目的:我们旨在使用下颌功能限制量表(JFLS)描述无复位前椎间盘移位(ADDWoR)患者的下颌功能特征,并探讨生物心理社会危险因素对颌骨功能受限的影响。
方法:在这项对636例ADDWoR患者(女性,568;男性,68),我们使用JFLS评估颌骨功能.行为,心理,社会人口统计学,收集生物医学数据。采用多因素logistic回归分析确定影响颌骨功能受限的危险因素。使用受试者工作特征曲线来评估这些危险因素的预测效果。
结果:与ADDWoR相关的限制包括下颌活动受限和咀嚼,超过了全球功能限制量表得分的中位数,特别是张开嘴咬苹果和咀嚼坚韧的食物。女性在下颌活动方面有更大的限制,口头和情感交流,和总体。多因素logistic回归分析结果表明,口腔行为,焦虑,性别,疼痛强度,和最大张口(MMO)是有限的颌骨功能的预测(曲线下面积,72%)。
结论:患有ADDWoR的患者报告咀嚼和下颌活动受限,女性有更明显的局限性,和特定的风险因素被确定为下颌功能受限的重要预测因子。随着疼痛的缓解和MMO的改善,适当的心理咨询和口腔行为矫正有助于此类患者的颌骨功能恢复。
OBJECTIVE: We aimed to describe jaw function characteristics in patients with anterior disc displacement without reduction (ADDWoR) using the jaw function limitation scale (JFLS), and to investigate the effects of biopsychosocial risk factors on limited jaw function.
METHODS: In this cross-sectional study of 636 patients with ADDWoR (females, 568; males, 68), we used the JFLS to assess jaw function. Behavioral, psychological, sociodemographic, and biomedical data were collected. Multivariate logistic regression analysis was used to determine risk factors affecting limited jaw function. A receiver operating characteristic curve was used to evaluate the predictive effect of these risk factors.
RESULTS: ADDWoR-associated limitations included restricted jaw mobility and
mastication, which exceeded median global functional limitations scale scores, especially mouth opening to bite an apple and chewing tough food. Females had greater limitations in jaw mobility, verbal and emotional communication, and overall. Multivariate logistic regression analysis findings indicated that oral behaviors, anxiety, sex, pain intensity, and maximal mouth opening (MMO) were predictive of limited jaw function (area under the curve, 72 %).
CONCLUSIONS: Patients with ADDWoR reported
mastication and jaw mobility restrictions, with females having more pronounced limitations, and specific risk factors identified as significant predictors of jaw function limitations. Along with pain relief and improvement in MMO, appropriate psychological counseling and oral behavioral correction facilitates recovery of jaw function in such patients.