the question how reliable are TMD symptoms described by patients, the following aims were set: first, to investigate the characteristics of TMD symptoms in a patient group; and second, to determine the correspondence between patients’ TMD symptoms and physical examination findings.
대상 데이터
- 5%). Otalgia was presented in 8 patients (4.7%). The mean (±SD) of the intensity of subjective jaw pain was 3.
- Sites of pain symptom reported by 172 patients included jaw, head, neck, ear, and mouth. Among these pain locations, jaw pain was noted in 158 patients (91.
- Table 1. The frequencies of all chief complaints and major symptoms of 218 subjects. Single or multiple symptoms were counted per patient.
- The study group consisted of 218 consecutively seen patients seeking treatment for orofacial pain in the Department of Oral Medicine, Chonnam National University Dental Hospital. There were 143 female patients and 75 male patients, who had a mean age of 31.
- Tenderness to palpation was scored as 0 for no pain or pressure, 1 for mild pain, 2 for moderate pain, and 3 for severe pain. Two sites of the TMJ were examined: TMJ lateral pole (JCp) and TMJ retrodiscal pad (JRd). Three sites were measured along the temporalis muscle, and three sites along the masseter muscle: temporalis anterior, temporalis middle, temporalis posterior, masseter superior (Ms), masseter middle (Mm), and masseter inferior (Mi).
데이터처리
- The correlation between the patients’ report and palpation test result of the intensity of jaw pain was examined using Kendall’s rank correlation coefficient.
- The difference between the patients’ report and examination results of opening amounts was examined by the Mann-Whitney U-test.
이론/모형
- The difference between the patients’ report and the test result of the side of jaw pain was examined using the Wilcoxon signed ranks test.
성능/효과
- 0) in the numerical rating scale (NRS). If the intensity of jaw pain was divided into 3 categories of mild (NRS: 1-3), moderate (NRS:4-6), and severe pain (NRS: 7-10), moderate pain was reported in 37.3% of the TMD patients, and severe pain only 6.3%.
- The overall analysis of relationships between reports and examination findings shows that: major symptoms in TMD patients were jaw pain, TMJ sounds, and mouth opening limitation, and that the most reliable findings from the patients’ reports were the side of jaw pain, the side of TMJ sounds, and the presence of opening limitation.
- This study evaluated the concurrence of the reported, subjective TMD symptoms with clinical examination findings which were regarded as objective. The overall analysis of relationships between reports and examination findings shows that: major symptoms in TMD patients were jaw pain, TMJ sounds, and mouth opening limitation, and that the most reliable findings from the patients’ reports were the side of jaw pain, the side of TMJ sounds, and the presence of opening limitation.
후속연구
- Nonetheless, all these limitations do not supposed to weaken the validity of the findings in this study. Future research with improved designs and methodology is anticipated to support the findings of this study.
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