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master's thesis
Fizikalna terapija temporomandibularnih disfunkcija
2013. urn:nbn:hr:184:386264
Grgić, Ivona
University of Rijeka
Faculty of Medicine
Department of Oral Medicine and Periodontology

Cite this document

Grgić, I. (2013). Fizikalna terapija temporomandibularnih disfunkcija (Master's thesis). Rijeka: University of Rijeka, Faculty of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:386264

Grgić, Ivona. "Fizikalna terapija temporomandibularnih disfunkcija." Master's thesis, University of Rijeka, Faculty of Medicine, 2013. https://urn.nsk.hr/urn:nbn:hr:184:386264

Grgić, Ivona. "Fizikalna terapija temporomandibularnih disfunkcija." Master's thesis, University of Rijeka, Faculty of Medicine, 2013. https://urn.nsk.hr/urn:nbn:hr:184:386264

Grgić, I. (2013). 'Fizikalna terapija temporomandibularnih disfunkcija', Master's thesis, University of Rijeka, Faculty of Medicine, accessed 08 July 2024, https://urn.nsk.hr/urn:nbn:hr:184:386264

Grgić I. Fizikalna terapija temporomandibularnih disfunkcija [Master's thesis]. Rijeka: University of Rijeka, Faculty of Medicine; 2013 [cited 2024 July 08] Available at: https://urn.nsk.hr/urn:nbn:hr:184:386264

I. Grgić, "Fizikalna terapija temporomandibularnih disfunkcija", Master's thesis, University of Rijeka, Faculty of Medicine, Rijeka, 2013. Available at: https://urn.nsk.hr/urn:nbn:hr:184:386264

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Metadata
TitleFizikalna terapija temporomandibularnih disfunkcija
Title (english)Physical therapy of temporomandibular disorders
AuthorIvona Grgić
MentorRenata Gržić (mentor)
Committee memberRenata Gržić
Committee memberVlatka Lajnert
Committee memberMargita Belušić-Gobić
GranterUniversity of Rijeka
Faculty of Medicine
(Department of Oral Medicine and Periodontology)
Rijeka
Defense date and country2013, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Dental Medicine
Oral Medicine
Abstract
Temporomandibularni poremećaji su poremećaji koji se odražavaju na tkivima žvačnoga sustava: žvačnim mišićima, čeljusnome zglobu, zubima i njihovim potpornim aparatima. Najrašireniji su poremećaji žvačnih mišića zbog kojih se u većini slučajeva pacijenti javljaju svojim liječnicima. Glavni simptom ovih poremećaja je bol. Trijas simptoma koji su karakteristični za TMP-e su bol, zvukovi u zglobu i ograničene kretnje donje čeljusti. U većini slučajeva pacijenti nisu svjesni poremećaja. Uzroci koji dovode do nastanka TMP-a mogu bit lokalnog i sustavnog djelovanja. Lokalni čimbenici su trauma, promjene stanja okluzije, parafunkcijske aktivnosti, a glavni sustavni uzročnik je emocionalni stres. U zbrinjavanju i liječenju TMP-a može se provoditi konačno liječenje kojim se uzroci poremećaja uklanjaju ili kontroliraju, te potporno liječenje kojim se postiže ublažavanje simptoma. Budući da su TMP-i sve više zastupljeni u općoj populaciji, potrebno je upoznati se s potpornim liječenjem koje omogućuje lakše funkcioniranje pojedinog pacijenta s okolinom. U potpornu je terapiju osim farmakoloških metoda uključena i fizikalna terapija. Fizikalna terapija raspolaže manualnim tehnikama i raznim modalitetima u liječenju poremećaja. Manualne tehnike kao što su površinske i dubinske masaže, distrakcija zgloba i mišićno kondicioniranje korisni su u početnom zbrinjavanju poremećaja. Dodatni impuls fizikalnoj terapiji daju modaliteti. Najraširenija je primjena ultrazvuka, a često se koriste termoterapija i terapija hlađenjem. Osim navedenih modaliteta koriste se i ostali: EGS, TENS, laser, iontoforeza, akupunktura kao alternativna metoda. Primjena botulinum toksina postaje sve raširenija, kako u liječenju mišićnih tako i u liječenju zglobnih poremećaja.
Abstract (english)
Temporomandibular disorders (TMD) are disorders of masticatory system and its tissues: masticatory muscles, temporomandibular joint, teeth and their support system. Most common disorders are disorders of masticatory muscles which make patients to visit their doctors of dental medicine. The main symptom of TMD is pain. Triad of symptoms, which are characteristic for TMD, is formed by pain, joint sounds and limited mandibular movement. In most cases patients are not aware of TMD. Causes of TMD can have local or systematic action. Trauma, oclusal changes, parafunction activities are causal factors with local action. The main causal factor with systematic activity is emotional stress. In care and treatment of TMD doctor can use definitive therapy or supportive therapy. Definitive therapy uses methods which removes or controls causal factors. In supportive therapy methods are focused and directed to relieve symptoms. It's important to own a knowledge about supportive therapy because it makes patients symptoms and life easier. Except pharmacal, physical therapy is also a part of supportive therapy. Physical therapy has manual technique and modalities which are useful in treatment of TMD. Surface and deep massage, joint distraction, muscle conditioning are useful manual techniques in initial treatment. Except manual techniques in treatment of TMD can be also used modalities. Modalities such as ultrasound therapy, thermotherapy and criotherapy are most used modalities in treatment. EGS, TENS, cold laser, iontophoresis and acupuncture are also used but not so often as ultrasound and thermotherapy. The use of botulinum toxin is increased in treatment of muscles and joint disorders.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:184:386264
Study programmeTitle: Dental Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica dentalne medicine (doktor/doktorica dentalne medicine)
Type of resourceText
File originBorn digital
Access conditionsAccess restricted to students and staff of home institution
Terms of useLicence In copyright icon
Created on2016-03-04 10:33:31