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【medical-news】行为治疗将有助于下颌功能紊乱
Reuters Health
Tuesday, February 6, 2007
NEW YORK (Reuters Health) - People who suffer from chronic jaw pain may be able to help themselves by learning how to manage the body's response to pain and stress, new research suggests.
Disorders of the temporomandibular joint, commonly called TMJ, involve pain and dysfunction in the jaw, joint and surrounding facial muscles. Treatment may include pain medication, physical therapy and, in some advanced cases, surgery.
The new study found that a form of treatment called biopsychosocial therapy helped patients with TMJ disorder manage their pain.
What's more, it saved them money, researchers report in the Journal of the American Dental Association.
TMJ sufferers often have to pay for doctor visits and treatment themselves because many insurers try to pass off the expense -- with medical plans claiming that dental plans should cover TMJ therapy, and vice-versa.
For the study, researchers at the University of Texas tested the cost-effectiveness of biopsychosocial therapy for TMJ.
The treatment is a combination of cognitive-behavioral therapy and biofeedback; the behavioral therapy aims to help patients cope with their pain, while biofeedback can help them learn how to recognize and control any bodily sensations that arise with stress -- such as muscle tension and jaw clenching.
Of the 96 study patients, 57 were assigned to biopsychosocial therapy for six weeks, while the rest were free to seek standard dental treatment and any other therapy they wanted to try. All were in the earlier stages of TMJ, having suffered symptoms for less than six months.
Over the next year, the study found, biopsychosocial therapy not only proved more effective, but also cut patients' medical costs compared with the standard-therapy group.
In the year after entering the study, patients who received the behavioral therapy spent $132, on average, on their TMJ care, versus $768 in the months before the study.
In contrast, healthcare costs stayed nearly the same for patients in the standard-therapy group, who spent their money on dentists, massage therapists, physical therapists and medical doctors.
"The intervention really helps people become more capable of managing pain," lead study author Dr. Anna Stowell, a pain-management specialist at UT Southwestern Medical Center in Dallas, said in a statement.
In earlier research, she and her colleagues found that the therapy not only reduced patients' jaw pain, but also improved their emotional distress.
These latest findings, the researchers conclude, show that behavioral approaches to TMJ are also money-saving, particularly when started in the early stages of the disorder. Behavioral therapy may help jaw disorder
行为治疗将有助于下颌功能紊乱
Reuters Health
Tuesday, February 6, 2007
NEW YORK (Reuters Health) - People who suffer from chronic jaw pain may be able to help themselves by learning how to manage the body's response to pain and stress, new research suggests.
纽约路透社新闻研究报道：慢性下颌疼痛患者学习如何处理机体对疼痛和应激的反应将对他们的自身疾病有帮助。
Disorders of the temporomandibular joint, commonly called TMJ, involve pain and dysfunction in the jaw, joint and surrounding facial muscles. Treatment may include pain medication, physical therapy and, in some advanced cases, surgery.
颞下颌关节紊乱，通常被称为颞下颌关节紊乱综合征（Disorders of the temporomandibular joint，TMJ）。TMJ 包括下颌、颞下颌关节和周围面肌的疼痛和功能障碍。其治疗包括疼痛药物治疗、物理治疗和某些老病例的外科治疗。
The new study found that a form of treatment called biopsychosocial therapy helped patients with TMJ disorder manage their pain.
新的研究发现一种叫生物心理社会学治疗的治疗形式 ，这种治疗将有助于颞下颌关节紊乱综合征患者处理他们的疼痛。
What's more, it saved them money, researchers report in the Journal of the American Dental Association.
研究人员在美国牙科协会杂志上报道：另外，它还能节省患者的金钱。
TMJ sufferers often have to pay for doctor visits and treatment themselves because many insurers try to pass off the expense -- with medical plans claiming that dental plans should cover TMJ therapy, and vice-versa.
TMJ 患者常常不得不自付医生就诊和治疗的费用。因为许多保险公司尝试用医疗计划消除这项费用，他们主张牙科治疗应涵盖TMJ治疗，反之亦然。
For the study, researchers at the University of Texas tested the cost-effectiveness of biopsychosocial therapy for TMJ.
在这项研究中，德克萨斯大学的研究人员测算了TMJ生物心理社会学治疗效果的花费。
The treatment is a combination of cognitive-behavioral therapy and biofeedback; the behavioral therapy aims to help patients cope with their pain, while biofeedback can help them learn how to recognize and control any bodily sensations that arise with stress -- such as muscle tension and jaw clenching.
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作者:admin@医学,生命科学 2011-03-11 17:12
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