Temporomandibular joint effusion and neurovascularisation in temporomandibular joint dysfunction; its impact on patient quality of life as assessed using musculoskeletal ultrasound.
Item
- Title
- Temporomandibular joint effusion and neurovascularisation in temporomandibular joint dysfunction; its impact on patient quality of life as assessed using musculoskeletal ultrasound.
- Author(s)
- Johnston, K
- Abstract
- Objective: The relationship between effusion of the temporomandibular joint (TMJ) as assessed by ultrasound and the occurrence of subject disability has not been researched. This pilot study explored the link between TMJ inflammation as measured by ultrasound and patient disability assessed by the Steigerwald Maher TMD Disability Index (SMTDI). Study Design: 24 patients clinically diagnosed with TMJ were recruited from the European School of Osteopathy and Longfield Dental Practise, Maidstone, Kent UK. Subjects completed the SMTDI and joint effusion and neovascularisation were measured using ultrasound. SMTDI was calculated to give a score between 20 and 100 dependant on levels of disability. Effusion was calculated indirectly by measuring capsular width, and neovascularisation was classified into 4 grades. SMTDI was correlated with both neovascularisation and capsular width. The relationship between subject disability and measures of inflammation was calculated using Pearson's Product Moment testing and accuracy was determined using Friedman's Z transformation and the Wilcoxon Results: Larger capsular widths were found to be correlated to increasing SMTDI scores, (r=0.803, p<0.0001). The null hypothesis that increasing disability does not correlate with capsular width was disproved. The patient profile correlated with that of previous studies and the TMD sufferer population, indicating external validity. No subject exhibited neovascularisation above grade 1; a narrow range of results made accurate analysis implausible. Conclusions: Ultrasound depicted TMJ effusion was found to be strongly related TMJ related disability. The study design proved reproducible and a larger scale study is indicated. Results indicate that the SMTDI could be integrated into practise life as a quick, cheap and easy tool to monitor patient's progress and assess levels of inflammation, without the need for repetitive imaging.
- presented at
- European School of Osteopathy
- Date Accepted
- 2013
- Date Submitted
- 20.1.2015 16:42:58
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 15455
- Inst-Identifier
- 1229
- Keywords
- Ultrasound and TMJ.
- Recommended
- 0
- Item sets
- Thesis
Johnston, K, “Temporomandibular joint effusion and neurovascularisation in temporomandibular joint dysfunction; its impact on patient quality of life as assessed using musculoskeletal ultrasound.”, Osteopathic Research Web, accessed May 17, 2024, https://www.osteopathicresearch.com/s/orw/item/709