[Substantiation of psychosomatic nature of temporomandibular joint disorders complicated by parafunctions of masticatory muscles and their combined treatment].
The nature and origin of disorders of masticatory muscles and temporomandibular joint are discussed. Their psychosomatic origin is suggested. Methods of direct and indirect psychotherapy as well as psychopharmacotherapy were included in complex rehabilitation. Computer videoautotraining with biological adaptive feedback was used. 105 patients (31 men and 74 women) at the age of 16-70 years (mean age 34,9+/-1,3 years) were examined. For the first time dysfunction computer arthrophonography of joint sound was used. Combined therapy of this patients was carried out including: psychological correction (suggestion, placebo-therapy, computer videoautotraining), pharmacotherapy (psychotropic, myorelaxative, analgetic drugs preparations), physiotherapy (electrophoresis, phonotherapy, vibroacustic massage), use of orthopaedic apparatuses. Complete recovery or significant improvement of health was observed in 92% of patients, insufficient effect - in 8%.
Bulycheva
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D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008410:Masticatory Muscles / Q000503:physiopathology*; D008875:Middle Aged; D009135:Muscular Diseases / Q000209:etiology / Q000523:psychology / Q000628:therapy; D009466:Neuromuscular Blocking Agents / Q000627:therapeutic use*; D019637:Orthopedic Procedures / Q000379:methods*; D026741:Physical Therapy Modalities; D011619:Psychotropic Drugs / Q000627:therapeutic use*; D013705:Temporomandibular Joint Disorders / Q000150:complications / Q000523:psychology / Q000628:therapy; D016896:Treatment Outcome
D009466:Neuromuscular Blocking Agents; D011619:Psychotropic Drugs