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研究生:黃彥彰
研究生(外文):Yen-chang Huang
論文名稱:自然療法之透瘀處置介入顳顎關節障礙症短期影響之研究
論文名稱(外文):Study of The Kinesic Tapping Method on Short-term Effect of The Temporomandibular Disorders
指導教授:莊輝莊輝引用關係
指導教授(外文):Yuth Nimit
學位類別:碩士
校院名稱:南華大學
系所名稱:自然醫學研究所
學門:醫藥衛生學門
學類:其他醫藥衛生學類
論文種類:學術論文
論文出版年:2005
畢業學年度:93
語文別:中文
論文頁數:80
中文關鍵詞:顳顎關節障礙症透瘀拍打處置
外文關鍵詞:Kinesic Tapping methodTemporomandibular Disorders
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  • 被引用被引用:1
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  本研究目的乃在於探討自然療法之透瘀處置介入顳顎關節障礙症短期之影響.本研究分為兩部份進行.第一部份樣本數共20名,分為拍打點組與偽拍打點組,進行透瘀拍打處置後,以肌電圖和經絡能量分析儀測試受試者咬肌及顳肌之前後變化.第二部份有效樣本數為38名,藉由患者之主觀問卷,以評估顳顎關節障礙症患者對於透瘀處置法以及咬合板治療和藥物治療的主觀治療效果.經SPSS paired t-test的分析結果.透瘀處置之拍打點組,其與患側同側之咬肌肌電圖活性訊號,經透瘀拍打處置後有明顯增大現象(P<0.05).同時於疼痛強度VAS亦有明顯下降(P<0.05).然而,偽拍打點組之咬肌與顳肌之肌電圖活性訊號,其拍打前後則並無統計學上明顯差異(P>0.05).顯示與咬肌相關的拍打點可經由透瘀拍打處置而啟動咬肌的活性.於經絡能量分析方面.拍打點組之前後良導絡總平均值各經比較皆無統計學上顯著差異(P>0.05). 偽拍打點組,其良導絡總平均值前後比較除膀胱經與胃經於統計學上有顯著差異(P<0.05)外,其餘各經絡皆無統計學上顯著差異(P>0.05).顯示拍打點與偽拍打點均無經絡能量的變化.再者,第二部份之藥物療法組除VAS值、疼痛感、下巴卡住感與關節活動度前測與後測比較有統計學上顯著差異(P<0.05)外,餘皆無統計學上顯著差異(P>0.05).咬合板療法組除眩暈感與耳塞無統計學上顯著差異(P>0.05)外,餘皆有統計學上顯著差異(P<0.05).而透瘀處置組則除VAS值、疼痛感、頸背痛、下巴卡住感與關節活動度前測與後測比較有統計學上顯著差異(P<0.05)外,餘皆無統計學上顯著差異(P>0.05).顯示藥物療法組與透瘀處置法組可能於肌原性之疼痛症狀緩解上較有顯著的差異.此一結果於臨床上,或許可將自然療法之透瘀處置整合併入傳統之顳顎關節障礙症初期疼痛控制的選擇上.藉以提供臨床醫師擴大治療方法的多元性以及提供患者之自我保健.
  The purpose of this study was to examine the short-term effectiveness of the Kinesic Tapping (Acupressure on Acupuncture points) Method on the Temporomandibular Disorders. This study was divided into two parts. Twenty subjects were participated in the first part, which was to measure the sore spot, and sham sore spot follow the Kinesic Tapping Method over the Masseter muscle and the Temporal muscle by EMG and MEAD. Thirty-eight subjects participated in the second part of effective samples. It is counted to assess the ‘Temporomandibular Disorders patients’ subjective result among the management of medication, occlusal bite plane and Kinesic Tapping Method.
 
