측두근 운동이 개두술 후 저작에 미치는 효과 = Effects of Temporal Muscle Exercise on Mastication after Craniotomy

다국어 초록 (Multilingual Abstract)

The purpose of this study was to verify the effects of gum chewing temporalis muscle exercise on masticatory discomforts after craniotomy. Methods: Data collection was performed from July 10 to October 24,2008. Forty participants who were treated with elective craniotomy were enrolled in this study. Twenty participants in the exercise group were given a gum chewing exercise protocol for five days and twenty participants in the control group received usual postoperative care only. All the participants were examined on the first, third and fifth postoperative day regarding the masticatory pain score, mouth opening range, and satisfaction with mastication.
Collected data were analyzed using t-test, x2-test and repeated measures ANOVA. Result: Masticatory pain of experimental group was significantly lower than the control group (p<.001). Mouth opening range and satisfaction with mastication of experimental group were significantly improved in experimental group compared with the control group (p<.001). Conclusion: The gum chewing temporalis muscle exercise after craniotomy is a useful intervention to reduce masticatory pain and to improve mouth opening range, recovery rate of mouth opening range and satisfaction with mastication.

참고문헌 (Reference)

1 김시오, "일측 전측두골 개두술 후 발생한 하악강직으로 인한기관내 삽관의 어려움" 대한마취통증의학회 47 (47): 883-886, 2004

2 Mioche, L., "Variation in human masseter and temporalis muscle activity related to food texture during free and side imposed mastication" 44 : 1005-1012, 1999

3 Im, C. J., "Trismus" 31 (31): 204-207, 1993

4 Song, J. H., "The usefulness of subfacial temporalis dissection method in pterional craniotomy" 26 : 235-240, 1997

5 Rocha-Filho, P. A., "The long term effect of craniotomy on temporalis muscle function. Oral Surgery, Oral Medicine, Oral Pathology" 104 : 17-21, 2007

6 Kim, J. S., "The effect of the on TMJ and masticatory muscles to tension-type headache" Kyung Hee University 2006

7 Hickey, J. V., "The clinical practice of neurological and neurosurgical nursing(5th ed)" Lipponcott Williams & Wilkinds 2003

8 Michelotti, A., "The additional value of a home physical therapy regimen versus patients education only for the treatment of myofacial pain of the jaw muscles; short-term results of randomized clinical trial" 18 (18): 114-125, 2004

9 Faul, F., "Statistical power analysis using G*Power 3.1: Tests for correlation and regression analysis" 41 : 1149-1160, 2009

10 Cohen, J., "Statistical power analysis for the behavioral science (2nd ed)" Lawrence Eribaum Associates 1988

11 Nitzan, D. W., "Severe limitation in mouth opening following transtemporal neurosurgical procedure : diagnosis, treatment and prevention" 76 : 623-625, 1992

12 EL-sheikh, M. M., "Management of unilateral temporomandibula anky-losis associated with facial asymmetry" 25 : 109-115, 1997

13 Spikervet, F. K., "Management of the pseudoankylosis temporomandibular joint report of case" 52 : 1211-1217, 1994

14 Nunez, S. C., "Management of mouth opening in patients with temporalmandibular disorder through low-level laser and therapy transcutaneous electrical neural stimulation" 24 (24): 45-49, 2006

15 N'Gom, P. L., "Influence of impaired mastication on nutrition" 87 : 667-673, 2002

16 Myers, D. E., "Head pain as a result of experimental ischemic exercise of temporalis muscle" 23 : 113-116, 1982

17 Hendler, B. H., "Fibrous ankylosis of the mandible following frontotemporal craniotomy" 55 : 836-837, 1981

18 Kawazoe, Y., "Effects of therapeutic exercise on masticatory function in patients with progressive muscle dystrophy. Journal of Neurology" 45 : 343-347, 1982

19 Koutris, M., "Effects if repeated chewing exercise on the psychometric and clinical status of the masticatory muscles" 35 : 53-72, 2008

20 Gravish, A., "Effect of controlled mastication exercise on pain and muscle performance in myofacial pain patients" 24 (24): 184-190, 2006

21 De Andrade JR, F. C., "Dysfunction of the temporalis muscle after pterional craniotomy for intracranial aneurysm" 56 (56): 200-205, 1998

22 Kim, H. J., "Discomforts after craniotomy" 2005

23 Otto, S. D., "Chewing gum therapy in third molar surgery. Unpublished manuscript" University of the Western cape 2006

24 Kim, H. W., "A clinical study on the satisfaction of complete denture patients" 33 (33): 440-452, 1999

25 Jang, S. Y., "A case report on abnormal jaw movement associated with brain injury" 23 (23): 447-451, 1998