著者

朝比奈 たまき 水谷 英樹 杉村 泰郎 兼子 隆次 千賀 勝広 上田 実

出版者

Japanese Society of Oral and Maxillofacial Surgeons

雑誌

日本口腔外科学会雑誌 (ISSN:00215163)

巻号頁・発行日

vol.44, no.9, pp.750-752, 1998-09-20

参考文献数

10

被引用文献数

3

---

Rheumatoid arthritis (RA) is a chronic inflammatory disease with immunologic abnormalities. Although the temporomandibular joint (TMJ) can be involved, early changes of the TMJ affected by RA are unclear, and the treatment for temporomandibular disorders (TMD) in patients with RA is not established yet. Physiotherapy is effective for general joints with RA but its effect for RA of the TMJ is unknown. The clinical effects of physiotherapy for TMD in RA patients was investigated. Five patients with RA visited our department with complaints of the TMD. Physiotherapy, including exercises of TMJ movement and mastication training were stasted, bilaterally and simultaneously. Clinical findings showed an increase in maximal interincisal distance with no pain after therapy in 4 patients. No patient had anterior open bite or TMJ ankylosis in the follow-up period (2.5 to 5.3 years). These results suggest that physiotherapy is also effective for the TMD in RA patients.