  The experimental data were analyzed with SPSS paired student t-test. In the first group, with suffer from the side of the electric active signal of EMG; significantly increase (P<0.05) the phenomenon after the sore spot Kinesic Tapping management. Also a significant drop (P<0.05) of in the intensity (VAS) of pain at the same time. However, the electric active signal of the Masseter muscle and the Temporal muscle, do not have significant difference (P> 0.05) after the sham sore spot Kinesic Tapping management. The result indicated the sore spot correlated with the masseter muscle, when it gets ready to start the activity of the masseter muscle via the Kinesic Tapping management. In the Analyses of the respect in meridian energy, there was no significant difference (P> 0.05) after the sore spot Kinesic Tapping management. Compare through showing the difference (P<0.05) with the stomach in statistics except the bladder before and after the sham sore spot Kinesic Tapping management. There weren''t every other meridian energy to show the difference (P> 0.05) on statistics. Moreover, medicinal treatments of second part there was except VAS value, pain sense, chin block sense and ROM after examine not showing statistics difference (P>0.05). Occlusal bite plane therapy group except that dizzy and full sense, it was statistics significant difference (P<0.05). Kinesic tapping management group. However, the VAS value, pain sense, neck-backache, chin block sense and ROM after examining did not showing statistics difference (P>0.05). In the medicinal treatment group and Kinesic Tapping management group have indicated an apparent alleviation of myogen pain of the Temporomandibular Disorders.
 
  In summary, the results of these clinic investigations indicated that, Kinesic Tapping method can be incorporated in the traditional managements of the Temporomandibular Disorders as an additional or another choice of pain control. These treatments also can be use to offer as the pluralism that a clinician expanded the treatment method and offer the patient''s self- health care.
目錄 i
表次目錄 ii
圖次目錄 iii
 
中文摘要 v
英文摘要 vi
 
前言 1
文獻回顧 3
研究目的 9
材料與方法10
結果 31
討論 51
結論 67
 
參考文獻 68
 
附錄 76

表次目錄
表一、拍打點組良導絡總平均值38
表二、偽拍打點組良導絡總平均值 39
表三、拍打點組肌電圖及VAS值總平均值 40
表四、偽拍打點組肌電圖及VAS值總平均值 41
表五、問卷回答於藥物療法組之結果 42
表六、問卷回答於咬合板療法組之結果 44
表七、問卷回答於透瘀處置組之結果 47
表八、藥物療法組之治療前後比較結果 48
表九、咬合板療法組之治療前後比較結果 49
表十、透瘀處置組之治療前後比較結果 50
 
圖次目錄
圖一、肌電圖儀 14
圖二、經絡能量分析儀 15
圖三之一、應用經絡能量分析儀測量下述經絡代表點:肺經-太淵 16
圖三之二、應用經絡能量分析儀測量下述經絡代表點:心包經-大陵 17
圖三之三、應用經絡能量分析儀測量下述經絡代表點:心經-神門 18
圖三之四、應用經絡能量分析儀測量下述經絡代表點:小腸經-陽谷 19
圖三之五、應用經絡能量分析儀測量下述經絡代表點:三焦經-陽池 20
圖三之六、應用經絡能量分析儀測量下述經絡代表點:大腸經-陽谿 21
圖三之七、應用經絡能量分析儀測量下述經絡代表點:脾經-太白 22
圖三之八、應用經絡能量分析儀測量下述經絡代表點:肝經-太衝 23
圖三之九、應用經絡能量分析儀測量下述經絡代表點:腎經-大鍾 24
圖三之十、應用經絡能量分析儀測量下述經絡代表點:膀胱經-束骨 25
圖三之十一、應用經絡能量分析儀測量下述經絡代表點:膽經-丘墟 26
圖三之十二、應用經絡能量分析儀測量下述經絡代表點:胃經-衝陽 27
圖四、拍打點組於受試者右側肩井穴區間之壓痛點28
圖五、偽拍打點組於右側棘下肌處的壓痛點位置29
圖六、皮膚表面有突起青褐色的痧點.此痧點的出現為停止拍打的指標 30
圖七、拍打點組透瘀拍打處置之肌電圖值 59
圖八、偽拍打點組透瘀拍打處置之肌電圖值 60
圖九、拍打點組與偽拍打點組之VAS值 61
圖十、咬合板療法組、藥物療法組與透瘀處置法組等三組於VAS值與疼痛感之前後測比較 62
圖十一、咬合板療法組、藥物療法組與透瘀處置法組等三組於眩暈感、耳鳴與耳塞之前後測比較 63
圖十二、咬合板療法組、藥物療法組與透瘀處置法組等三組於頸背痛之前後測比較 64
圖十三、咬合板療法組、藥物療法組與透瘀處置法組等三組於喀喀聲與卡住感之前後測比較 65
圖十四、咬合板療法組、藥物療法組與透瘀處置法組等三組於關節活動度之前後測比較 66
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