심부 목 굽힘근 운동이 턱관절 장애가 있는 성인의 최대 개구량과 근긴장도, 통증에 미치는 효과

다국어 초록 (Multilingual Abstract)

Purpose: This study was conducted to investigate the effects of deep neck flexor exercises on maximum mouth opening, muscle tone, and pain in adults with temporomandibular disorders.
Methods: This single-blinded, randomized, controlled, comparative study included 24 adults with temporomandibular disorders. Participants were randomly assigned to either the experimental group (deep neck flexor exercise combined with masseter and temporalis massage and transcutaneous electrical nerve stimulation, n=12) or the control group (masseter and temporalis massage and transcutaneous electrical nerve stimulation, n=12). All participants received treatment and exercise three times per week for four weeks. Maximum mouth opening, muscle tone, and pain were measured before and after the 4-week intervention.
Results: After four weeks, both groups showed significant improvements in MMO, muscle tone, and pain (p<.05). The experimental group showed significantly greater improvements than the control group in all outcome measures (p<.05). Specifically, maximal mouth opening increased by 0.67cm in the experimental group compared to 0.26cm in the control group (p<.05). Masseter muscle tone decreased by –2.30 Hz versus –0.98 Hz (p<.05), and NRS pain scores decreased by –2.33 versus –1.50 (p<.05). Temporalis muscle tone also tended to decrease in both groups, although the difference between groups was not statistically significant.
Conclusion: Deep neck flexor exercise effectively improved mouth opening, reduced muscle tone of the masticatory muscles, and alleviated pain in adults with temporomandibular disorders. This intervention may enhance mandibular function and serve as an effective adjunct to conventional physical therapy for temporomandibular rehabilitation.

목차 (Table of Contents)

• Ⅰ. 서 론 1
• Ⅱ. 연구 방법 4
• 1. 연구 대상자 4
• 2. 연구 설계 및 절차 5
• 3. 중재 방법 7
• 4. 평가 방법 14
• 1) 최대 개구량 측정 14
• 2) 근긴장도 측정 16
• 3) 통증 측정 18
• 5. 자료 처리 20
• Ⅲ. 연구 결과 21
• 1. 연구대상자의 일반적 특성 21
• 2. 두 군간 중재 전･후의 최대 개구량 비교 23
• 3. 두 군간 중재 전･후의 근긴장도 비교 25
• 4. 두 군간 중재 전･후의 통증 비교 28
• Ⅳ. 고 찰 30
• Ⅴ. 결 론 33
• 참 고 문 헌 34
• 영 문 초 록 40
• 감 사 의 글 42